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.

New Medicare bill would adjust readmissions program, outpatient payments

New legislation introduced in the House Ways and Means Health Subcommittee contains several changes for Medicare policies most affecting hospitals, including allowing “mid-build” off-campus outpatient facilities to be reimbursed at current rates under the Medicare outpatient prospective payment system (OPPS).

Highmark sues over reduced ACA risk-corridor payments

Highmark is suing the federal government for $196 million in risk-corridor payments it says agencies are required to pay out under the Affordable Care Act, despite funding constraints put in place by Congress.

Bringing the 'entrepreneurial spirit' to American healthcare

Susannah Fox, the chief technology officer of the Department of Health and Human Services, recently shared her efforts and advice on encouraging innovation in the healthcare space.

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Physicians sue HHS over out-of-network payments

A lawsuit against HHS from the American College of Emergency Physicians (ACEP) claims the current regulations allow insurers to underpay for emergency services when the hospital is out-of-network.

Vermont may be first state to require drugmakers explain price increases

Legislation waiting for the signature of Vermont’s governor would make the state the first to require pharmaceutical manufacturers to justify raising drug prices.

Overnight Healthcare: Zika fight enters new phase

House Republicans have introduced a bill that would provide $622 million in funding to fight the Zika virus this year, paid for by shifting funds that were intended to fight Ebola.

Physicians criticize Medicare Part B proposal at hearing

A proposed change to reduce reimbursement rates under Medicare Part B was largely panned by medical professionals who testified before the House Energy and Commerce Committee.

NH, AZ join interstate licensing compact

The two states have enacted legislation adopting the Interstate Medical Licensure Compact and another three may soon be joining.

Around the web

The tirzepatide shortage that first began in 2022 has been resolved. Drug companies distributing compounded versions of the popular drug now have two to three more months to distribute their remaining supply.

The 24 members of the House Task Force on AI—12 reps from each party—have posted a 253-page report detailing their bipartisan vision for encouraging innovation while minimizing risks. 

Merck sent Hansoh Pharma, a Chinese biopharmaceutical company, an upfront payment of $112 million to license a new investigational GLP-1 receptor agonist. There could be many more payments to come if certain milestones are met.