Academic institutions and streamlined clinical facilities sometimes have different perspectives.
When entities like a large successful hospital system merges with two medical schools adjustments are necessary to smooth cultural...Top of The Day
Markets and Marketplaces sure to shudder.
Thursday the Trump administration moved a wide-ranging executive order with the stated purpose of expanding lower-cost insurance options, allowing employers to give workers money to buy their own coverage and slowing consolidation in the insurance and hospital industries.
Critics said that,...Top of The Day
Adderall, a prescription stimulant often prescribed for Attention Deficit Disorder and Attention Deficit Hyperactive Disorder but is often used as a recreation drug.
Dr. Kevin Michael McKeown is a 40-year-old doctor of osteopathic medicine facing 24 felony charges including fraudulent schemes, forgery, taking the identity of...Top of The Day
This afternoon at the State Medicaid Advisory Committee’s (SMAC) quarterly meeting, AHCCCS Director Tom Betlach briefly announced the resignation of Beth Kohler, Deputy Director of Arizona's Medicaid program.
“I think you all know that unfortunately Beth is leaving us,” said Betlach, speaking solemnly of her departure....Top of The Day
What can be seen is the Trump Administration placing hurdles to success.
Advocates say the Health and Human Services Department has done more to suppress the number of people signing up than to boost it. HHS has slashed grants to groups that help consumers get insurance coverage, for example. It also has cut the enrollment period in...
A refresher may be in order of what the acronyms mean and their purposes.
The Medicare Payment Advisory Commission (MedPAC) is an independent US federal body. MedPAC was established by the Balanced Budget Act of 1997 (P.L. 105-33). The Commission's 17 members bring diverse expertise in the financing and delivery of health care...
Sale is subject to regulatory approvals and closing conditions, but is expected to close during the fourth quarter of 2017.
St. Louis based Express Scripts provides integrated pharmacy benefit management (PBM) services and has acquired the privately-held eviCore healthcare, which manages medical benefits for 100 million patients....
Approximately 18,000 UHC-Community Plan (UHC-C) members are attributed to Equality Health Network (EHN) primary care providers (PCPs). The PCPs will continue to receive payment based on their existing UHC-C agreements. EHN and UHC-C have an accountable care model agreement that tracks quality measures and per member, per month...
The longtime managed care executive replaces Carolyn Pace, who recently retired; Hoffman was previously the VP of managed care and business development for Phoenix Children's Hospital
Both Carolyn Pace and Ethel Hoffman are Advisors to The Hertel Report.
...Top of The Day
Humana Medicare Advantage members in Arizona, Colorado and Washington have access to Iora's 18 primary care practices.
Dr. Rick Kratche, MD, Arizona Medical Director at Iora Primary Care, sees consumers recognizing value,
“When we asked older adults in the Sun City area — and beyond — what’s most important to them when...Top of The Day
An executive order is being finalized that would permit health plans offered by associations to allow individuals to pool together and buy insurance outside their states, a unilateral move that follows failed efforts by Congress to overhaul the health care system.
Soon after the latest Senate Repeal and Replace bill failed, Sen. Rand...Top of The Day
At issue is how dying people can get access to unapproved medicines.
The FDA permitted two people infected with the Ebola virus to be administered ZMapp, even though the drug had not been approved for human testing. The Goldwater Institute goes to court Tuesday, Oct. 10, trying to force the FDA to reveal details on how dying people...Top of The Day
This closing includes 12 skilled nursing facilities and four assisted living facilities. Sale proceeds from the closing were approximately $108 million.
In addition, the company has completed the sale to BlueMountain and affiliated buyers of 66 skilled nursing facilities and four assisted living facilities for aggregate proceeds of...Top of The Day
The only seller of individual health insurance policies under the Affordable Care Act in 13 rural Arizona counties will decrease rates by about 1 percent across all its individual plans in 2018.
An average 7.2 percent increase was initially proposed in July. The reduction is possible because of improved profitability on current...Top of The Day
Focus is on delivering quality, culturally effective and coordinated physical, behavioral and community-based care.
Equality Health Network, a Hertel Report Founding Sponsor, has announced its first arrangement with a healthplan. The deal is focused on improving quality for a diverse population of Medicaid recipients.
Steward Health Care System LLC (Steward) becomes sole operator of the newly merged company and will oversee 36 individual hospitals across 10 states along with managed care operations in Arizona, Utah, and Massachusetts.
Dr. Ralph de la Torre, chairman and CEO of Steward said,
This merger enables Steward to expand our successful,...
The travel controversy is the latest incident to raise ethical questions about Price during his seven-month term as Trump’s health chief.
Price, an orthopedic surgeon and former House Budget Committee chairman, was surrounded by controversy since his nomination to the nation’s top health post in January. He made questionable...Top of The Day
She brings a wealth of experience to the role.
Richard Boals retired in July after serving 45 years with the Phoenix-based insurer.
Kehaly spent the past 25 years with Anthem, holding various senior level positions through the years. Most recently, she oversaw 5,000 employees and 27 million members in individual, small group, large...Top of The Day
Federal budget year expired September 30 without congressional action to continue funding the program.
CHIP is a partnership between the federal government and states that insures American children from low and moderate-income families.
CHIP was passed into law with bipartisan support under President Bill Clinton in...Top of The Day
Rep. Kyrsten Sinema (D-Ariz.) represents Arizona's 9th District, but by moving into the race for a U.S. House seat, Arizona Mayor Greg Stanton is expected to throw his hat into the Congressional race to win Sinema's former House seat.
Sinema announced her intentions to get into the 2018 race on YouTube
According to The...