Jan 12, 2019
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Health Provider News – January 11, 2019

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NATIONAL

  • Prescription Drug Spending Higher at 340B Hospitals, Study Finds
  • Medicaid chief out after 3 months: 3 things to know
  • How artificial intelligence will shape the physician toolkit in 2019
  • Health care experts call new federally-required hospital price listings ‘not very consumer-friendly’
  • HHS releases voluntary cybersecurity guidance
  • DOJ Recovers $2.5B in Healthcare Fraud, False Claims in 2018
  • Healthcare Roundup—Gottlieb staying at FDA
  • A Nonprofit Alternative to Big Pharma Grows—But Who’s Left Out?
  • Hospital readmission improvements under Medicare program overstated, study finds
  • 4 health systems investing in express care
  • Hospitals, health care companies find cybersecurity protection a top priority
  • CMS Administrator Seema Verma names Chris Traylor acting director to replace Mary Mayhew
  • AHA: Medicare underpaid hospitals by $53.9B in 2017
  • 340B hospitals saw greater per-patient drug spend than counterparts, study finds
  • Hospitals’ outpatient revenue inching closer to inpatient revenue
  • Hospitals have provided $620B in uncompensated care since 2000, survey finds
  • Medicare appeals backlog down more than 52% since 2015, HHS reports
  • Ruling on 340B drug price cuts a credit positive for nonprofit hospitals, says Moody’s
  • Hospital-owned drug company attracts 12 more health systems
  • ONC to Congress: EHR adoption is high, but barriers to interoperability remain
  • S&P: Outlook remains stable for nonprofit hospitals
  • CMS sets application deadline for new ACO program 2 months after rule

NORTHEAST

(Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island, Vermont)

CONNECTICUT

  • Hartford nonprofits, others splitting $31M in CT grants
  • Pharma cash flows to Connecticut doctors for consultant work
  • Connecticut hospitals saw spike in patient deaths linked to falls, burns in 2017

MAINE

  • Local hospital earns top designation
  • Fast-growing mental health services provider expects to add 150 jobs
  • Maine governor signs order to begin Medicaid expansion
  • How a Maine health system’s ER physician deal could affect patient billing
  • Franklin Memorial Hospital completes expansion to house new MRI

MASSACHUSETTS

  • People in Business: HealthSouth Rehabilitation Hospital of Western Massachusetts to unveil new name
  • Massachusetts hospitals get compliance guidelines for offering meds to opioid addicts
  • Massachusetts biotech proposes installment plan to buy its drug

NEW HAMPSHIRE

  • DHHS pushes back after Hospital Association joins suit over psychiatric care
  • State Highlights: New Hampshire Hospital Group Joins Lawsuit Over Mental Health Care

NEW YORK

  • Dozens of nurses and staff sickened by mold in NYC hospital
  • Hospital for Special Surgery CEO: There’s more value in adding campuses over M&A
  • How Hospital for Special Surgery plans to expand nationally & globally
  • Mold in New York hospital’s maternity unit sickens more than 50 employees
  • New York City Invests $52M in Healthcare Infrastructure Upgrades
  • Massena Memorial Hospital fights back against Board of Managers dismissal
  • NYC Health + Hospitals Consolidates with $758M, 25-Year Lease
  • New Hospital Gains Gubernatorial OK
  • Nurses Steal $750K From Brooklyn Hospital: AG

RHODE ISLAND

  • ACLU of Rhode Island settles suit against state on behalf of Medicaid Premium Payment enrollees
  • Portsmouth hospital has surprising link to Civil War

VERMONT

  • Quorum management contract cause for concern among Vermont hospital physicians, staff
  • OneCare Vermont board announces interim CEO

MID-ATLANTIC / EAST

(Delaware, District of Columbia, Maryland, New Jersey, Pennsylvania, Virginia, West Virginia)

DELAWARE

  • Christiana Care asks judge to toss out lawsuit claiming kickbacks
  • Saint Francis Healthcare boosting minimum wage to $15 an hour
  • Delaware sees decline in primary care doctors
  • University of Delaware survey says fewer primary care physicians are practicing in state
  • New study shows decline in percentage of primary care physicians in Delaware

