STAT+: Hospitals earn big profits, insurers face ramped up Medicare Advantage audits
STAT
MAY 27, 2025
We’ll be talking about all things Medicare Advantage. Details here on how to watch or attend!
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STAT
MAY 27, 2025
We’ll be talking about all things Medicare Advantage. Details here on how to watch or attend!
STAT
NOVEMBER 20, 2023
Hospitals’ list prices for surgeries, therapies, and other procedures always come with massive discounts. Financial documents at a prominent hospital system in Los Angeles show just how large those discounts are — and how raw of a deal uninsured patients could be getting. 30, according to new financial documents.
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STAT
APRIL 24, 2024
HCA Healthcare, the largest for-profit hospital chain in the United States, is planning to expand the use of an artificial intelligence tool to document doctor-patient interactions in its emergency rooms. Continue to STAT+ to read the full story…
STAT
SEPTEMBER 18, 2024
The cyberattack that forced Ascension to shut off access to its electronic health records cost the nonprofit hospital system roughly $1.3 billion, according to STAT’s analysis of financial documents the health system released Tuesday evening. Continue to STAT+ to read the full story…
STAT
FEBRUARY 22, 2024
Community Health Systems is facing a new federal probe into its hospital billing practices more than four years after the hospital chain settled separate allegations of fraudulent overbilling. Continue to STAT+ to read the full story…
STAT
JULY 10, 2024
The federal government will not modify regulations that dictate how hospitals publish their prices for consumers, ignoring pleas from patient advocates who have said hospitals still are not fully complying with the 3-year-old law. The Biden administration on Wednesday proposed an annual rule that sets payment rates for hospitals.
STAT
JANUARY 18, 2024
Microsoft on Thursday said it will launch its artificial intelligence tool for automating clinical documentation within health records software made by Epic, a move to embed the technology in health systems nationwide. Epic is the nation’s largest seller of software used to record and analyze patient health records.
STAT
MARCH 7, 2025
UnitedHealth acquired full or partial ownership stakes in more than 100 surgery centers in 2024, according to a STAT review of UnitedHealth’s newest annual financial documents.
STAT
APRIL 9, 2025
Two decades ago, when I first began practicing emergency medicine, patient documentation was a manual process. I would write on carbon-copy forms that were later stored in the belly of the hospital, in archives, as patient files.
STAT
FEBRUARY 27, 2023
Large hospital systems’ investments rebounded heavily in the final quarter of 2022, according to a new STAT analysis of financial filings. STAT analyzed the financial documents of 37 tax-exempt, not-for-profit health systems covering the last three months of 2022.
STAT
JUNE 9, 2025
Casey was in contact with UnitedHealth Group for that story, and a company spokesperson accidentally sent him an 18-page confidential document that outlined talking points for its annual shareholder meeting, which took place on Monday. Continue to STAT+ to read the full story…
STAT
MARCH 26, 2024
Troubled hospital operator Steward Health Care, grappling with a financial crisis that’s engulfed its eight Massachusetts hospitals, has moved to shore up its finances by striking a deal to sell its nationwide physician network to insurance giant UnitedHealth’s Optum Care unit.
STAT
APRIL 25, 2024
A series of recent research papers by academic hospitals has revealed significant limitations of large language models (LLMs) in medical settings, undercutting common industry talking points that they will save time and money, and soon liberate clinicians from the drudgery of documentation.
STAT
NOVEMBER 2, 2023
Lately, we’ve seen two distinct lines at our hospitals. Mothers, children, and the disabled clutch passels of documents along the sidewalk. We would all be healthier if we brought the two lines together. The first line forms every morning before the building opens. They wait to reauthorize their Medicaid insurance.
STAT
JULY 31, 2024
Mount Sinai, a leading hospital network in New York City, has mounted an extraordinary behind-the-scenes campaign to blunt the fallout over revelations about its controversial research project in which brain biopsies are taken from patients undergoing deep brain stimulation, STAT has learned.
STAT
MARCH 28, 2023
The idea is gaining ground in hospitals around the country, too, where burned-out doctors are desperate for technologies that can cut down on the hours they spend painstakingly documenting patient visits. Hundreds of health systems around the country are using these tools in hopes the AI can lift them out of the drudgery.
