News

Moody's: Narrow networks in exchanges could hamper hospital finances

Hospitals generally support the Affordable Care Act, noting that it provides them with a reliable revenue stream from a larger number of insured patients, who otherwise would be unable to pay their bills. But acute care facilities should lower their enthusiasm, a new report from Moody's Investors Service suggests.

El Paso Children's Hospital under financial strain

El Paso (Texas) Children's Hospital is in a tough financial situation, prompting the affiliated University Medical Center to form a committee to renegotiate and restructure the hospital's debt.

RACs denied Medicare providers $2.1B in claims in fiscal 2012

Medicare Recovery Audit Contractors denied Medicare providers more than $2 billion in payments in fiscal year 2012, according to a report from the Centers for Medicare & Medicaid Services to Congress.

Experts say hospital M&A will continue unabated

Hospitals face increasing pressure to engage in mergers or acquisitions, according to officials connected to three large financial firms with ties in the healthcare sector..

Report slams charity care spending of 340B-eligible hospitals

Hospitals that often receive millions of dollars in discounted drugs for their safety net populations are providing relatively little charity care, according to a new report.

Small MS health system must write down $88 million in patient debt

The two-hospital Singing River Health System, which serves the tiny Mississippi communities of Pascagoula and Ocean Springs, has an outsized amount of uncollected patient debt: $88 million.

House approves another one-year SGR fix

The U.S. House of Representatives approved yet another one-year fix to the sustainable growth rate formula in a voice vote Thursday.

Report: 90% of states fail in price transparency

Ninety percent of states do not provide sufficient healthcare pricing information to consumers, according to a report card from the nonprofits Health Care Incentives Improvement Institute and Catalyst for Payment Reform.

Hospital ER ad underscores heathcare finance's woeful informational problems

I've discussed the demands for price transparency a lot in this space and I believe it will be one of the defining issues of healthcare finance for many years to come. But what about...

AHA files brief in support of maintaining insurance subsidies

The American Hospital Association filed an often scorching amicus brief with the U.S. 4th Circuit of Appeals, arguing to keep tax subsidies in place for individuals who purchase coverage on the federal health insurance exchange, AHA News Now reported.

Pending hospital deals in New England draw scrutiny over patient costs

Hopsital mergers and acquisitions aren't new on the East Coast but regulators now wonder how potential hospital mergers in New England will impact patient costs.

Supply chain management must adapt to changing healthcare landscape

A "just in case" approach to supply chain management no longer meets hospitals' needs In the U.S. and across the globe, according to Supply Management.

Producer, consumer price indexes tell different stories

The price of producing hospital inpatient care increased only incrementally from February 2013 to February 2014, while outpatient care prices experienced a more significant uptick.

Incremental coordinated care improvements can save millions of dollars a year

Better coordinated care for patients with chronic conditions can potentially save providers millions of dollars a year, according to a new study by the RAND Corporation published in JAMA Internal Medicine,

Hospital group lobbies FDA over drug shortage

The American Hospital Association, concerned about the ongoing shortage of basic hospital staples, called for the federal government to increase the availability of saline and other intravenous fluids, AHA News Now reports.

CBO projects additional costs to current SGR repeal bill

Legislation to repeal the Sustainable Growth Rate physician payment formula will add additional costs because of new language that delays the Affordable Care Act's individual mandate, according to the Congressional Budget Office.

GA governor proposes step-down licensure for struggling rural hospitals

Georgia Gov. Nathan Deal (R) proposes a form of restricted "mini" or "step-down" hospitals to keep the state's struggling rural providers in business, the Savannah Morning News reports.

Financial penalty for successful RAC appeals proposed

Should the government impose financial penalities on recovery audit contractors if a clawback they performed against a hospital is overturned on appeal? That's a proposal being put forth by the most senior member of the House Ways and Means Health Subcommittee, AHA News Now reports.

Duke LifePoint to buy PA hospital system

Duke LifePoint Healthcare has set its sights on acquiring the three-hospital Conemaugh Health System in Pennsylvania and plans to invest as much as $500 million in the venture over the next decade, the Nashville Tennessean reports.

Exchanges' narrow networks exclude many cancer hospitals

The narrow networks that some health plans offer through state health insurance exchanges exclude some of the top-tier cancer hospitals, according to the Associated Press.