Today's Top 20 Stories
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UnitedHealthcare to cut prior authorization usage by 23%
UnitedHealthcare plans to cut back on its use of prior authorization, removing procedures and medical devices from its list of services requiring signoff and reducing the number of authorizations from 13 million to 10 million annually, according to a March 29 report from The Wall Street Journal. -
Covenant HealthCare, two physicians to pay $69M in false claims settlement
Saginaw, Mich.-based Covenant HealthCare and two physicians have paid $69 million in three civil settlements for allegedly violating the False Claims Act, the Justice Department reported March 29. -
Why some physicians are leaving corporate medicine
While the physician workforce is increasingly moving to employed models — with more than 108,700 physicians shifting to employment from 2019 to 2021 — some are finding it difficult to maintain autonomy and are making the shift back to private practice.
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9 health systems laying off workers: What ASCs need to know
Financial and operational challenges are pushing many hospitals to cut jobs. -
The value-based care deals shaping the industry
As the healthcare industry shifts to value-based care models over traditional fee-for-service models, major players are making deals to facilitate that transition. -
10 healthcare CIOs named the most transformative for 2023, per Forbes
Technology leaders at 10 healthcare-related companies have been named among Forbes' list of the 50 most transformative CIOs in 2023. -
Tennessee physician found guilty on 45 counts of controlled substance distribution
Gilbert Ghearing, MD, a former physician based in Crossville, Tenn., was found guilty on 45 counts related to the Controlled Substance Act, healthcare fraud and obstruction of justice, the Justice Department said March 29.
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March 30 is National Doctors' Day: 5 steps the government can take to help physicians, per the AMA
March 30 is National Doctors' Day, a day dedicated to thanking physicians nationwide for their hard work during the COVID-19 pandemic and beyond. -
Optum affiliate opens Washington clinic with ASC
Optum Health affiliate Everett Clinic has opened a 39,500-square-foot facility with 50 exam rooms and an ASC in Arlington, Wash., according to a March 29 report from HeraldNet. -
Big financial trends ASCs are eyeing
From anesthesia costs to case optimization, three ASC leaders joined Becker's to discuss the financial trends they're eyeing. -
SCL Health breaks ground on 80K-square-foot medical office building with ASC
Broomfield, Colo.-based SCL Health, an affiliate of Intermountain Health, broke ground on an 80,000-square-foot medical office building with an ASC in Aurora, Colo., according to a March 28 report from Sentinel Colorado.
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California Navy physician pleads guilty to $2M kickback scheme
Michael Villarroel, MD, a U.S. Navy physician, pleaded guilty to a scheme where he defrauded the Navy by faking or exaggerating injuries to get reimbursements intended to help service members recovering from traumatic injuries, the U.S. Justice Department said March 28. -
The ASCs with the highest prices above Medicare in 13 states focus on endoscopy
Sage Transparency, a healthcare transparency database from the Employee's Forum of Indiana, has named the ASCs charging the highest percentage above Medicare payments to commercial insurers in every state based on the facility's Medicare reimbursement rate. -
Missouri medical office building with surgery center sold for $3.5M
A 14,213-square-foot medical office building in Wentzville, Mo., has sold for $3.5 million according to a March 29 report from Rebusiness Online. -
Dr. Francis Mah named chief medical adviser for Kala Pharmaceuticals
Kala Pharmaceuticals, a biopharmaceutical eye disease company, has tapped Francis Mah, MD, as its new chief medical adviser, according to a March 29 news release published in Street Insider. -
Staar Surgical names new COO, chief clinical officer
Staar Surgical Company, an implantable eye lens manufacturer, has selected Warren Foust as its new COO and Magda Michna, PhD, as its new chief clinical, regulatory and medical affairs officer. -
5 healthcare jobs named top 10 best careers of 2023
Five healthcare careers were in the top 10 of U.S. News & World Report's "100 Best Jobs" list for 2023. -
The average cost of ASC care as compared to Medicare rates in 46 states
Sage Transparency, a healthcare transparency database from the Employee's Forum of Indiana, has determined the average facility price of ASCs in 46 states based on the Medicare reimbursement rate for services. -
Human trafficking among 16 charges faced by North Carolina hospital chief of staff
Thomas Clayton, MD, chief of staff of Erlanger Western Carolina Hospital in Murphy, N.C., was arrested and charged with 16 felonies, Blue Ridge Public Radio reported March 28. -
Tenet's default 'B+' rating affirmed: What ASCs need to know
Dallas-based Tenet Healthcare, parent company of ASC chain United Surgical Partners International, had its default rating affirmed at "B+," Fitch Ratings said March 27.
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