In the News

• Dozens of Providers Charged in September Healthcare Fraud Busts (RevCycle)

• At least three Chicago-area hospitals have told ambulances to go elsewhere so often the state launched an investigation (Chicago Tribune)

• Inflammatory Bowel Disease Readmissions Are Associated With Utilization and Comorbidity (AJMC)

• The health insurance tax, mandated in the Affordable Care Act, will be back in effect in 2020 and is set to generate $15.5 billion in taxes due to CMS’s new 2020 payment rule. (HealthPayer)

• Small Wisconsin hospitals cope amid a statewide rural health crisis (Wisconsin State Journal)

• Editorial: Nursing home closures hurt rural Nebraska in several ways (Lincoln Journal Star)

• CMS releases final rule to reduce administrative burden, including change on transplant centers (FierceHealth)

• Spine surgery utilization, cost in the US: 5 key findings (Beckers)

• The Real Surprise Behind Surprise Hospital Billing (Forbes)

• Hospital market concentration on the rise, along with prices (HealthDive)

• American Hospital Association Comments Submitted on CMS Healthcare Price Transparency Proposal [CMS-1717-P] (AHA)

• Providers should implement comprehensive compliance programs and improve medical billing processes to detect and prevent healthcare fraud and abuse (RevCycle)

• UVA Has Ruined Us: Health System Sues Thousands Of Patients, Seizing Paychecks And Claiming Homes (KHN)

• Study: Cooling The Hot Spots Where Child Hospitalization Rates Are High: A Neighborhood Approach To Population Health (Health Affairs)

• CMS Announces New Enforcement Authorities to Reduce Criminal Behavior in Medicare, Medicaid, and CHIP (CMS.gov)

• CVS Health-Aetna Merger Sealed, WellCare Takes Aetna’s Part D PDP (HealthPayer)

• Study:Trends in Use of Medical Imaging in US Health Care Systems and in Ontario, Canada, 2000-2016 (JAMA)

• Related: Clinician-Level Predictors for Ordering Low-Value Imaging

• Patients pay more to see hospital-owned physician practices (Benefits Pro)

• Rural Hospital Closures Boost Mortality Rates by Nearly 6% (RevCycle)

• Study: Did Medicare Advantage Payment Cuts Affect Beneficiary Access and Affordability? (AJMC)

• Data Analytic Strategies Decreasing Patient Time in Urgent Care (HealthIT)

• GA Task Force to Examine Healthcare Costs, Price Transparency (RevCycle)

• United Health study: Hospital inpatient spending from commercial plans tops $200B in 2018 (Fierce Health)

• Study: Improving Access to High-Value Care Lowers Costs, Improves Health (AHIP)

• Here’s how ‘Medicare for All’ would affect every part of the $3.5 trillion US healthcare system (Business Insider)

Related:

• Opinion: What will happen to doctors and hospitals under Medicare-for-all? It's complicated (The Week).
• Rural Hospitals Say ‘Medicare For All’ Would End Up “Closing Our Doors” (WBUR)
• Hospitals Stand to Lose Billions Under ‘Medicare for All’ (NYT)
• Opinion: The risks of ‘Medicare for all’ (Boston Globe)
• Opinion:It’s time for Democrats to get their facts right on Medicare-for-all (Washington Post)

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