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The deal to fund the Affordable Care Act (ACA)’s halted cost-sharing reduction subsidies while expanding the state waiver process has the support of several major healthcare groups along with 10 governors and 24 senators. President Donald Trump, however, hasn’t been clear on whether he’ll support the bill as-is.

The number of hospital mergers and acquisitions (M&A) has reached 87 through the end of the third quarter, according to an analysis from consulting firm Kaufman Hall, putting 2017 M&A activity in the sector on pace to surpass the 102 deals that were completed in 2016.

The impact of hurricanes Harvey and Irma on hospitals owned by Nashville, Tennessee-based HCA Healthcare was spelled out in a preview of its third quarter earnings report, with the company saying it lost $140 million thanks to additional expenses and lost revenue at its facilities in Texas, Florida, Georgia and South Carolina.

A bonus of up to 10 percent has been proposed for using an upgraded electronic health record (EHR) system for reporting in the Merit-based Incentive Payment System (MIPS) in 2018, but speakers at two recent industry conventions warned it’s likely not a worthwhile investment for providers.

Combining health systems and hospitals means combining their health information, making the health information management (HIM) strategy a critical facet of any merger, which can be tripped up by poor planning or having an unhelpful electronic health record (EHR) vendor.