DISTRICT OF COLUMBIA

  • Medical offices could replace retail at this Chevy Chase center
  • Whitman-Walker launches new organization, restructures leadership
  • Providence hospital gets a key approval amid D.C. lawsuit
  • C. pregnancy app raises $6M to enter new markets

MARYLAND

  • 3 things you didn’t know about the president of Howard County General Hospital
  • Meritus Health unveils center to improve health care across region
  • How Anne Arundel Medical Center CIO Dave Lehr promotes innovation
  • Atlantic General Hospital selected as Health Quality Innovator of the Year
  • Johns Hopkins hires former prosecutor to probe safety issues at All Children’s
  • Maryland health care provider expands in Prince George’s

NEW JERSEY

  • NJHA impact report: See how much N.J. hospitals meant to economy
  • New Owner Of Secaucus Hospital Sued For Saddle Brook Facility
  • Trinity Health Ministries Increases Minimum Wage to $15
  • Former University Hospital board member to politicians: Don’t point fingers — roll up your sleeves and help
  • Heartbeats: Hunterdon Healthcare installs hearing loops in facilities
  • Hackensack Meridian Health and Carrier Clinic Merge to Enhance Behavioral Health in Tri-State Area
  • This man just gave $10M to a N.J. hospital
  • New Jerseyan Heads American Hospital Association
  • Atlantic Health ambulance, home care facility to open in spring
  • Here are New Jersey’s top 15 hospitals, as ranked by U.S. News & World Report
  • New Jersey health system demands $20M in suit over failed merger

PENNSYLVANIA

  • WB General nurses to hold Monday forum on staffing ahead of contract talks
  • Nurses rally outside Center City hospital after working 5 months with no contract
  • Pennsylvania hospital delays paychecks due to backlog in collections
  • Easton Hospital names interim chief Linda Grass its permanent president
  • Ellwood hospital workers get checks for back pay
  • Ellwood City Hospital Delays Paychecks Amid Financial Crisis
  • Penn Highlands DuBois welcomes new neurosurgery chief
  • Officials hope electric bill deal will help Ellwood City Medical Center make payroll
  • New Penn State Health facility expands access to care in Lancaster County
  • Pennsylvania hospital acquires spine center
  • Pennsylvania hospital closure will result in 505 layoffs
  • Tower Health launches revamped, and expanded, home care division
  • Nurses plan forum on staffing concerns
  • Corner Office: Children’s Hospital of Philadelphia CEO Madeline Bell on how to cultivate culture
  • Luke’s, Easton Hospital join startup drug company to battle high prices, shortages
  • As Penn State Health plans new hospital, rival UPMC Pinnacle announces a bigger one
  • Pennsylvania hospital misses payroll for 9th time since August
  • New neonatal intensive care unit opens at West Penn Hospital
  • UPMC plans 2nd hospital in Italy
  • Warren General Hospital CEO’s advice to leaders of cash-strapped hospitals: ‘Don’t be afraid to ask for help’
  • Allegheny Health Network’s historic NICU expansion
  • Suzanne Richards to serve as CEO of Hahnemann, St. Christopher’s hospitals
  • Philadelphia’s Bryn Mawr Hospital opens $250M patient pavilion

VIRGINIA

  • Two more medical practices opening offices in the West Creek Medical Park
  • VCU Health System appoints chief of strategic initiatives
  • Virginia hospitals and health systems provided $3.29 billion in community benefit
  • LewisGale Medical Center announces new chief operating officer

WEST VIRGINIA

  • Braxton County Memorial Hospital joins WVU Medicine
  • S. joins lawsuit against West Virginia hospital accused of kickback laws violations
  • New report highlights needs of state-owned hospitals in W.Va.
  • WVU seeks to grow its telemedicine capabilities
  • Report finds there are ‘better, smarter ways’ to run West Virginia state hospitals
  • Uniontown Hospital exploring relationship with WVU Medicine

CENTRAL

(Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, South Dakota)

IOWA

  • Senior living center still a go, despite rumors
  • Iowa Hospital Association’s online tool gives way to compare prices for hospital services
  • UnitedHealthcare names CEO of Iowa Medicaid plan
  • UnityPoint Health joins generic drug not-for-profit
  • Local hospital administrator cautions new law requiring the posting of hospital pricing
  • New urgent care clinic helps those in rural northwest Iowa
  • U of Iowa saves $600,000 a year with new radiology workflow