STAT
OCTOBER 23, 2023
The move also encapsulates how UnitedHealth is pushing to control every piece of patient care outside of the hospital and distancing itself from the aspects that have generated controversy. However, Optum advised employees that “Home & Community Care should not be directly next to the Optum logo” in marketing materials.
STAT
MAY 20, 2024
The nonprofits rake in a strong first quarter My colleague Tara Bannow and I are absolute suckers for reading hospital financial statements. Tara sifted through the data of 20 nonprofit systems , and all but four reported higher operating and net margins in the first three months of 2024, compared with the first three months of 2023.
STAT
JUNE 25, 2024
The 12-lead electrocardiogram device, called the Kardia 12L ECG System, is a hand-held version of the standard ECG device usually found in hospitals and used to diagnose heart conditions.
STAT
NOVEMBER 3, 2023
The woes of the uninsured are well-documented. Mary Lou Retton, the gold-medal winning Olympic gymnast recently released from the hospital after fighting for her life in the ICU, doesn’t have health insurance.
pharmaphorum
JANUARY 12, 2022
In trials, the Glucommander algorithm has been shown to reduce severe low blood sugar episodes, shorten hospital stays and prevent hospital re-admissions. The post Roche debuts smart glucose monitor for hospital use appeared first on.
STAT
AUGUST 16, 2023
The recent case of a woman who became sick with a life-threatening disease shortly after giving birth shows how many factors had to align to offer clinicians new insights into a rare complication that had never before been documented. A 32-year-old woman was admitted 12 days after giving birth to twins.
STAT
MARCH 13, 2024
A flurry of AI-guided ambient documentation startups can rapidly transcribe and summarize patient visits and populate patients’ medical charts, but they require doctors and nurses to OK the generated entries first.
STAT
NOVEMBER 7, 2022
No need to bring a laptop to every patient visit, or spend hours afterward on documentation. The artificial intelligence system is a dream for many doctors: It records their conversations with patients and automatically transcribes the notes into their computer systems.
ALiEM - Pharm Pearls
MARCH 29, 2023
The goal remains to identify infants with bacterial infections in this at-risk cohort of patients while also considering the balance of cost-effectiveness on a population scale and the potential for iatrogenic harm with evaluation such as unnecessary lumbar punctures, unnecessary antibiotics, and unnecessary hospitalization. No LP needed.
STAT
SEPTEMBER 29, 2022
One medical device lawyer wrote that the document “violates” the 21st Century Cures Act passed by Congress in 2016 to exempt certain software products from regulatory review. But they are sharply divided on whether that’s a much-needed change, or a dramatic overreach by regulators.
Pharmacy Times
JUNE 10, 2025
Low uptake of vaccination to protect against invasive pneumococcal disease (IPD) was observed both before and after a pneumococcal-related hospitalization, with countless missed vaccination opportunities documented.
STAT
FEBRUARY 7, 2023
” was caught clearly, but the patient’s reply was documented, nonsensically, as “is it,” making the machine’s version of the encounter all but unintelligible. “Your vision is good?” Read the rest…
ALiEM - Pharm Pearls
JANUARY 26, 2024
Ciprofloxacin has been documented as a cause of IgA vasculitis. Author information Andrew Bleinberger, MD Resident WellSpan York Hospital | The post SAEM Clinical Images Series: A Rare Case of Purpura appeared first on ALiEM. Case Question: What are common triggers for this diagnosis?
Proxsys Rx
APRIL 1, 2025
Maximizing pharmacys role in your hospitals revenue cycle The 340B landscape continues to evolve rapidly, with ongoing manufacturer restrictions, new compliance hurdles, and increasing financial pressures on covered entities. Recent estimates indicate that hospitals and clinics collectively lose around $3.2 Additionally, up to $8.4
RX Note
JUNE 11, 2025
Conversely, in a critical care unit within a hospital setting, there is a greater reliance on objective data obtained through laboratory tests and diagnostic imaging studies. Above the evidence-based professional recommendations on disease (i.e.,
Drug Channels
AUGUST 6, 2024
I then document how five multi-billion-dollar, for-profit, publicly traded pharmacy chains and pharmacy benefit managers (PBMs)—Cigna (via Express Scripts), CVS Health, UnitedHealth Group (via OptumRx), and Walgreens, Walmart—continue to dominate the 340B contract pharmacy market. Click here if you can’t see the video below.
