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University of Pittsburgh Medical Center (UPMC) has expanded its operations in Italy, buying a 50 percent stake in the 75-bed Salvator Mundi International Hospital in Rome and taking over clinical operations.

If the Graham-Cassidy proposal is passed by the Senate, most states would lose funding compared to what they be paid under the Affordable Care Act (ACA) in 2020, as the ACA’s insurance subsidies and Medicaid expansion funding would be turned into a fixed block grant. Over a 20-year period, healthcare funding to states will be reduced by $4 trillion, according to Avalere Health.

Insurance giant Anthem has announced it will acquire Florida Medicare Advantage plan HealthSun, which could add 40,000 members from the Miami metropolitan area to Anthem’s affiliated Medicare and Medicaid plans in the state.

The comment period for the proposed Medicare Physician Fee Schedule (PFS) has closed, with policy and payment updates drawing a typically mixed reaction from stakeholders within the industry.

One-sixth (17 percent) of physician practices responding to a Medical Group Management Association (MGMA) poll said they’re paying fees from 2 to 5 percent for receiving payments electronically—a practice the MGMA wants CMS to prohibit.

 

Recent Headlines

3 things to know about Moody’s hospital report

Moody’s Investor Service released its latest review of financial performance for the 323 not-for-profit hospitals it rates on Aug. 21, showing tighter profit margins and a milestone being reached for outpatient revenue in 2016 while retaining a stable outlook for the sector.

Medica buying Mayo Clinic’s health benefits division

Minnetonka, Minnesota-based Medica has reached a deal with Mayo Clinic to acquire its Mayo Clinic Health Solutions division, also known as MMSI, for an undisclosed sum.

Hospital’s nonprofit status revoked by IRS for the 1st time

In a first for the Internal Revenue Service (IRS), it stripped a hospital’s nonprofit tax status over failing to meet charity care requirements which went into effect, though the unnamed hospital also claimed it didn’t want or need tax-exempt status.

CBO: Premiums would spike 20% in 2018 if ACA insurer subsidies pulled

If payment of cost-sharing reduction subsidies, or CSRs, for insurers offering coverage on the Affordable Care Act (ACA) marketplace are terminated, premiums would be 20 percent higher on average in 2018 and federal spending would increase, but the ACA market would remain stable, according to the Congressional Budget Office.

Deloitte’s Chip Newton: Where your practice is overspending on labor

When it comes to finding waste in their labor costs, healthcare leaders need to sweat the small stuff, according to Chip Newton, senior manager at Deloitte Consulting LLP.

ACA insurers get 3 extra weeks to file final rates for 2018

CMS has pushed back the deadline for insurers to file their final 2018 rate requests for the Affordable Care Act (ACA) exchanges until Sept. 5, giving companies extra time to decide what plans and prices to offer.

Few patients making use of price transparency tools

Two studies published in the August edition of Health Affairs emphasized while patients like the idea of having healthcare prices available for comparison shopping, in practice, few actually take advantage of the tools.

CMS finalizes 2018 skilled nursing, inpatient rehab, hospice payment rules

CMS has issued its final rules for 2018 Medicare payment rates and policy updates for skilled nursing facilities (SNFs) and inpatient rehabilitation facilities (IRFs).

CMS outlines how it will cut $43B from Medicaid DSH payments

A proposed rule from CMS offered greater detail on the methodology for implementing the Affordable Care Act’s $43 billion in cuts to Medicaid Disproportionate Share Hospital (DSH) payments between 2018 and 2025.

Annual IT costs as high as $19,000 per doctor for some practices

In 2016, physician-owned practices spent between $2,000 and $4,000 more on IT expenses per full-time-equivalent (FTE) physician, according to Medical Group Management Association’s (MGMA) annual DataDive Cost and Revenue Survey.

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