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Boston-based Steward Health Care System would become the largest for-profit hospital operator in the U.S. if it wins regulatory approval for a $2 billion merger with Franklin, Tennessee-based IASIS Healthcare. 

Policy uncertainty, changing reimbursement models and price transparency are just some of the topics expected to be discussed at the Healthcare Financial Management Association’s upcoming Annual National Institute, which runs from June 25 to 28 at the Orange County Convention Center in Orlando, Florida. 

Seventeen healthcare organizations have been named winners of the 2017 MAP Award for High Performance in Revenue Cycle by the Healthcare Financial Management Association (HFMA).

After losing in court for the third time over the $54 billion deal, Anthem has officially terminated its merger with Cigna, though the court battles involving the failed acquisition appear to be far from over.

The need for new or upgraded software, provider consolidation and hiring consultants are some of top trends practices will need to contend with as they prepare for the new payment tracks in the Medicare Access and CHIP Reauthorization Act (MACRA).

 

Recent Headlines

Duke and West Penn Allegheny settle million dollar false claims accusations

Duke University Health System, Inc., in Raleigh, N.C., and West Penn Allegheny Health System, Inc., in Pittsburgh, Penn., have agreed to pay the U.S. government $1 million and $1.5 million respectively to settle claims that they violated the False Claims Act.

Michigan’s Beaumont Health System finds new partners

After a deal to merge with the Detroit-based Henry Ford Health System fell through last year, Beaumont Health System wasted no time reaching out to other potential partners and has now gone public with plans to affiliate with Oakwood Healthcare and Botsford Health Care.

Bad contracts with two physicians costs hospital $8.5 million

Healthcare reform encourages hospitals and independent physicians to collaborate on care, but contracts that end up creating a financial motive to drive up Medicare and Medicaid costs can put a hospital on the wrong side of the law, as the non-profit acute-care Memorial Hospital in Fremont, Ohio, found out.

Proposed Northwestern-Cadence merger would create Chicagoland mega health system

Cadence Health and Northwestern Memorial HealthCare have signed a letter of intent to merge — a deal that could create one of the largest nonprofit academic healthcare delivery systems in the midwest.

Slow Health Care Employment Growth Continues

Employment in health care changed little in February, reports the U.S. Bureau of Labor Statistics (BLS). This marks the third consecutive month of almost no change in employment in the industry.

Study Finds Current Structural Changes May Save Medicare $900 Billion

Do nothing and save billions? It seems to good to be true, but a new report by health care economics consulting firm Dobson|DaVanzo finds that simply by staying the course on current structural changes driving down spending, the Medicare program could save an additional $900 billion over the next 10 years.

Replacing Terrible MACs is Too Hard, OIG Official Testifies

For any provider who has been frustrated by consistent problems with their local Medicare Administrative Contractor (MAC), Robert A. Vito, regional inspector general for evaluation and inspections for the U.S. Department of Health and Human Services’ Office of Inspector General (HHS OIG) shed some light on how underperforming MACs are able to keep their government contracts.

Florida Hospital Settles for $85 Million in Closely Watched Stark Law Case

The popularity of “profit sharing” arrangements that reward physician groups for keeping costs down and quality up added to interest in the a Florida Stark law case that was partially settled this week.

Medicare Advantage Rate Cut Could Have Been Worse

Industry lobbying to minimize the 2015 cuts to Medicare Advantage rates was heavy, and when the announced cut came in at less than 2 percent, health insurance stocks rose.

5 Things CHS Competitors Should Note in the Hospital Operator’s Recent Financials

In its end-of-year financials, Community Health Systems noted that the trend toward lower hospital admission numbers hurt profits. However, there was more in the report and earnings call that competitors should take note of.

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