Management

This page includes content on healthcare management, including health system, hospital, department and clinic business management and administration. Areas of focus are on cardiology and radiology department business administration. Subcategories covered in this section include healthcare economics, reimbursement, leadership, mergers and acquisitions, policy and regulations, practice management, quality, staffing, and supply chain.

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4 accused of $200M insurance fraud in kickback scheme

Individuals from Mississippi were indicted for defrauding insurance companies for $200 million with high-priced compounded formulations and bribing providers—including dentists, physicians and nurse practitioners—to prescribe those medications to patients they never examined.

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ACA marketplaces remain unstable—but insurers see profit potential

Prices continue to climb on the Affordable Care Act exchanges, with some estimates calling for 30 percent increases to typical silver-level plans in 2019. But despite the additional challenges faced by individuals on the marketplaces, insurers see clear skies ahead.

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Muller, CEO of UPenn health system, to step down in 2019

Ralph W. Muller, MA, chief executive of the University of Pennsylvania’s health system in Philadelphia, will step down in 2019. Leading the school health system since 2003, he has helped it expand to six hospitals.

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GE moves to spin off healthcare division

After a year of soul searching and strategic review, GE announced its move today to spin off GE Healthcare into a standalone company over the next 12 to 18 months. The goal, the company said, is a leaner corporate structure with substantial reductions in debt.

Change Healthcare develops module to reduce denials of claims

Change Healthcare has announced the development of a module for their Assurance Reimbursement Management program that assists providers submit claims.

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House overwhelmingly passes anti-opioid legislation

In a 396-14 vote, the House of Representatives passed the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act, or H.R. 6—bipartisan opioid legislation that aims to curb drug abuse.

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Gawande looks to remove waste as he gears up to head healthcare initiative

After his appointment as CEO of the new Amazon-Berkshire Hathaway-JPMorgan Chase healthcare venture, Atul Gawande, MD, stated the undertaking will look to target wasteful spending, while providing better outcomes and satisfaction and removing “some of the middlemen" from the system.

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Kaiser: 10M US citizen minors with undocumented parents may face challenges accessing healthcare

While debates about immigration—and the controversial approach to separating families at the southwestern border of the U.S.—dominate the news, advocates warn that children may be at risk for losing healthcare coverage through Medicaid, according to a recent report from Kaiser Health News.

Around the web

Boston Scientific has announced another significant M&A deal, scooping up an Israeli medtech company focused on RDN technology. 

Harvard’s David A. Rosman, MD, MBA, explains how moving imaging outside of hospitals could save billions of dollars for U.S. healthcare.

The recall comes after approximately 3% of patients treated with the device during the early stages of its U.S. rollout experienced a stroke or transient ischemic attack following surgery. The expected stroke rate is closer to 1%, the FDA explained.