Dive Brief: A federal appeals court ruled against hospitals’ efforts to stop regulators from forcing them to reveal the secret negotiated prices they reach with insurers, according to an opinion filed Tuesday. Hospitals were hoping for intervention from the D.C. Circuit Court of Appeals as the rule requires hospitals to reveal these rates by Friday.
On top of the onslaught brought by COVID-19, hospitals faced yet another challenge this year: ransomware. On Oct. 28, the FBI, DHS and Department of Health and Human Services alerted healthcare providers of an expected uptick in ransomware attacks, particularly from the Ryuk and Conti strains. For Indiana-based Rush Memorial Hospital’s IT and security organization,
Dive Brief: The American Hospital Association filed an emergency motion for a stay, which means it’s seeking to stop the government from enforcing its price transparency rule, set to go into effect Jan. 1 if the law is not struck down in federal appeals court. The AHA is still awaiting a final verdict from the court
Dive Brief: The already bleak financial situation for U.S. hospitals isn’t improving, with margins down month over month and volumes and revenues continuing to fall across most metrics, according to Kaufman Hall’s latest monthly flash report. Expenses also remained high compared to last year and above budget. Inpatient admissions were the only metric to rise,
Dive Brief: Oscar Health is preparing to go public and filed draft registration with the Securities and Exchange Commission, the startup insurer announced Monday. The submission was confidential, Oscar said in a statement. The price range and size of the proposed initial public offering has yet to be decided, the company said. The SEC will
GE Healthcare, Medtronic and Philips are among the big medtechs investing in artificial intelligence and machine learning, technologies they contend hold potential for better diagnosing, managing and treating a wide variety of diseases and health conditions. While medtechs are only starting out on their AI/ML efforts, they are developing, acquiring and implementing these technological capabilities,
Tenet Health got its start as a major hospital operator in the U.S. and can trace its hospital business roots as far back as 1969. But it may be time to think of the Dallas-based company as an ambulatory surgery center operator, first, and a hospital chain, second. Following its latest acquisition, Tenet’s ASC footprint
Dive Brief: Year-end legislation bipartisan leaders finalized late Sunday includes a long-awaited ban on surprise medical bills, along with $900 billion in new COVID-19 relief, according to top Democrats House Speaker Nancy Pelosi and Senate Minority Leader Chuck Schumer. The sweeping package comes less than a week after leaders of major House and Senate committees
Dive Brief: Safety net hospitals throughout the United States have been especially stressed from the COVID-19 pandemic, with huge drops in admissions that have directly impacted their finances, according to a new analysis of several such institutions by the Robert Wood Johnson Foundation and the Urban Institute. The five hospitals examined were Erie County Medical
Dive Brief: Union nurses and HCA Healthcare reached a tentative contract agreement that members at three Southern California hospitals will vote on Tuesday and Wednesday, effectively averting a 10-day strike planned to start Christmas Eve. The new contract includes greater transparency and communication on emergency preparedness plans from the hospitals to employees and guarantees the
The American Medical Association yesterday announced Current Procedural Terminology immunization and administration codes for reporting on medical claims the COVID-19 vaccine under development by AstraZeneca and University of Oxford. The codes are effective for use once the vaccine receives emergency use authorization or approval from the Food and Drug Administration.
In an article published last week in JAMA, Jonathan Perlin M.D., president, clinical operations, and chief medical officer, HCA Healthcare, discusses how with the COVID-19 pandemic, “the less appreciated ravage has been excess morbidity and mortality from patients who have forgone essential care due to patient fears of contracting COVID-19 in health care settings and to
Centers for Medicare & Medicaid Services yesterday released updated guidance for states and territories on Medicaid, Children’s Health Insurance Program and Basic Health Program coverage and reimbursement for COVID-19 vaccinations. The updates include additional information on vaccine administration reimbursement, including a streamlined review process for states to adjust reimbursement rates; and further clarification regarding managed
The Centers for Medicare & Medicaid Services has extended to Feb. 1 at 8 p.m. ET the deadline for clinicians participating in the Merit-based Incentive Payment System to apply for an extreme and uncontrollable circumstances exception to reweight the MIPS performance categories. “If you have any concerns about the effect of the COVID-19 public health emergency