Category: Uncategorized

Allscripts agrees to $145 million HIPAA, kickbacks settlement

Allscripts agrees to $145 million HIPAA, kickbacks settlement

August 08, 2019 05:30 PM JESSICA KIM COHEN Allscripts Healthcare Solutions on Thursday announced it had reached a tentative settlement with the Justice Department to resolve investigations of a company the electronic health records vendor acquired last year. Practice Fusion, which Allscripts acquired in 2018, had been subpoenaed over “certain business practices,” including the company’s compliance with […]

Whistleblower alleges DaVita, Fresenius involved in kickback scheme

Whistleblower alleges DaVita, Fresenius involved in kickback scheme

August 02, 2019 04:50 PM SHELBY LIVINGSTON  A whistleblower has alleged that DaVita Kidney Care and Fresenius and charity organization American Kidney Fund were involved in a years-long kickback scheme in which patients were incentivized to use only those dialysis providers who donated to the charity. According to the whistleblower complaint, which was first unsealed […]

Some hospitals are already offering price estimates

Some hospitals are already offering price estimates

July 30, 2019 04:02 PM JESSICA KIM COHEN  The CMS on Monday issued several proposed rules that, among other changes, would require hospitals to publish payer-negotiated prices for various services alongside standard gross charges. The goal is to make it easier for patients to understand the cost of a hospital service before accessing care, according to agency […]

CMS considers the value of hospitals displaying quality data

CMS considers the value of hospitals displaying quality data

July 30, 2019 04:16 PM MARIA CASTELLUCCI   The CMS is asking stakeholders if hospitals should report quality information on their websites alongside retail charges. Tucked within its 819-page Medicare Outpatient Prospective Payment System proposed rule this week, the CMS requested feedback on ways patients can have better access to quality data including the value of providers displaying […]

CMS proposes requiring hospitals to publish negotiated rates

CMS proposes requiring hospitals to publish negotiated rates

July 29, 2019 05:07 PM Shelby Livingston, Alex Kacik and Susannah Luthi   The CMS issued several proposed rules on Monday that it hopes will make it easier for patients to understand the cost of a hospital service before accessing care. Starting in January 2019, the CMS began requiring hospitals to publish their list of […]

Trump demands transparency on healthcare costs: 7 things to know

Trump demands transparency on healthcare costs: 7 things to know

Becker’s Hospital Review Kelly Gooch President Donald Trump has signed an executive order that aims to lower healthcare costs by improving price transparency. Seven things to know: 1. The order, signed June 24 at the White House, directs HHS to develop rules requiring hospitals to publish prices “that reflect what people actually pay for services in a […]

FTC approves UnitedHealth-DaVita deal with conditions

FTC approves UnitedHealth-DaVita deal with conditions

June 19, 2019 05:12 PM TARA BANNOW   UnitedHealth Group announced Wednesday it has closed on its $4.3 billion purchase of DaVita Medical Group after the parties reached a settlement with the Federal Trade Commission that resolves the federal government’s concerns about harm to competition in Nevada. Under the FTC settlement, UnitedHealth Group has agreed to sell DaVita Medical […]

FTC Imposes Conditions on UnitedHealth Group’s Proposed Acquisition of DaVita Medical Group

FTC Imposes Conditions on UnitedHealth Group’s Proposed Acquisition of DaVita Medical Group

Companies will divest assets to preserve competition in the Las Vegas area of Nevada June 19, 2019 Healthcare provider and insurer UnitedHealth Group Incorporated and healthcare provider DaVita, Inc. have agreed to a settlement to resolve Federal Trade Commission allegations that UnitedHealth Group’s proposed $4.3 billion acquisition of DaVita’s DaVita Medical Group will harm competition in healthcare […]

Judge signals broad CVS-Aetna antitrust concerns

Judge signals broad CVS-Aetna antitrust concerns

June 04, 2019 SUSANNAH LUTHI     A federal judge who has refused for months to sign off on the $69 billion CVS-Aetna merger reiterated on Tuesday that he wants to look at any potential harm that the deal might cause for the public. U.S. District Judge Richard Leon in Washington, D.C., kicked off a three-day hearing as he considers […]

Supreme Court rejects HHS’ Medicare DSH changes

Supreme Court rejects HHS’ Medicare DSH changes

June 03, 2019 11:08 AM SUSANNAH LUTHI   The U.S. Supreme Court on Monday ruled that HHS improperly changed its Medicare disproportionate-share hospital payments when it made billions of dollars in cuts. In a 7-1 decision, the justices said HHS needed a notice-and-comment period for the Medicare DSH calculation change. Justice Neil Gorsuch wrote in the decision that HHS’ […]