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.

UnitedHealth being sued for Medicare Advantage fraud

The U.S. Department of Justice has joined a whistleblower lawsuit against UnitedHealth, alleging the insurer improperly received billions of dollars through Medicare Advantage.

Monitoring physical activity gives patients a pep in their step

Maintaining a level of physical activity is key in not only preventing the rise of obesity but also many chronic diseases. A recent study led by researcher from the American Cancer Society, and published in CA: A Cancer Journal for Clinicians, showed that continuously assessments of physical activity during visits to the physician could lower rates of chronic diseases.

Seattle Times investigates hospital for pushing high-volume model

A wide-reaching Seattle Times probe into Providence Health’s Swedish Cherry Hill Hospital alleges administrators pushed a “high volume approach” on surgeons, lied to patients about which surgeons would perform their procedure and performed dangerous surgeries when less invasive alternatives were available.

Republicans policy brief offers few new details on ACA replacement

House Speaker Paul Ryan promised a new plan to repeal and replace the Affordable Care Act is coming after the Presidents Day recess in Congress, but there are still disagreements between House Republicans on several key points of their own legislation.

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5 things to know from questioning of Trump’s CMS nominee

Seema Verma, MPH, President Donald Trump’s pick to run CMS, faced questions about mandatory payment models, the Affordable Care Act (ACA), and providers’ ability to take on risk-based arrangements in her confirmation hearing before the Senate Finance Committee.

SpectraMedix introduces National MACRA Advisory Council

SpectraMedix, a company specializing in transitioning hospitals to to value-based payment models, has developed a national advisory council dealing with the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). This council, made up of healthcare policy and IT experts, will assist the industry implement Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) tracks.

Healthcare spending projected to make up almost 20% of U.S. economy by 2026

Health expenditures in the U.S. are expected to grow by an average of 5.6 percent annually through 2025, driven by rising medical prices that won’t be offset by slower growth in other areas.

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First Trump-era CMS rule seeks to keep insurers on ACA exchanges

The administration of President Donald Trump has issued its first proposed rule regarding the Affordable Care Act (ACA) insurance exchanges, offering what health policy experts call “insurer-friendly” changes to keep companies from raising premiums or exiting the marketplace.

Around the web

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.

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. 

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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