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Aug 18, 2017
Marin General Hospital's only path to the goal of preserving its autonomy has been through partnerships and community support.

Since a public healthcare district regained control of the safety net hospital when it split from Sutter Health in 2010, Marin has looked to the community and other healthcare organizations to maintain its independence.

Its leadership has formed an array of partnerships and joint ventures that have allowed it to control costs and improve outcomes during an...

Aug 18, 2017
In a time of unprecedented volatility and uncertainty, leaders throughout the healthcare industry are taking a stand, evidenced in the recent action by Kenneth Frazier, CEO of pharmaceutical giant Merck & Co.

Frazier resigned from a White House manufacturing council on Aug. 14 after President Donald Trump did not explicitly condemn white supremacists when speaking about a deadly clash between several hate groups and counter-protesters in Charlottesville, Va.

As CEO of Merck and as...

Aug 18, 2017
Providers get their chance this week to tell federal officials what they think of a plan to curtail spending in a popular, yet controversial, drug discount program.The Advisory Panel on Hospital Outpatient Payment is holding a meeting Monday at CMS headquarters. It plans to discuss the agency's proposal to reimburse hospitals 22.5% less than the average sales price for drugs acquired under the 340B program. The current payment calculation mimics Medicare's long-standing policy—6% on top of the...
Aug 18, 2017

Bernie Sanders and his allies are trying to move the healthcare reform conversation from just protecting the Affordable Care Act to the idea that healthcare is a human right. And speculation over what's in Sanders' latest single-payer bill grew late last week.

Axios reported that Sanders' staff is drafting a bill that would transition away from the current system slowly, starting by gradually lowering the Medicare eligibility age and providing a public option in the individual market...

Aug 18, 2017

Although the Veterans Choice program received a six-month reprieve thanks to new emergency funding, it will take more than an influx of cash for the program to thrive, according to veterans groups.

As it currently runs, VA Choice has problems, according to veterans organizations and experts. Though the program was supposed to cut down on wait times for veterans seeking care, some still wait weeks for appointments and provider shortages are exacerbating the program's troubles. VA...

Aug 18, 2017

Iowa and Oklahoma are about to test the Trump administration's declared commitment to giving states greater leeway in establishing alternatives to the Affordable Care Act's insurance exchanges.

Iowa officials plan to submit a sweeping state innovation waiver request to the CMS next week that would substantially revamp the ACA premium tax credit model and use some of the federal subsidy money to set up a reinsurance program to protect insurers that sign up high-cost enrollees. They've...

Aug 18, 2017

UMass Memorial, which was one of the six health provider organizations that participated in Massachusetts Medicaid's ACO pilot, said it's lost money on the program and therefore will not participate in the larger initiative that begins next March.

That ACO model will cover more than 850,000 MassHealth members out of 1.9 million statewide. The pilot covers 160,000 members.

UMass Memorial acknowledged Thursday that it projects deficits stemming from its current pilot ACO program...

Aug 18, 2017

The Illinois General Assembly has quietly passed a bill that aims to unwind Gov. Bruce Rauner's Medicaid reboot.

The bill—which would essentially scuttle what could be the state's largest procurement ever—is now making its way to the governor, whose approval is a long shot. After all, back in February, Rauner called for overhauling a major Medicaid initiative known as managed care to rein in spending. The revamped program is expected to cost up to $13.5 billion a year, about 38% of...

Aug 18, 2017

Despite having more financial “skin in the game” than ever, many consumers don’t make any attempt to compare prices for health care services, a newly released study found.

In a survey of nearly 3,000 adults younger than 65, about half of the roughly 1,900 who said they spent money on medical care in the previous year reported that they knew in advance what their costs would be. Of those who didn’t anticipate how much they would owe before receiving care, only 13 percent said they...

Aug 18, 2017

Tenet Healthcare's activist shareholder resigned its two board seats Thursday, as the Glenview Capital Management members said they could push for change more effectively from the outside.

Glenview is by far Tenet's largest shareholder, owning 17.9 million shares of Tenet, or 18% of the company.

In a letter to the Tenet board of directors Thursday, Glenview representatives Matt Ripperger and Randy Simpson said they had resigned immediately because of "irreconcilable...

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