KANSAS

  • Hospitals affiliated with NKC firm miss payroll, rent, bills
  • North Kansas City-Based Hospital Network Falls Behind On Payroll And Other Payments
  • Hillsboro Hospital Facing Financial Challenges

MINNESOTA

  • Senior care company Welcov Healthcare is ‘winding down operations,’ report says
  • Mayo Clinic Health System Clinics in Alden, Kiester Closing
  • Minnesota hospital apologizes for billing mistake
  • Avera gains 150 employees, new facilities with Minnesota acquisition
  • Shoreview-based Ecumen, a national provider of senior services, names new CEO
  • Verma commends 3 health systems for their price transparency

MISSOURI

  • Missouri hospital groups responds to new federal pricing transparency rule
  • Missouri psychiatric hospital to close, lay off 129 employees
  • SSM closing Women’s and Children’s services in northern Missouri community
  • Mary’s Hospital in Audrain closing department, clinic
  • Bankrupt hospital chain to sell Missouri facility for $10M
  • Audio: Missouri hospitals not excited about new federal rules to publish patient rates
  • Missouri Home Health Cuts Fall Short of Expectations

NEBRASKA

  • 2 surgeons sue Omaha hospital, alleging wrongful suspensions
  • Children’s Hospital stands behind CEO, doctor named in lawsuit
  • Aurora hospital recognized for providing quality care
  • Edwards appointed COO at Pender hospital
  • Nebraska Medical Association raises concerns about patient care, safety at Children’s Hospital
  • Omaha Children’s Hospital president named in 528 lawsuits in Ohio
  • Surgeons sue Nebraska children’s hospital for retaliation after reporting care concerns

NORTH DAKOTA

  • North Dakota Bill Would Set New Terms for Telemedicine
  • Local hospitals comply with new federal law requiring price postings online

SOUTH DAKOTA

  • Senior living center still a go, despite rumors
  • Sanford Health grows to $5B+ system after finalizing merger
  • Sanford Health eyes growth in senior care
  • Sanford Health and Good Samaritan Society Finalize Merge, Look to Legislative Session
  • $55M orthopedic hospital opens in South Dakota
  • Sanford Health breaks ground on new facility in Sioux Falls

MIDWEST

(Illinois, Indiana, Kentucky, Michigan, Ohio, Wisconsin)

ILLINOIS

  • Moving day: Patients relocated to new Javon Bea Hospital in Rockford
  • Chicago hospital completes historic back-to-back triple organ transplants
  • State hospital group has new leadership
  • Get to know the CEO of NorthShore University HealthSystem
  • Northwestern opens $10 million Polsky Urologic Cancer Institute
  • Mercyhealth opens $505M Illinois campus
  • Advocate Aurora Health uses predictive analytics to overhaul care management program
  • AT&T and Rush System for Health Ink Agreement to Use 5G in Hospital Setting

INDIANA                           

  • Indiana long-term care hospital to close, lay off 120 employees
  • How IU Health is attracting millennials, retaining new nurses
  • Vibra Hospital to Lay Off 120
  • Indiana seeks more mental health care for rural counties
  • IU Fund Invests in Health Tech Company
  • IU Health Blackford Hospital had the highest engagement scores in the IU Health system
  • Lilly Announces $8B Acquisition

KENTUCKY

  • On road to growth, small Kentucky hospital consolidates EHR data
  • University of Louisville makes bid for Jewish Hospital, KentuckyOne facilities
  • Kentucky now requires Medicaid patient copays for physician office visits, other services
  • Judge denies Greenview’s proposed ambulance service
  • Patients confused as Louisville-area hospitals post inflated prices online
  • J. Regional announces new executive VP of marketing, planning and development
  • Lacuna Health acquires chronic care management provider
  • Kentucky hospital late paying workers back-to-back paychecks
  • Chemotherapy now offered in Horse Cave
  • Christ Hospital to go before Fort Mitchell with Drawbridge presentation
  • Commercial Lender Greystone Dishes $18.4M for Kentucky Health Care Facilities
  • Kindred unit makes acquisition in Florida
  • Humana leaders forecast for 2019, beyond: No Walgreens deal, profits up
  • Kentucky now requires Medicaid patient copays for physician office visits, other services

