Today's Top 20 Stories
  1. Aetna: Former medical director misrepresented our denial process

    Aetna says comments a former medical director made under oath, which implied he never reviewed patients' medical records when deciding claim approvals or denials, are "a gross misrepresentation of how the process actually works."  By Morgan Haefner -
  2. How to solve the opioid crisis with $100B — 30 experts weigh in

    While President Donald Trump directed HHS to declare the nation's opioid crisis a public health emergency in October, the administration has yet to enact a specific strategy for a solution, according to a report from The New York Times. By Brian Zimmerman -
  3. Report claims VA Secretary Dr. David Shulkin neglected responsibilities in $122k trip to Europe: 5 things to know

    A new report from the Department of Veterans Affairs Office of Inspector General alleges VA Secretary David Shulkin, MD, misrepresented his activities during a trip to Europe last July that cost at least $122,334.  By Leo Vartorella -

Hospital C-suite: How do you feel about value-based payments?

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  1. RCM tip of the day: Coding accuracy and quality linked

    Consumer access to hospitals' quality scores via a number of reporting entities such as Healthgrades and Leapfrog is increasing.  By Kelly Gooch -
  2. 3 Florida hospitals treat high school shooting victims

    Broward Health North in Deerfield Beach, Fla., is one of three hospitals that received patients following Wednesday's shooting at Parkland, Fla.-based Marjory Stoneman Douglas High School, according to a report on TCPalm.com.  By Kelly Gooch -
  3. 'This study shows there's light at the end of the EHR tunnel': Q&A with ProCare Pain's Dr. Fred Davis

    There are four central pieces of data physicians can use to identify and diagnose potential fibromyalgia patients — and they're recorded in nearly every physician practice's EHR. By Brooke Murphy -
  4. Judge: DOJ's suit accusing UnitedHealth of $1B Medicare fraud can proceed

    A federal judge determined the Justice Department can move forward with a lawsuit accusing UnitedHealth Group of defrauding Medicare at least $1 billion in false claims, Reuters reports.  By Morgan Haefner -
  1. State gives unanimous final approval for proposed Partners, Mass. Eye and Ear acquisition

    The Massachusetts Department of Public Health approved Boston-based Partners HealthCare's proposed acquisition of Massachusetts Eye and Ear, also in Boston, Feb. 14, according to the Boston Business Journal.  By Alyssa Rege -
  2. CHS divests 60-bed Louisiana hospital

    Franklin, Tenn.-based Community Health Systems revealed Feb. 14 its subsidiaries entered into a definitive agreement to divest Leesville, La.-based Byrd Regional Hospital and its associated assets to subsidiaries of Allegiance Health Management, a 14-hospital organization in Shreveport, La.  By Alyssa Rege -
  3. Healthcare costs vary among states due to use patterns, prices: 4 things to know

    Local healthcare use patterns and pricing are the main drivers of differing healthcare costs across five states, according to report from the Network for Regional Healthcare Improvement.  By Morgan Haefner -
  4. FTC OKs proposed Aurora Health Care, Advocate merger

    Milwaukee-based Aurora Health Care and Downers Grove, Ill.-based Advocate Health Care have reportedly received approval to merge from the Federal Trade Commission, according to the Milwaukee Business News.  By Alyssa Rege -

Executive compensation considerations post tax reform

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  1. JPMorgan CEO on new venture with Amazon, Berkshire: 'We know we can do more' to fix healthcare

    JPMorgan Chase CEO James Dimon hopes the company's new healthcare venture with Amazon and Berkshire Hathaway will lead to lower healthcare costs and better medical outcomes for the three companies' U.S. employees.  By Ayla Ellison -
  2. Baylor Scott & White sees operating income jump 80%

    Dallas-based Baylor Scott & White Health saw revenue and operating income rise in the first six months of fiscal year 2018, which ended Dec. 31, 2017.  By Ayla Ellison -
  3. US healthcare spending to peak at $5.7T in 2026: 10 report findings

    National healthcare spending growth is expected to outpace projected gross domestic product through 2026, according to a report from the CMS Office of the Actuary.  By Kelly Gooch -
  4. FDA wants to launch a Center of Excellence on Digital Health

    FDA Commissioner Scott Gottlieb, MD, on Feb. 13 laid out plans for a Center of Excellence on Digital Health as part of the agency's request for 2019 funding.  By Jessica Kim Cohen -
  5. Oklahoma health department leader resigns after domestic violence allegations

    Preston Doerflinger resigned from his role as Oklahoma State Department of Health interim commissioner and state Cabinet secretary of finance, administration and information technology after reports of alleged domestic violence arose Monday in the local media, Republican Oklahoma Gov. Mary Fallin said.  By Kelly Gooch -
  6. Novant Health, Kaiser Permanente win first CMS Health Equity Award

    CMS awarded Winston-Salem, N.C.-based Novant Health and Oakland, Calif.-based Kaiser Permanente the first Health Equity Award at the CMS Quality Conference.  By Emily Rappleye -
  7. MIPS performance scores for 2017 claims data are live

    Individual providers who submitted 2017 quality performance data with claims for the Merit-based Incentive Payment System can now see their scores on the Quality Payment Program website.   By Emily Rappleye -
  8. How physicians are learning to talk to patients about dying

    A conversation guide is helping physicians learn strategies for some of the most difficult discussions they have as care providers — telling patients they are dying.  By Megan Knowles -
  9. Tulane Health System names Tom Patrias COO: 3 points

    New Orleans-based Tulane Health System selected Tom Patrias to serve as COO, effective March 12.  By Anuja Vaidya -

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