Three Southern California health systems — San Diego-based Sharp HealthCare, Mountain Valley-based MemorialCare and Renton, Wash.-based Providence Health and Services' Los Angeles County facilities — introduced a regional health plan with Aetna Aug. 13.
Care Coordination
Partners in Health, a Boston-based foundation that broadens access to healthcare for marginalized populations, received the largest gift in its 13-year history — a $15 million donation from the Wagner Foundation, according to The Boston Globe.
Facebook is cracking down on advertisements marketing addiction treatment services that the social media giant calls "predatory."
Durham, N.C.-based Duke Health and WakeMed Health & Hospitals in Raleigh, N.C., are in talks with Centene to offer a health plan on the ACA marketplace that will network with the two health systems, according to WRAL.
Bronx, N.Y.-based Montefiore Health System urged patients to contact Aetna about an ongoing contract dispute that may result in the system leaving the health insurer's network by Sept. 8, according to The Journal News/lohud.
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Lakeport, Calif.-based Sutter Lakeside Hospital reopened Aug. 10, 12 days after a deadly wildfire pushed its way into the region, forcing the evacuation of the 25-bed hospital, according to the Lake County News.
A Minnesota family claims Rochester, Minn.-based Mayo Clinic held their then 18-year-old daughter hostage after she was admitted to the hospital for a brain aneurysm in December 2016, according to CNN.
In a recent press release, Medecision announced it has launched a new SaaS application, Aerial UM Connector™, that automates authorizations and referrals in order to drive compliance and reduce costs for health plans and TPAs with substantial Medicare and Medicaid populations.
In a recent blog post, Medecision discusses utilization management in the context of population health.
CMS issued a proposed rule Aug. 9 that would make sweeping changes to the Medicare Shared Savings Program, including overhauling the way ACOs share in risks and rewards.