ALiEM - Pharm Pearls
APRIL 5, 2023
Does this come at the expense of your documentation? What is your method for reviewing learners’ notes and how do you provide feedback on documentation? I usually text them if it’s after shift, or talk to them on shift about their documentation. How do you balance your flow with on-shift teaching? Definitely.
ALiEM - Pharm Pearls
JANUARY 22, 2024
Fever was documented to be 102°F and was not associated with any chills or rigors. The patient during his hospital stay developed ARDS and was on mechanical ventilation for 20 days. A 40-year-old male, tailor by occupation, was brought to the Emergency Department with complaints of high-grade fever for the past 11 days.
EMCrit Project
JUNE 16, 2025
Use a sedation scale to allow quantification and titration of sedation If your hospital doesnt already have one, we recommend the RASS Comparison of RASS and SAS from the icudelirium.org project Aim for sleepy, and arousable to voice (RASS -1 or -2) unless clinical circumstances dictate deeper sedation Pain 4. 2019.6.6.544 8.
PharmD Live
JUNE 2, 2025
RPM delivers proven clinical benefits: reducing hospital admissions by 38% and ER visits by 51% , with patient satisfaction exceeding 90%. Proven Track Record: Documented success, strong references, and positive client outcomes. Full-Service Delivery: Education, device supply, and treatment management for every patient.
Pharmacy Is Right For Me
APRIL 4, 2023
In this position, she works with patients in the comfort of their homes after being discharged from a hospital setting. The MIH-CP is a patient-centered program that provides a broad range of health services to high-risk patients in the comfort of their homes after they’ve been discharged from the hospital.
Proxsys Rx
MAY 3, 2023
340B ESP and drug manufacturer restrictions are only part of the reason As we noted in a previous post , for 340B-eligible hospitals dealing with increasingly squeezed bottom lines, an in-house specialty pharmacy offers enormous savings and revenue potential. Novartis is sending a variation of the same letter to hospitals.
ALiEM - Pharm Pearls
MARCH 8, 2023
She describes her practice environment as two high-volume community hospitals. Does this come at the expense of your documentation? It definitely comes at the expense of my documentation but I haven’t found a way to improve that yet. Below she shares with us her approach to teaching learners on shift.
ALiEM - Pharm Pearls
MARCH 11, 2024
The patient’s eye lesion and symptoms resolved and he was discharged on hospital day eight. There is limited literature documenting eye involvement and pictographic examples of its presentation. During the current outbreak, ocular involvement has been used as a criteria for hospital admission.
Pharmacy Joe
NOVEMBER 14, 2021
In this episode, I’ll discuss new orders for fentanyl patches in the hospital setting. Episode 661: Fentanyl Patch Safety in Hospitals Subscribe on iTunes , Android , or Stitcher Transdermal fentanyl patches are contraindicated in the treatment of acute pain or in patients who are not opioid tolerant.
pharmaphorum
DECEMBER 9, 2020
The gist of a briefing document published from FDA reviewers ahead of an expert advisory board meeting is that the vaccine is good to go. Hospitals in the UK have already begun immunising high-risk patients after the country’s regulator became the first in the world to approve the Pfizer/BioNTech vaccine last week. of participants.
Putting Patients First Blog
APRIL 14, 2025
2 ,3 ,4 By retaining the monthly SEP for this population, CMS can achieve better health outcomes at lower costs by preventing unnecessary emergency care, reducing avoidable hospitalizations, and supporting continuity of preventive care.
Proxsys Rx
APRIL 4, 2024
According to a report by The American Hospital Association , the number of Americans with chronic medical conditions will grow by a projected 9% between 2020 and 2030, an increase of 14 million people. Moreover, it’s estimated that nearly 90% of all large hospitals are already operating their own specialty pharmacies.
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