Economics

This channel highlights factors that impact hospital and healthcare economics and revenue. This includes news on healthcare policies, reimbursement, marketing, business plans, mergers and acquisitions, supply chain, salaries, staffing, and the implementation of a cost-effective environment for patients and providers.

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Moda is third insurer to sue over ACA risk-corridor payments

Portland, Ore.-based Moda Health has filed a lawsuit against the federal government for $180 million it says its owed in risk-corridor payments included in the Affordable Care Act, according to the Portland Business Journal. 

Medicare overbilling case against Prime Healthcare now involves DOJ

The U.S. Department of Justice has joined a five-year-old whistleblower lawsuit against Ontario, Calif.-based Prime Healthcare Services, alleging the hospital chain pressured physicians to unnecessarily admit patients.

McKesson Declares Quarterly Dividend May 25, 2016

  SAN FRANCISCO--(BUSINESS WIRE)--The Board of Directors of McKesson Corporation (NYSE:MCK) today declared a regular dividend of twenty-eight cents per share on Common Stock. The dividend will be payable on July 1, 2016, to stockholders of record on June 6, 2016.  

Online Rx fills gaps in mental healthcare

Telehealth is being implemented in many health systems across the United States, but mainly for primary care to those in rural areas. Well, why not mental care?

Tech company raises $19M for cognitive computing in EHR

Looking to provide more structure for healthcare data, Apixio has announced it’s raised $19.3 million in venture capital to fund new cognitive computing platforms.

Missouri cites 'anticompetitive impact,' issues order against Aetna-Humana merger

Missouri’s Department of Insurance has issued a preliminary order against the proposed merger between Aetna and Humana, saying if the two combine, they must stop doing business in the state.

Insurers propose 16% increase in ACA premiums for 2017

In eight states and the District of Columbia, insurers are asking for an average increase in premiums of 16 percent for silver-level plans on the health insurance marketplace in 2017, a bigger increase than proposal's for this year.

BrightWater Medical Closes Series A Financing

Mountain View, CA, May 24, 2016 — BrightWater Medical, Inc. announced today that it has successfully completed a Series A financing round for $5.2 million. The round was led by OSF Ventures, the corporate investment arm of regional health system OSF HealthCare, and included investments from angel groups and private investors. The funding has covered initial costs for product development, intellectual property, and regulatory filings for BrightWater’s innovative ConvertX™ Nephroureteral Stent System* and will accelerate its on-going, advanced development towards US and European approvals. 

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Around the web

Cardiovascular Business
Cardiologist compensation still rising, especially in invasive and interventional cardiology

Updated compensation data includes good news for multiple subspecialties. The new report also examines private equity's impact on employment models and how much male cardiologists earn compared to females.

Cardiovascular Business
FDA’s tirzepatide decision creates uncertainty for patients—and leads to a lawsuit

When drugs are on the FDA’s shortage list, outsourcing facilities can produce their own compounded versions. When the FDA removed tirzepatide from that list with no warning, it created a considerable amount of chaos both behind the scenes and in pharmacies all over the country. 

Cardiovascular Business
Cardiology groups cheer new bill that would improve access to Medicare claims data

If passed, this bill would help clinician-led clinical registries explore Medicare data for research purposes. The Society of Thoracic Surgeons and American College of Cardiology both shared public support for the bipartisan legislation. 

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