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Industry News

Jan 11, 2018

Brown University and Prospect Medical Holdings announced plans to acquire Care New England Health System while condemning the health system's ongoing merger talks with Partners HealthCare.

Brown University President Christina Paxson said that if Pawtucket, R.I.-based Care New England merges with Boston-based Partners, specialty care would shift to Massachusetts, reducing access for Rhode Island consumers and increasing the cost of care. Rhode Island would also have less control of...

Jan 11, 2018

The Medicare Payment Advisory Commission voted 14-2 to repeal and replace a Medicare payment system that aims to improve the quality of patient care. Providers immediately slammed the move.

To avoid penalties under MACRA, physicians must follow one of two payment tracks: the Merit-based Incentive Payment System, or MIPS, or advanced alternative payment models like accountable care organizations.

On Thursday, the Commission voted to asks Congress to eliminate MIPS and...

Jan 11, 2018

The GOP tax overhaul's repeal of the individual mandate has unexpectedly saved the Children's Health Insurance Program in eleventh hour — and has added at least a year to the funding extension.

A GOP senior aide told Modern Healthcare CHIP is "very likely" to go as a stand-alone next week, with six years of funding appropriated, even as Republicans and Democrats alike say they'd like to pay for 10 years.

In the Senate, aides were less confident the package can pass as a stand-...

Jan 11, 2018

Chinese billionaire Tianqiao Chen has increased his stake in Community Health Systems to 24%, according to a regulatory filing issued Thursday.

Chen, through his Singapore-based Shanda Group affiliates—the largest shareholder of the Franklin, Tenn.-based system—has been steadily increasing his investment in CHS over the past six months.

In August, he bought nearly 10 million additional CHS shares for around $6 to $7 each to raise his equity stake from 13.7% to 22.1%. Since...

Jan 11, 2018
The Association of American Medical Colleges President and CEO Dr. Darrell Kirch plans to step down from his role in June 2019, the group said Thursday.

A psychiatrist and neuroscientist, Kirch has led AAMC since 2006. Prior to his time with the organization, Kirch served six years as senior vice president for health affairs and dean of the college of medicine at Pennsylvania State University.

AAMC did not elaborate on why Kirch decided to step down.

A nationwide search will...

Jan 11, 2018

Ohio residents with work-related back injuries in most cases must try remedies like rest, physical therapy and chiropractic care before turning to spinal fusion surgery and prescription painkillers under a groundbreaking new guideline that is partly meant to reduce the overprescribing of opioids but isn't sitting well with everyone.

Washington, Colorado and Minnesota already restrict injured-worker payments for the surgery, officials said, but the Ohio policy, which went into effect...

Jan 11, 2018
The CMS today issued new guidance intended to help states reshape their Medicaid programs. The agency spelled out criteria for states to follow when applying for waivers to add such things as work requirements for beneficiaries.

Several states—Arizona, Arkansas, Indiana, Kansas, Kentucky, Maine, New Hampshire, North Carolina, Utah and Wisconsin—have already applied for Section 1115 waivers, but approvals have been languishing at the agency.

"Medicaid needs to be more flexible so that...

Jan 11, 2018

The Trump administration early Thursday initiated a pivotal change in the Medicaid program, announcing that for the first time the federal government will allow states to test work requirements as a condition for coverage.

The announcement came in a 10-page memo with detailed directions about how states can reshape the federal-state health program for low-income people.

The document says who should be excluded from the new work requirements — including children and people...

Jan 10, 2018

The Trump administration's next swipe at relaxing Affordable Care Act regulations could come any day now. The Office of Management and Budget has been reviewing an HHS proposal aimed at making it easier for consumers to buy short-term insurance plans. It's part of the administration's overall goal of giving individuals and businesses access to cheaper health plans, albeit with fewer benefits and consumer protections. The Labor Department earlier this month proposed allowing more small...

Jan 10, 2018
The de Blasio administration has canceled the $9.6 million incentive package Aetna was offered to move its headquarters from Connecticut to the Meatpacking District, Crain's has learned.

The Economic Development Corp. said the incentives were nixed because the relocation is not moving forward. It is unclear what will happen at the space where Aetna signed a lease, a boutique office building being developed by Vornado Realty Trust and Aurora Capital Associates.

In June, the city and...