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STAT+: DOJ investigating Community Health Systems’ hospitals

STAT

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.

Hospitals 271
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STAT+: Covid hospitalizations on the rise, Humana says

STAT

More older adults have been hospitalized for Covid-19 over the past several weeks, according to internal data reviewed by health insurance giant Humana. “We have seen a further slight uptick in the inpatient side related to Covid,” Humana CFO Susan Diamond said Wednesday at a conference held by Wells Fargo.

Hospitals 341
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Opinion: How learning the truth about chaos theory has helped me as an inpatient child psychologist

STAT

In inpatient child psychology, we treat children in crisis deemed at imminent risk of harm to themselves or others. I am grateful for the opportunity to try and help — but it is daunting. A study published earlier this year found an overwhelming spike in mental illness-related crises in the past decade.

Inpatient 240
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STAT+: Hospitals gear up to expand market power, raise prices in 2023

STAT

SAN FRANCISCO — More than a dozen of the country’s large not-for-profit hospital systems descended on this year’s J.P. “Growth is really important to us,” said Rob McMurray, CFO of ChristianaCare, a hospital system headquartered in Delaware that has $2.6

Hospitals 198
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Montana may be moving away from its innovative plan for setting hospital prices for public workers

STAT

Montana is signaling it might step away from an innovative way of setting the prices its public employee health plan pays hospitals for services, an approach that has saved the state millions of dollars and become a model for health plans nationwide.

Hospitals 234
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STAT+: Medicare punts on quality rules for new type of rural hospital

STAT

Hospitals that decide to convert to a new type of rural provider won’t have to report quality metrics next year, but they also won’t qualify for a popular drug discount program — a likely dealbreaker for some. These facilities will run emergency rooms, but not inpatient care. 1, 2023 for facilities that opt in.

Hospitals 161
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STAT+: New Medicare Advantage rule is boon for providers, drag on insurers

STAT

Starting this year, private Medicare plans have to cover their members’ hospitalizations at the higher inpatient rate if their doctors predict they’ll have to stay beyond two midnights. For patients with MA plans, it could mean better access and smaller out-of-pocket costs after a hospitalization.

Hospitals 283