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Ascension amid major restructuring, hinting at smaller hospital footprint

The board of the largest Catholic health system in the country unanimously endorsed Ascensions new advanced strategic direction, Ascension president and CEO Anthony Tersigni told his employees in a video obtained by Modern Healthcare....

HCA signs letter of intent to acquire Mission Health

HCA Healthcare plans to add North Carolina to the list of 20 states it operates in, having signed a letter of intent to acquire Mission Health, a six-hospital health system based in Asheville, N.C....

CMS Next Generation ACO changes prompt early exits, potential lawsuit

CMS risk-adjustment changes under the Next Generation ACO Model sparked concerns from some ACOs that they couldnt make money under the program....

With no fix in omnibus budget bill, insurers set to hike premiums, rethink selling individual plans

The $1.3 trillion omnibus spending bill the House passed Thursday lacks funding for two things insurers want: cost-sharing reduction payments and federal reinsurance. That likely means theyll hike premiums and rethink participating in the......

17 states could get a pass on Obama-era network adequacy rule

The CMS will allow some states to opt out of a Obama-era rule meant to ensure Medicaid beneficiaries have adequate access to care. States have sought a reprieve, citing the administrative burden of implementing the policy....

Doctors advocate overhauling some Medicare billing codes

A list of common billing codes do little to ensure patients are getting quality care, doctors told the CMS during a call Wednesday....