On Monday, Aug. 13 H.I.G. Growth Partners (H.I.G.) announced the completion of its investment in Sage Hospice. Headquartered in Phoenix, Sage is a leading provider of hospice and palliative care services to patients in the Phoenix market. H.I.G. is...News
Registration is now open for sponsors, exhibitors and attendees. This large annual three-day event has been moved to the valley from Tucson after 20+ years in the old pueblo. This event is not to be missed and includes a golf outing, pre-conference workshops and special pricing available to providers that want to attend but are...News
Humana took a $790 million hit after selling off long-time subsidiary KMG America Corporation, but beat analyst estimates with a reported $16 million increase in operating cash flows over the last year.
In a second quarter earnings call on Aug. 1, executive at Humana Brian A. Kane acknowledged the losses incurred from the KMG...News
The accountable care organization is using the lower-risk track as a training ground for its next generation, higher risk track that now serves 25,000 Medicare beneficiaries.
Last week, the Centers for Medicare & Medicaid proposed to phase out Track 1, Track 1+ and Track 2, condensing the Medicare Shared Savings Program (MSSP) to...News
In a new proposed rule, the Medicare Shared Savings Program redesigns the participation options for the majority of accountable care organizations (ACOs) to encourage a speedier transition to risk bearing tracks, currently Track 1 participants bear no risk and may remain on the track for six years.
The Trump Administration has...News
The Mayo Clinic Hospital in Phoenix, Arizona took the top spot on the "Best Hospitals Honor Roll" nationally by U.S. News & World Report and No. 1 in Arizona for the Phoenix metro area. It is the second time Mayo Clinic had two hospitals recognized for Best Hospitals Honor Roll.
Announced on Aug. 14, it is the sixth...News
CVS' retail medical clinic, MinuteClinic, begins to provide around-the-clock telehealth services in a partnership with leader in virtual care, Teladoc. Patients with injuries, skin conditions or minor illnesses engage in video visits at any time of the day, seven days a week through a mobile app.
Patients choosing to use the...News
Former Medical Director Mario Islas said his work as a reservist in the U.S. Navy was a motivating factor for the community health center when it did not renew his employment contract in 2016.
According to its 2017 report to the Health Resources & Service Administration, Native American Community Health System served 7,621...News
SMAC meets quarterly in downtown Phoenix and on August 8 the committee was presented with information from Arizona Medicaid including information on AHCCCS Complete Care, CMS waivers, social determinants of health (SDOH), housing and work force development.
The 17-member SMAC committee is presided over by the Arizona Health Care Cost...News
Parents of Alyssa Gilderhus say they aided in their daughter's escape from the Mayo Clinic in Rochester, Minnesota after she repeatedly requested to be transferred to another hospital and claimed the facility "medically kidnapped" her.
Videos have surfaced all over the Internet of Gilderhus' almost soap opera-like escape, showing a...
The latest available information on the Arizona Medicare Advantage market including our annual top 10 list, enrollment data by Arizona county, year-over-year growth rates and spotlight reports on DSNPs and CSNPs. We also review the latest MA rules from CMS and national MA data insights.
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In Arizona rate review filings, Cigna Healthcare of Arizona proposed an 18.2 percent on-average rate reduction for individual products it plans to offer in 2019.
The insurer returns to the Arizona market after offering individual/family exchange plans in 2014, 2015 and 2016. Cigna dropped out of the 2017 market, leaving only two...News
The final rule issued August 2 updates Medicare payment policies and rates under the Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital (LTCH) Prospective Payment System (PPS).
According to the Centers for Medicare and Medicaid (CMS), the rule is designed to empower patients through better access to...News
On Aug. 3, the U.S. Department of Justice reached a settlement with Prime Healthcare and its CEO Dr. Prem Reddy have agreed to pay $65 million to settle allegations of Medicare over-billing for false claims across 14 Prime hospitals in California. A San Diego whistleblower Karin Berntsen, will receive $17.2 million for her reporting of...News
A couple of Medicare Advantage (MA) policy changes implemented earlier this year point to MA insurers as the perfect candidates to pay for senior living services as part of new supplementary benefits.
Medicare Advantage allows government Medicare dollars to go through private insurers that in turn offer seniors benefit packages as...News
Four major U.S. cities are suing President Trump and his administration for deliberately attempting to ensure the Affordable Care Act (ACA) fails, thus violating the president's constitutional duty to execute laws faithfully under the Take Care Clause.
Representing 4.5 million Americans, the plaintiffs, Baltimore, Chicago,...News
During this year's second quarter, Ensign Group said its strategies for underperforming skilled nursing facilities (SNFs), which included removing old leadership teams, pushed its SNF revenue to $286.3 million, an increase of 4 percent, year over year.
According to Ensign's CEO Christopher Christensen, the acquisition of SNFs in 2017...News
Douglas Luckett tells the Phoenix Business Journal that the hospital system will probably expand some existing facilities and could potentially add another Arizona hospital to the Boston-based Steward Health Care System, already one of the largest private systems in the nation. Steward purchased Iasis Healthcare in September...News
Uncertainty surrounds potential mega-healthcare mergers as the CVS-Aetna deal and Cigna's acquisition of Express Scripts are in question. Just last year, the Justice Department thwarted the Cigna-Anthem and Aetna-Humana mergers.
The California Insurance Commissioner is adamant that the CVS-Aetna $69 billion merger proposal be blocked...
Dealing directly with health systems and providers is expanding from 3 percent in 2018 to 11 percent in 2019, according to a survey of 170 large employers recently released by the National Business Group on Health. The GM deal gives employees coverage for everything from doctor visits to surgical procedures. Direct contracting between...