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Healthcare news this week …

Commentary: Health systems should look within to address social determinants

Commentary: Health systems should look within to address social determinants

By Dr. Richard Besser and Dr. Patricia Gabow  |  December 13, 2018

There's now a strong understanding that social factors can have a greater impact on health and well-being than clinical care. Health systems should use that knowledge to improve the health of their own employees as well as their patients.

Massachusetts healthcare spending growth drops in 2017

Massachusetts healthcare spending growth drops in 2017

December 13, 2018

Healthcare spending only grew by 1.6% in Massachusetts from 2016 to 2017, nearly half the rate in 2015 and 2016 and well below the state's 3.6% cost growth benchmark, according to the Massachusetts Health Policy Commission.

Vermont health system CEO resigns amid financial troubles

By Associated Press  |  December 13, 2018

Springfield Hospital said in a statement that the hospital is "facing challenges created by a declining population, rising costs, below-cost reimbursements from payers, and an increase in the number of patients who are unable to pay for care."

Editorial: The Great Moderation in healthcare spending continues

Editorial: The Great Moderation in healthcare spending continues

December 13, 2018

For decades, demographers and economists have predicted the gray tsunami of aging baby boomers would inevitably push healthcare spending over 20% of GDP. But a new paper highlights some recent trends suggesting the future may not be as bleak and hard to manage as predicted.

Obamacare sign-ups down 550,000 as deadline nears

Obamacare sign-ups down 550,000 as deadline nears

December 12, 2018

HealthCare.gov sign-ups lag by more than a half-million with less than a week left in open enrollment. Last-minute shoppers and a surge of auto-enrollments should boost the finally tally, but enrollment is likely to fall short last year.

DOJ joins whistle-blower lawsuit against Sutter Health

DOJ joins whistle-blower lawsuit against Sutter Health

December 12, 2018

The U.S. Department of Justice has intervened in a whistle-blower lawsuit against Sutter Health that accuses the health system of submitting unsupported diagnosis codes to inflate its Medicare Advantage payments.

Blues antitrust case just got tougher for the insurers

Blues antitrust case just got tougher for the insurers

December 12, 2018

A federal appeals court on Wednesday ruled that Blue Cross and Blue Shield insurers must defend themselves on much less favorable legal grounds against a major class-action case accusing them of anticompetitive practices.

Gilfillan to leave Trinity Health in 2019

Gilfillan to leave Trinity Health in 2019

December 11, 2018

Trinity Health CEO Dr. Richard Gilfillan plans to step down from the helm of the Livonia, Mich.-based system in June 2019. He will be succeeded by Michael Slubowski, who currently serves as Trinity's president and chief operating officer.


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