MICHIGAN

  • Beaumont Health sells 90% of home health, hospice business
  • Nonprofit Health System Beaumont Forges New Home Health JV
  • Hospital plans to ‘join’ health system
  • Allegan Healthcare Group to join Ascension Michigan
  • Ascension Michigan announces new president of Ascension Borgess health care company
  • With $77M investment, Ablative could draw attention to Michigan’s life sciences industry
  • Hospitals across Michigan under new leadership
  • Kalamazoo’s Ascension Borgess Hospital names new president
  • Michigan health systems aim to reduce hospital drug costs, shortages
  • Hospital price lists revealed: The cost of care at 9 Michigan medical centers
  • Michigan Becomes 25th State to Join Interstate Medical Licensure Compact
  • How a Michigan-based ASC aims to succeed amid high deductibles, payer consolidation
  • Health system joins group making generic drugs
  • Michigan hospital opens micro-grocery store
  • Beaumont Health EVP to step down
  • New Munson, Mary Free Bed agreement expands rehabilitation services
  • Family alleges Detroit hospital’s power outage led to patient’s death
  • Michigan hospital reverses course, will keep cancer treatment services
  • Detroit Medical Center names CMO, CNO for 3 hospitals

OHIO

  • Project to watch in 2019: Good Samaritan Hospital redevelopment
  • Knox Community Hospital CEO named to state, regional leadership boards
  • Joseph Community Hospital opens in Congo
  • CVS buying Ohio pharmacy chain, closing all but three
  • Children’s Hospital president named in 528 lawsuits in Ohio
  • Nationwide Children’s Hospital appoints chief HR officer
  • Dayton Children’s opens ‘Kids Express’ clinic
  • Meet Wilson Health’s new CEO
  • Hospital unit closing
  • University Hospitals selects chief academic officer

WISCONSIN

  • HSHS, OakLeaf Clinics forge closer bond
  • Advocate Aurora Health uses predictive analytics to overhaul care management program
  • Advocate Aurora Health joins generic drug not-for-profit venture
  • Ascension Wisconsin and Emerus Holdings announce partnership to expand access to healthcare in Wisconsin
  • Ascension Wisconsin strikes JV with microhospital operator

SOUTH / SOUTHEAST

(Alabama, Florida, Georgia, Mississippi, North Carolina, South Carolina, Tennessee)

ALABAMA

  • Tenet names CEO for Brookwood Baptist, Tennessee hospital operations
  • UNA-Huntsville Hospital Health System enter partnership
  • Tim Puthoff named CEO of Brookwood Baptist Health
  • New freestanding health clinic coming to Woodlawn
  • Influence Health acquired by Denver-based company

FLORIDA

  • It’s Now AdventHealth Palm Coast: Florida Hospital Flagler Changes Name, and Signs
  • 21st Century Oncology Hires Powell As Chief Operating Officer
  • Central Florida Regional Hospital names new CEO
  • Opko Health appoints executive chairman for BioReference Laboratories
  • Kindred unit makes acquisition in Florida
  • HCA Healthcare buys 100 acres in Estero for $52.5 million
  • Florida hospice doctors seek exemption from drug database
  • Johns Hopkins hires former prosecutor to probe safety issues at All Children’s

GEORGIA

  • WellStar announces Hospital Quality Partnership with Humana
  • Nonprofit hospitals under pressure over transparency, charity
  • Sometimes, Georgia health care costs are a simple matter of location
  • The Georgia Cancer Center: A destination for cancer treatment
  • Georgia health system exec wired $1.2M to alleged fraudsters
  • SouthCoast Health, Southeast Georgia’s Largest Independent Physician Group, Partners with Privia Medical Group
  • In Georgia, Prospects for Hospital Transparency Remain Cloudy
  • Piedmont Healthcare completes purchase of three South Metro Radiation Oncology Services centers
  • hospitals at center of 2 key issues
  • Georgia lawmakers call for more transparency from nonprofit hospitals — including executive salaries

MISSISSIPPI

  • Hospitals staying proactive to steady nursing workforce
  • Dobbs named new state health officer
  • Memorial Hospital Board of Trustees elects officers

