@HlthExec

Health Exec is an information resource providing strategic planning intelligence for C-suite hospital executives. Subscribe @: https://xitter.cf/t.co/UTVaR4kkSl

 United States
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Joined February 2013
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76Media
Nonprofit health system to join larger Hackensack Meridian Health network. @HMHNewJersey @HunterdonHealth #MandA #Healthcare #HospitalMerger #BusinessNews #EpicEHR #NewJersey ow.ly/uCIZ5100Z8o

Nonprofit health system to join larger Hackensack Meridian Health network

The merger between Hackensack Meridian Health and Hunterdon Health has many conditions, including a $200 million investment in facility upgrades. The deal will be finalized once it receives a rubber...

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Kaiser Permanente scoops up Oklahoma’s largest nonprofit health system. @kpnewscenter @integrishealth #Healthcare #MandA #Hospitals #RisentHealth #Mergers #Buyouts #Nonprofit healthexec.com/topics/health…

Kaiser Permanente scoops up Oklahoma’s largest nonprofit health system

The deal to buy Integris was signed Wednesday. Once finalized, the health system will join Risant Health, a Kaiser subsidiary. The financial terms were not revealed.

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Two arrested, dozens raided as part of major Medicaid fraud crackdown in New York City. #Healthcare #NYC #FraudWasteAbuse #Medicaid #FBI #HHS #CMS #Crackdown ow.ly/mAmP51007KA

Two arrested, dozens raided as part of major Medicaid fraud crackdown in New York City

The raids occurred on Tuesday as part of a coordinated investigation between the FBI, HHS and New York state authorities. Hundreds of adult daycare and social centers were said to be under watch,...

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Insurance lobby sues HHS over decision to bar brokers from ACA open enrollment. @nabipsocial #Healthcare #HHS #ACA #OpenEnrollment #CMS #NABIP #Lawsuit #LegalNews #Policy ow.ly/clXY50ZZRbN

Insurance lobby sues HHS over decision to bar brokers from ACA open enrollment

The National Association of Benefits and Insurance Professionals filed its complaint last week, challenging a moratorium that would bar first-time brokers from doing business on Affordable Care Act...

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AMA releases framework for ‘clinical authority’ to guide agentic AI adoption in healthcare. @AmerMedicalAssn #AMA #AI #AIinHealthcare #AgenticAI #PatientCare #Management #HealthIT #CIOs ow.ly/Vank50ZZHjG

AMA releases framework for ‘clinical authority’ to guide agentic AI adoption in healthcare

Presented in an infographic, the American Medical Association said the clinical authority of artificial intelligence must be earned through evidence and demonstrated performance.

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Doximity, OpenEvidence settle lawsuits over development of healthcare AI chatbot . AIinHealthcare #Doximity #ChatGPT #OpenEvidence #OpenAI #Lawsuit #Settlement #PropmpAttacks ow.ly/n5Io50ZZtxR

Doximity, OpenEvidence settle lawsuits over development of healthcare AI chatbot

The lawsuits, filed by both sides, were complicated, involving claims of corporate espionage and defamation. The dispute has now been resolved with prejudice, though terms were not disclosed to the...

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.@CMSGov proposes new regulations to eliminate ‘ghost networks’ and improve PBM transparency. #Healthcare #CMS #PBMs #MedicareAdvantage #PartD #Policy #HHS ow.ly/aPxw50ZZmj2

CMS proposes new regulations to eliminate ‘ghost networks’ and improve PBM transparency

Released Friday, the proposed rule is designed to comply with an act of Congress passed in February. Changes include regular audit requirements for Medicare Advantage coverage networks and enhanced...

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Insider explains how the FDA is spearheading the Trump administration's push for faster AI adoption in healthcare. #HealthAI #AI #Healthcare #FDA ow.ly/toBo50ZZ88R

FDA balances faster AI adoption with safety as healthcare technology advances

Insider explains how the FDA is spearheading the Trump administration's push for faster AI adoption in healthcare.

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Straw ‘owner’ of durable medical device company pleads guilty for role in $6M Medicare fraud conspiracy. #Healthcare #Fraud #Waste #Abuse #LegalNews #Massachusets #DME #SupplyChain ow.ly/WzVo50ZZ28i

Straw ‘owner’ of durable medical device company pleads guilty for role in $6M Medicare fraud...

The scam resulted in Medicare paying out more than $3 million for back and knee braces that doctors never prescribed and patients did not need, the U.S. Department of Justice said.

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Healthcare CEO sentenced to 19 years for role in $1B Medicare fraud scheme. #Healthcare #Fraud #Waste #Abuse #LegalNews #Crime #Medicare ow.ly/cYXB50ZYVgG

Healthcare CEO sentenced to 19 years for role in $1B Medicare fraud scheme

Brett Blackman, 43, of Kansas was convicted by a jury in April of healthcare fraud, stemming from an extensive conspiracy to issue bogus prescriptions for unnecessary medical devices.

