Monthly Archives: June 2019

 

South Carolina seeks Trump Administration permission for Medicaid work requirements

“The state on Monday formally submitted a request to require Medicaid recipients to work, be enrolled in job training or be in school an average of 80 hours a month” https://thehill.com/policy/healthcare/447781-south-carolina-seeks-trump-admin-permission-for-medicaid-work-requirements
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CVS-Aetna merger may reduce care costs where hospitalization mergers and physician acquisition did not

https://www.wsj.com/articles/a-merger-cure-for-bigger-government-11559688891
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CVS plans national rollout of 1,500 ‘HealthHub’ stores amid Aetna deal

“Health hubs provide a wider range of health services than a typical CVS store, such as space for one-on-one consultations with clinicians, labs for blood testing and other screenings and yoga” https://finance.yahoo.com/video/cvs-plans-national-rollout-1-193142358.html
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Supreme Court’s ruling on Medicare DSH funds means money is back on the table for hospitals

“The decision impacts billions of dollars in payments to hospitals that treat some of the most vulnerable patient populations. The government estimated in court documents that the (disputed DSH formula) would reduce hospital reimbursement by between $3 and $4 billion over a nine-year period” https://revcycleintelligence.com/news/supreme-court-rules-against-hhs-in-medicare-dsh-payment-case
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By the numbers: Here’s how Prisma Health-Upstate has changed in the last year

“Charity care and Medicaid services, for example, doubled from $49.1 million in fiscal 2017 to $100.5 million in fiscal 2018, according to the report, which covers Greenville Memorial, Patewood Memorial, Hillcrest Memorial and North Greenville hospitals.  At the same time, bad debt, defined as care for people who can pay but don’t, dropped from $96.8 […]
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11 SC nursing homes land on U.S. Senate report of 400 facilities with ‘persistent record of poor care’

https://www.usatoday.com/story/news/nation/2019/06/03/nursing-homes-senate-report-facilities-poor-care/1336251001/ List of homes: https://www.aging.senate.gov/imo/media/doc/SFF%20List%20with%20Cover%20Letter%20051419%20-%20Casey.pdf
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CVS mounts defense of Aetna deal before judge and shareholders

https://www.wsj.com/articles/cvs-mounts-defense-of-aetna-deal-on-two-fronts-11559473201?mod=searchresults&page=1&pos=12
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Rising demand for long-term home care signals looming funding/policy crisis

https://www.modernhealthcare.com/home-health/rising-demand-long-term-home-care-signals-looming-crisis
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As CMS forces online price listings, here are three steps to help providers forge strong pricing strategies

https://www.managedcaremag.com/archives/2019/6/3-steps-strong-pricing-strategy
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