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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

Johnson & Johnson shopping its diabetes care division after cautious 2017 forecast

Three diabetes care units within Johnson & Johnson (J&J) could be sold, the company said, as it reported slightly better-than-expected earnings for the last quarter of 2016 and lowered expectations for the current year.

Federal judge blocks Aetna-Humana deal on antitrust grounds

Aetna’s $37 billion acquisition of Humana has been blocked by a federal judge, who ruled it would violate antitrust laws and seriously limit competition in the Medicare Advantage (MA) market and a handful of health insurance exchanges. 

Radiologists, emergency docs may charge 4 times Medicare rate to out-of-network patients

In a study examining what specialists may charge to out-of-network or uninsured patients, radiologists, neurosurgeons and emergency physicians ranked near the top of the list of highest markups compared to Medicare rates.

 

359,000 clinicians participating in 4 APMs in 2017

CMS has announced which clinicians and accountable care organizations are participating in four alternative payment models (APMs) in 2017: the Medicare Shared Savings Program (MSSP) Next Generation ACO Model, the Comprehensive End-Stage Renal Disease Care Model (CEC) and Comprehensive Primary Care Plus (CPC+) Model. 

Surgical Care Affiliates being sold to UnitedHealth’s Optum for $2.3 billion

Wakefield, Massachusetts-based Optum, owned by UnitedHealth, has agreed to a $2.3 billion cash and stock deal to buy Surgical Care Affiliates (SCA) and its 190 surgical hospitals and ambulatory surgical centers.

More than 1 million healthcare jobs would be lost with ACA repeal

The healthcare industry would suffer the greatest job losses due to the loss of federal funds if parts of the Affordable Care Act (ACA) are repealed, according to an analysis from the Commonwealth Fund.

 

Bundled payments for joint replacement could save hospitals $2 billion

A study in JAMA Internal Medicine found hospitals can save an average of 8 percent without impacting quality in Medicare’s bundled payment for joint replacement.

Donations to U.S. nonprofit hospitals up slightly in 2016

Gifts, pledges and grants to nonprofit hospitals in the United States went by 0.2 percent in 2016, totaling $9.6 billion, according to a report from the Association for Healthcare Philanthropy (AHP).

Allergan to acquire LifeCell for $2.9 billion

Biopharmaceutical company Allergan is acquiring Acelity’s LifeCell, a regenerative medicine unit, for $2.9 billion, according to a news release.

CMS expands opportunities for 5% APM bonus in 2018

Practices and payers which want a chance to earn the 5 percent incentive payment offered under CMS’s Advanced Alternative Payment Models (APMs) will have a chance to apply for two qualifying models for 2018.

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