NORTH CAROLINA

  • Novant Health to reopen three urgent-care locations in Charlotte next week
  • Pardee, AdventHealth chart strategies for a changing health care market
  • Medical Supply Company Hopes To Bring 400 Jobs To Triad
  • Pay Raise Coming For 9,000 UNC Health Care Workers
  • UNC Lenoir Health Care names Jay Dennard as CEO
  • Chesapeake Regional eyes care clinic in EC
  • Walker, Kasbari lead Wayne UNC Health Care board
  • 900th GD CAREpoint Slated for North Carolina Hospital
  • Planning Board approves zoning change for cancer center
  • Novant Health names president, COO for Kernersville Medical Center
  • North Carolina hospital to close birthing unit

SOUTH CAROLINA

  • Former Nason Medical Center patients hit roadblocks trying to access health records
  • Palmetto Health eliminates 140 positions
  • South Carolina counties to lose millions in tax revenue after health system acquisition
  • CHS finalizes sale of two South Carolina hospitals in ongoing efforts to address debt

TENNESSEE

  • LifePoint Health appoints presidents for Eastern, Central divisions
  • These are the top hospitals in Tennessee
  • West Tennessee Healthcare plans to expand North Hospital facility
  • North Kansas City-Based Hospital Network Falls Behind On Payroll And Other Payments
  • Retired orthopedic surgeon returns to medicine as CMO of Tennessee hospital
  • Tenet names CEO for Brookwood Baptist, Tennessee hospital operations
  • Ballad CEO responds to state: No babies have been ‘lost’ during NICU transfer
  • TriStar Health Hospitals to Add 75 NICU Live Streaming Cameras
  • Tennessee Orthopaedic Alliance moves to larger facility
  • Troubled Tennessee Hospital Chain Says It’s On The Way Out Of Rural Areas
  • Arbitrator: Quorum off the hook for millions in CHS payments
  • Former exec enters plea agreement in $4.6M kickback scheme
  • Medical equipment company opening regional hub in Nashville
  • Methodist Le Bonheur Healthcare names CFO

SOUTH-CENTRAL / SOUTHWEST

(Arkansas, Arizona, Louisiana, New Mexico, Oklahoma, Texas)

ARKANSAS

  • Hospital saves almost $113,000 in utility costs
  • North Kansas City-Based Hospital Network Falls Behind On Payroll And Other Payments
  • Arkansas hospitals comply with federal rule, service lists published online
  • ORHub enters Arkansas market with ASC agreement
  • Arkansas hospitals say impact on state economy is $11.54 billion
  • Centene inks deal to buy Arkansas health plan from CHI
  • University of Arkansas Expands Mental Health Services, Renovates Health Center
  • CHI St. Vincent Names Dr. Gerry Jones Vice President

ARIZONA

  • New hospital to be built in Tucson and create 600 jobs
  • GV hospital sued; doctors group claims unpaid bills
  • Arizona hospital expected to add nearly 600 jobs
  • Ducey appoints new director of AHCCCS
  • Banner-UMC names 2 leaders for Tucson, South hospitals
  • Michael Stenger to head Western Arizona Regional Medical Center permanently

LOUISIANA

  • New Orleans East Hospital CEO Receives National Recognition
  • Baton Rouge General breaks ground on $30M Ascension Neighborhood Hospital

NEW MEXICO

  • True Health names new president
  • Following mandate, New Mexico hospitals release ‘price lists’ for procedures
  • New Mexico cuts readmissions, improves ED care with middleware that enables information sharing
  • Denzil Ross to become COO of Lovelace Medical Center

OKLAHOMA

  • North Kansas City-Based Hospital Network Falls Behind On Payroll And Other Payments
  • Oklahoma falls in health ranking, but infant health improves
  • Hospitals awarded for infant health

TEXAS

  • Senior Care Centers files for bankruptcy, $100M in debt
  • Medical City McKinney appoints COO
  • Tenet names CEO for Brookwood Baptist, Tennessee hospital operations
  • Tenet and Cigna Reach an Agreement After 11 Months of Negotiations
  • New year brings new name for hospital
  • Caddis Names New Vice President of Senior Living
  • Baylor Scott and White’s The Hive is Buzzing with Healthcare Innovation
  • King’s Daughters Clinic to reopen Tuesday after Ascension purchase
  • New UT Health East Texas owners bring changes, improvements to Carthage hospital
  • Steward Health Care Joins Innovative Effort to Solve America’s Drug Shortage Crisis
  • Memorial Hermann partners with John Arnold-backed nonprofit drug co.
  • Senior living community operator taps new CEO
  • Providence Health Care introduces innovative heart treatments locally
  • How Are Hospitals Posting Their Prices, and Is It Helpful?
  • Tenet shares jump after update from CEO
  • How Texas hospitals are syncing data in battle against opioid abuse
  • Medical City Fort Worth appoints COO