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Labcorp to buy medical diagnostics company, proprietary prostate cancer test in $872M deal. @Labcorp #Healthcare #OpkoHealth #Labcorp #MandA #HealthcareBusiness $OPK $LH ow.ly/euLX50ZYtUS

Labcorp to buy medical diagnostics company, proprietary prostate cancer test in $872M deal

Once the deal closes, BioReference and its FDA-approved 4Kscore Test—currently owned by Opko Health—will become part of Labcorp, allowing it to expand its blood testing capabilities.

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HHS eliminates health insurance subsidies for 189K 'duplicate’ enrollees as part of ongoing audit. #Healthcare #Policy #Medicare #Medicaid #Waste #Fraud #Abuse #Trump #DrOz #RFK #ACA #HHS #CMS ow.ly/PWHf50ZY468

HHS eliminates health insurance subsidies for 189K 'duplicate’ enrollees as part of ongoing audit

The Centers for Medicare & Medicaid Services said the cancelled payments are linked to people enrolled twice in the system, as well as those found to be deceased. Determinations are subject to a...

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BlackRock to take over $2.8B private equity stake in CenterWell senior primary care centers. @Humana #CenterWell #Healthcare #BlackRock #PrivateEquity #PrimaryCare #Medicare ow.ly/SrkS50ZXKnI

BlackRock to take over $2.8B private equity stake in CenterWell senior primary care centers

Humana, the parent company of CenterWell, revealed the deal on Tuesday. Per the terms, BlackRock will take over the majority ownership of 150 clinics, with promises to make new investments aimed at...

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CVS agrees to $315M settlement in DOJ opioid epidemic lawsuit ow.ly/VV4450ZXBg5
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Insurer files lawsuit as CMS releases 2027 Medicare Advantage star ratings. @AlignmentHealth #Healthcare #CMS #Medicare #MedicareAdvantage #PartC #Lawsuit #LegalNews #Policy ow.ly/4tAc50ZXnJ7

Insurer files lawsuit as CMS releases 2027 Medicare Advantage star ratings

Despite six of its seven contracts earning over 4 stars, Alignment Health is challenging the Centers for Medicare & Medicaid Services’ methodology.

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House bill would eliminate NSA arbitration, align payments between payers and providers. #Healthcare #IDR #NSA #Policy #No Surprises #Pricing #Transparency #Congress ow.ly/qHbX50ZXfeX

House bill would eliminate NSA arbitration, align payments between payers and providers

The “Lower Premiums, Faster Payments Act” from Rep. Frank Pallone (D-NJ) would eliminate the independent dispute process completely. Its proposal comes after recent indication that the No Surprises...

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Canadian cybersecurity executive arrested as FBI cracks down on ShinyHunters ransomware gang. #Ransomware #Cybersecurity #FBIHack #ShinyHunters #Cybersecurity #DataBreach #Healthcare ow.ly/27iV50ZWXCM

Canadian cybersecurity executive arrested as FBI cracks down on ShinyHunters ransomware gang

It’s unclear if the man taken into custody, Edward Dubrovsky, 54, is being formally accused of being linked to the infamous cybercrime cell. Dubrovsky works with ransomware victims, helping them to...

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$11M Amtrak fraud scandal results in another prison sentence, $842K restitution judgment. #Amtrak #DOJ #Healthcare #LegalNews #Fraud #Crime #Waste #Fraud #Abuse ow.ly/1olb50ZWQJC

$11M Amtrak fraud scandal results in another prison sentence, $842K restitution judgment

Physical therapist Jaekwan Lee, 42, will serve 15 months in prison for his role in the fraud scheme, which involved dozens of Amtrak employees, 19 of whom pleaded guilty for their role in the...

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Blue Cross Blue Shield of Michigan accused of ‘anticompetitive conduct’ as part of a ‘Blue Conspiracy’ #Healthcare #Michigan #BCBS #BCBSM #Lawsuit #Antritrust #LegalNews ow.ly/2UsB50ZWqzF

Blue Cross Blue Shield of Michigan accused of ‘anticompetitive conduct’ as part of a ‘Blue Conspi...

The state is accusing the insurer of colluding with the broader Blue Cross Blue Shield network to stifle competition and control prices. BCBSM denies the allegations.

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Doctor at center of $40M Medicare kickback scheme sentenced to 3 years in prison. #Healthcare #DOJ #FraudWasteAbuse #LegalNews #Crime #Telehealth #Telemedicine ow.ly/tmBY50ZWh87

Doctor at center of $40M Medicare kickback scheme sentenced to 3 years in prison

The U.S. Department of Justice said Le Thu, an emergency medicine physician, conspired with telehealth companies to fill prescription orders despite never having examined the patients herself.

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