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Despite 'glimmers of stability,' Moody's predicts worsening financial outlook for nonprofit hospitals

December 10, 2018


Nonprofit hospitals will continue to see expenses outpace revenue in 2019 because of a number of factors, including weak inpatient admissions and increases in bad debt, according to a new report from Moody's Investors Service.

What's behind the slowdown in US health spending? Declining demand, CMS finds.

December 7, 2018


CMS actuaries say U.S. health care spending increased by 3.9% to $3.5 trillion in 2017, down from a growth rate of 4.3% in 2016.

Incoming Senate Finance Committee leaders unveil bill to address Medicaid drug costs

December 6, 2018


Sens. Chuck Grassley (R-Iowa) and Ron Wyden (D-Ore.), the incoming leaders of the Senate Finance Committee, released a draft bill that would provide HHS with the authority to penalize drugmakers participating in the Medicaid Drug Rebate Program for misclassifying their products.

Flawed data led to $140M in Medicare hospital overpayments, according to HHS' OIG

November 29, 2018


HHS' Office of the Inspector General in a new report identifies "material inaccuracies" in data CMS used to calculate the Medicare Area Wage Index, which the agency uses to adjust hospitals' Medicare payments.

Amazon just took a leap into the $7B EHR industry

November 28, 2018


Amazon Web Services is selling a new language processing service designed to mine unstructured medical data from electronic health records to extract information on diagnoses, medical dosages, symptoms, and other health-related details.

Inside CMS' plan to lower drug costs for Medicare Part D enrollees

November 28, 2018


CMS' proposed rule seeks to eliminate barriers that prevent Medicare Part D and Medicare Advantage enrollees from accessing lower-cost drugs by giving Part D plans more flexibility to use formulary management tools, such as prior authorizations and step therapy.

Rural hospitals keep closing—and that could have significant health effects

November 27, 2018


Hospital closures, particularly in rural areas, have outpaced new hospitals every year since 2011, and research shows that trend can have significant health consequences on the local population.

How Geisinger Health Plan cut hepatitis C treatment costs by 20%—without sacrificing cure rate

November 26, 2018


The medical community celebrated when researchers developed a breakthrough therapy that could fully eliminate hepatitis C, but the treatment's $100,000 price tag prompted Geisinger Health Plan to craft a unique approach to reducing costs.

Walmart is offering no-cost spinal surgeries to employees—but there's a catch

November 21, 2018


Walmart beginning next year will require employees who need spinal surgery to get the procedure at one of a handful of hospitals nationwide that the company has selected for offering better-quality care at lower prices.

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