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UnitedHealthcare sues CMS over Medicare Advantage star ratings

WEB3 hours ago — UnitedHealthcare, one of the largest players in the Medicare Advantage market, has filed a lawsuit against the Centers for Medicare & Medicaid Services (CMS) …

Actived: 4 days ago

URL: https://www.healthcarefinancenews.com/news/unitedhealthcare-sues-cms-over-medicare-advantage-star-ratings-downgrade#:~:text=UnitedHealthcare, one of the largest players in the Medicare

Meridian Health, Hackensack University Health Network to merge …

WEBMay 13, 2015 — The combined entity, dubbed Hackensack Meridian Health, will have 11 hospitals, 25,000 employees and another 6,000 physicians on staff.

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Hospitals confront mounting reimbursement challenges and …

WEBNov 30, 2023 — Escalating reimbursement delays and declining cash reserves are placing hospitals and health systems across the nation in a precarious financial predicament, …

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Hackensack Meridian Health completes acquisition of JFK Health

WEBJan 3, 2018 — The system also announced $12 million investment in JFK Medical Center cardiac catheterization lab. New Jersey healthcare giant Hackensack Meridian Health …

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Oncology Care Model lines up more than 400 practices for value …

WEBMay 20, 2015 — More than 400 oncology practices across the United States have signed up to participate in a new federal payment model that moves traditional cancer treatments …

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Mayo Clinic announces advanced care at home model with …

WEBJun 26, 2020 — The Mayo Clinic, in a collaboration with Boston-based technology-enabled services company Medically Home, has announced a new at-home advanced care …

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See which hospitals failed and were fined for hospital-acquired

WEBApr 21, 2015 — The Centers for Medicare and Medicaid Services in December handed down fines to more than 700 hospitals for infections and other hospital-acquired conditions …

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Better tools, analysis needed to make smart healthcare capital

WEBOct 3, 2016 — More sophisticated analysis is needed when it comes to capital investment decisions in healthcare, including better tools to ensure that the money is invested …

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Hospitals pay high turnover costs due to RNs leaving the profession

WEBOct 15, 2021 — The 2021 NSI National Health Care Retention & RN Staffing Report found that since 2016, the average hospital has turned over about 83% of its RN staff and 90% …

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Study finds racial bias in Optum algorithm

WEBOct 25, 2019 — Susan Morse, Executive Editor. A new study finds racial bias in an algorithm from Optum that is widely used by health systems. The algorithm helps …

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Medicare penalizes 721 hospitals over medical errors [full list]

WEBDec 22, 2014 — Medicare is penalizing 721 hospitals with high rates of potentially avoidable mistakes that can harm patients, known as “hospital-acquired conditions.”. Penalized …

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25 biggest provider-sponsored health plans include some of the …

WEBSep 13, 2016 — Healthcare provider-sponsored health plans are gaining in popularity, with nearly 300 plans owned by health systems now on the market, according to the 2016 …

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Outpatient is in! 6 reasons why outpatient centers are growing

WEBJan 10, 2012 — 6 Reasons Why Outpatient Centers are Growing. Not only is an outpatient clinic less expensive to build than a hospital, but operating costs associated with over …

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See which hospitals will pay readmission fines in 2017; Many have …

WEBAug 4, 2016 — See which hospitals will pay readmission fines in 2017; Many have been penalized for 5 years A Kaiser Health News analysis of the CMS data showed 1,621 …

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6 top healthcare audit types

WEBFeb 3, 2015 — To that end, providers should educate staff on these six most common health plan audits and their respective timeframes. Follow Healthcare Finance on Twitter and …

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McKesson healthcare information unit merges with Change …

WEBJun 28, 2016 — Healthcare giant McKesson Corp. on Tuesday said it will spin off its Technology Solutions unit and merge it with revenue cycle company Change …

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New entrants into the healthcare market threaten traditional …

WEBApr 14, 2014 — This story is based on a report appearing on Healthcare Payer News. New entrants in the healthcare market could snatch billions of dollars of revenue from …

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Apollo-owned RCCH HealthCare to acquire LifePoint Health in $5.6

WEBJul 23, 2018 — Apollo-owned RCCH HealthCare to acquire LifePoint Health in $5.6 billion merger The agreement was unanimously approved by LifePoint's Board of Directors; …

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Anthem announces plans to rebrand as Elevance Health

WEBMar 11, 2022 — Anthem plans to rebrand with a new name, Elevance Health, provided the change is approved by shareholders, the insurer said this week. The new name is meant …

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Centene buys QCA Health Plan and QualChoice in Arkansas from …

WEBJan 8, 2019 — Ending racism in healthcare often begins with medical education - and is the target of a new national project Inequities can be found in every facet of the industry, but …

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