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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

Taxes, fees take bite out of Medicaid DSH payments

Disproportionate-share hospitals (DSHs) couldn’t cover their total costs for treating Medicaid and uninsured patients in 2011 through Medicaid payments, after accounting for taxes and fees paid to local governments.

FTC urges Tennessee regulators to reject Wellmont-Mountain States merger

The proposed merger of Mountain States Health Alliance and Wellmont Health System was mostly supported by public comments at a Tennessee hearing, but the Federal Trade Commission (FTC) urged regulators to block the deal.

Medicaid pass-through payments would be limited under CMS proposal

CMS has proposed a new rule which would prevent states from creating or increasing Medicaid “pass-through” reimbursements for services unrelated to value-based payment or care delivery.

Anthem opens merger trial arguing Cigna purchase would improve rates

The antitrust trial between the U.S. Department of Justice (DOJ) and Anthem over its proposed $54 billion acquisition of Cigna began Nov. 21, with both sides offering conflicting visions of insurance competition if the deal were allowed to go through.

22 percent of ED visits result in ‘surprise’ out-of-network charges

Patients who went to an in-network emergency department (ED) were treated by an out-of-network physician 22 percent of the time, resulting in hundreds of thousands of dollars in unexpected medical bills.

Advocate, NorthShore merger moving ahead despite court loss

A deal to create the 11th largest nonprofit hospital system in the U.S. is going forward despite courts siding with the Federal Trade Commission on temporarily blocking the merger.

How drug price hikes affect Medicare, Medicaid

Steep price hikes for a number of prescription drugs led to big increases in Medicaid and Medicare spending in 2015, according to data released by CMS.

4% increase for most Medicare Part B premiums for 2017

CMS has announced premiums and deductibles for Medicare Parts A and B for 2017, with modest increases for most beneficiaries.

Kindred getting out of nursing home business

Louisville, Kentucky-based Kindred Healthcare will be divesting its skilled nursing facilities to focus on more profitable business segments like long-term acute care and rehabilitation hospitals.

$140 million boost to primary care reimbursement in final 2017 Medicare PFS

The final version of the Medicare Physician Fee Schedule (PFS) released by CMS could direct an extra $140 million to primary care physicians in 2017, though it’s receiving some mixed reviews from major medical groups.

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