NORTHWEST

(Alaska, Idaho, Montana, Oregon, Washington, Wyoming)

ALASKA

  • Conflict concerns delay hospital lease consulting contract
  • Hospital plans ER redesign to boost mental health services

IDAHO

  • North Idaho hospital fights infection with germ-zapping robot
  • Syringa board tackles value-based care, entering pilot program
  • Saltzer, the Nampa medical group St. Luke’s had to give up, has been sold again

MONTANA

  • Different Medicaid expansion plans offered at MT Legislature
  • Bullock seeks to reshape debate over Medicaid expansion with focus on business
  • New president and CEO hired at Kalispell Regional Healthcare

OREGON

  • HB 2161: Hospitals lose their property tax charity exemption
  • Key player behind the Unity Center for Behavioral Health resigns
  • Employers coalition launches in Oregon to cut health care costs

WASHINGTON

  • Some Jefferson Healthcare hospital costs rise
  • Inflatable rocket used to criticize Washington hospital exec salaries
  • Providence Ventures Closes On Second $150M Health Care Fund
  • Not All Hospitals Made Deadline on Posting Prices
  • Six policy and political predictions for Washington State health care in 2019
  • Cascade Care: Gov. Inslee proposes to provide public option in Washington state
  • PeaceHealth settles discrimination lawsuit over transgender care
  • PeaceHealth selects chief development officer for Columbia network

WYOMING

  • Senior living center still a go, despite rumors
  • Memorial Hospital of Sweetwater County has productive year
  • Looking ahead: As 2019 begins, a slew of health care-related challenges face Wyoming
  • New hospital interim CEO introduced to commission
  • Wyoming attorneys, labor officials raise concerns about air ambulance legislation

WEST

(California, Colorado, Hawaii, Nevada, Utah)

CALIFORNIA

  • Zuckerberg hospital is out of network with all private insurers, leaving patients with massive bills
  • Rising to the challenge: Dr. Brian Evans settles in as CEO of hospital
  • California medical group to shut down after Molina cancels contract
  • 7 California hospitals fined over $300K for endangering patient safety
  • New California governor’s first actions target health care
  • Paul King appointed president and CEO of Lucile Packard Children’s Hospital and Stanford Children’s Health
  • Lucile Packard Children’s taps VR to ease patient anxiety
  • San Ramon Regional Medical Center taps chief strategy officer
  • California medical diagnostics company shutters after Medicare rescinds coverage of its test
  • Healthcare CEO pleads guilty in bribery case

COLORADO

  • 11 charts that help explain health care costs in Colorado
  • There’s still confusion about which ER’s are open in Pueblo
  • Northern Colorado emergency rooms focus on opioid alternatives
  • Colorado Is Stepping up Its Game to Prevent Hospital-Related Infections
  • NanoSphere Partners with Gofire to Debut DoseCode-Enabled Products in Colorado Market
  • Want a job in a fast-growing field? Try health care, employment report says
  • ‘Health care desert’ of Colorado Springs getting much-needed clinic
  • Influence Health acquired by Denver-based company
  • Verma commends 3 health systems for their price transparency

HAWAII

  • Tripler Medical Simulation Center earns reaccreditations
  • 16 states, including Hawaii, appealing Affordable Care Act ruling

NEVADA

  • Treating Nevada’s health-care ills
  • Industry Focus: Healthcare
  • Southwest Medical Associates adds eight new health care providers
  • Sunrise Hospital NICU services in jeopardy over low Medicaid reimbursements

UTAH

  • University of Utah Health celebrates record breaking organ transplants
  • A look at Utah Valley Hospital’s new wing
  • Lakeview Hospital earns ‘A’ for patient safety
  • Verma commends 3 health systems for their price transparency

The post Health Provider News – January 11, 2019 appeared first on Law Firm | Health Care Law Firm in the USA | Hall Render.



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