News

More rural hospitals face closure over financial woes

A Massachusetts community hospital abruptly closed its doors last week, while another facility in Northern California is on the brink of insolvency and closure.

TN hospitals get $80 million under special DSH waiver

Tennessee hospitals received $80 million  this week from the Centers for Medicare & Medicaid Services (CMS) to help cover indigent care services.

Medicare to release doc payment, service data

The Obama administration, in the wake of a recent price transparency movement, will release data on services provided by doctors who participate in Medicare for the first time, according to an announcement from the Centers for Medicare & Medicaid Services.

Many academic medical center heads sit on pharma boards

Leading executives at academic medical centers often sit on the boards of pharmaceutical companies, creating potential conflicts of interest regarding both institutional oversight and research initiatives, according to a new study published in the Journal of the American Medical Association.

10 questions to consider following the ACA's first open enrollment period

Now that the first open enrollment under the Affordable Care Act (ACA) is behind us, I expect many questions to come up over the coming months about the relative success of the law to date, and what...

OIG: Most hospital-based clinics overcharge Medicare

Hospitals erroneously bill Medicare millions of dollars a year because they incorrectly classify the patients they treat,  according to a report issued late last week by the U.S. Department of Health and Human Services' Office of the Inspector General. 

Some doctors would take pay cut to fix SGR

A group of physicians that objects to Congress' inability to reach a consensus on replacing the sustainable growth rate (SGR) payment formula said they would take the 24 percent pay reduction that would go into effect this year as part of a plan to achieve a more lasting fix.

LA hospital may have to repay CMS for CEO's misdeeds

The CEO of Madison Parish Hospital in Tallulah, La., is in prison for healthcare fraud, but the facility he ran may have to foot the bill for his misdeeds, the Monroe News-Star reported.

MO, PA hospitals cut jobs, capital projects

Medicaid payment cuts and uncompensated care hit hospitals in Missouri and Pennsylvania hard, prompting many organizations to slash services and staff positions.

NH expands Medicaid; FDA imports Norwegian saline;

News From Around The Web > New Hampshire became the 26th state to expand Medicaid eligibility under the Affordable Care Act, creating a pilot program to use federal money to buy private insurance...

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.