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Jan 30, 2019

The Trump administration's continued push to ease regulatory burden should include aligning reporting requirements for health information technology programs, a constellation of hospital and health IT groups said.

As mandated by the 21st Century Cures Act, the CMS and the Office of the National Coordinator for Health Information Technology last November released a draft strategy to simply reporting requirements under the Promoting Interoperability and Quality Payment Program—formerly...

Jan 30, 2019

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The number of new enrollees in Covered California plans plunged by nearly a quarter this year, largely because of the elimination of the tax penalty for people without insurance, officials announced Wednesday.

The decrease was steeper than expected — and larger than the drop in new enrollment in the federal marketplace, It occurred even as Covered California, the...

Jan 30, 2019

The Department of Veterans Affairs has released its proposals for key criteria that will determine whether a veteran gets treatment from the VA health system or the private sector under the VA's newly expanded community care program due to roll out in June.

Known as the "designated access standards," these criteria foddered the most controversy as Congress discussed the VA Mission Act, signed into law last June by President Donald Trump.

Under the proposal released Wednesday,...

Jan 30, 2019

(Updated at 10:45 a.m. ET)

Health insurer Anthem is launching its in-house pharmacy benefit manager IngenioRx nine months earlier than planned in the second quarter of 2019.

Anthem said Wednesday that it will exercise its rights to terminate its current PBM contract with Express Scripts on March 1 before it expires at the end of the year, due to Cigna Corp.'s acquisition of Express Scripts late last year. It will then begin transitioning its plan members to the new PBM over...

Jan 30, 2019

A former HHS official under the Obama administration has joined the Boston-based venture platform LRVHealth as an executive adviser.

Dr. Karen DeSalvo, who led the Office of the National Coordinator for Health Information Technology between 2014 and 2016, joins four other LRV executive advisers who provide the early-stage venture platform with strategic and tactical insight as it seeks to invest in disruptive digital health, device and diagnostic companies.

DeSalvo, currently...

Jan 29, 2019

Dr. David Torchiana, president and CEO of Boston-based Partners HealthCare, will retire at the end of April, the health system announced Tuesday.

Torchiana, who has been the market-leading health system's chief executive since March 2015, previously served as chairman and CEO of the Massachusetts General Physicians Organization. He told the board Monday night that he intended to retire, according to Scott Sperling, chair of the board. It's a move Torchiana had been contemplating for...

Jan 29, 2019

Tenet Healthcare Corp. sold its remaining three hospitals in the Chicago area to Pipeline Health, the health systems announced Tuesday.

Dallas-based Tenet sold West Suburban Medical Center in Oak Park, Ill., Louis A. Weiss Memorial Hospital in the Uptown neighborhood, and Westlake Hospital in Melrose Park, Ill. This is Los Angeles-based Pipeline's first acquisition in the Chicago area, bringing its hospital footprint to eight. Tenet still has four ambulatory surgery centers in the...

Jan 29, 2019

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HCA Healthcare finished 2018 strong, boosting its fourth-quarter net income more than 120% to $1 billion. The company expects to see another boost this year with its pending acquisition of Mission Health.

Jan 28, 2019

By Robert King
 | January 28, 2019

Insurers are vehemently pushing back on the CMS' attempt to require Medicare Part D plans to force pharmacies to pass on negotiated price concessions on to enrollees when the drug is purchased at the pharmacy.

Industry groups commented on a proposed rule from the CMS that would require pharmacies to pass on to...

Jan 28, 2019

The debate over federal curbs on surprise medical bills has it all: inter-industry finger-pointing, slippery-slope warnings about rate-setting and dueling narratives about what the problem is.

Last week President Donald Trump invited people who have been hit with surprise bills to the White House, where he vowed to end the practice that puts patients on the hook for the often exorbitant price tag of out-of-network treatment. The issue is a political winner.

Senate offices are...