Morning Briefing
Summaries of health policy coverage from major news organizations
State Highlights: McCaskill Requests Federal Probe Of 'Potentially Fraudulent' Billing At Missouri Hospital; Texas Law Tests DNR Wishes
U.S. Sen. Claire McCaskill is calling for a federal investigation of billing practices at Putnam County Memorial Hospital, which was the subject of a highly critical state audit last year. McCaskill, a Missouri Democrat, is asking the inspector general of the Department of Health and Human Services to investigate whether the company that took over the 15-bed hospital in Unionville defrauded taxpayers by using the hospital as a pass-through vehicle for out-of-state laboratory services. The company, Hospital Partners, is one of many businesses controlled by Florida resident Jorge Perez, who says it's his mission to save endangered rural hospitals.聽(Margolies, 5/24)
The bill, TX SB11 (17R), passed during a politically charged special legislative session last summer, introduces confusion into DNR, or do not resuscitate, systems that hospitals have long had in place, providers and legal experts say. They argue the new law could hamper physicians鈥 ability to carry out a patient鈥檚 existing DNR order whenever a family member contests it. (Rayasam, 5/24)
If you need to get a CT or an MRI scan, Anthem 鈥 the health insurer that covers nearly one out of every five Coloradans with private insurance 鈥 most likely won鈥檛 pay for you to get it in a hospital anymore. That鈥檚 the result of a new policy Anthem implemented in the state last fall that it says cracks down on the higher prices hospitals charge for procedures that are known in the industry under the broad category of 鈥渋maging.鈥 Under the policy, Anthem directs most patients to free-standing imaging facilities, where it says the out-of-pocket cost to patients can be $1,000 less than at a hospital. (Ingold, 5/24)
Montgomery County health officials have confirmed a case of measles and are alerting those who have not been vaccinated about possible exposure. Health officials from Montgomery County, the Maryland Department of Health and the Virginia Department of Health are investigating the case. Officials say an individual contracted measles outside of the country, developed symptoms here and is currently under medical care. Measles is a highly contagious virus that is spread through the air when someone coughs or sneezes. (Rentz, 5/24)
There are close to 4,900 untested rape kits in Missouri, and that number likely is low because some agencies couldn't say exactly how many kits they have, according to a review by the state attorney general's office. Attorney General Josh Hawley, who launched an audit of the state's rape kit backlog in November 2017, announced the findings Thursday in what he said was the first such review. (5/24)
The D.C. Department of Health has warned hundreds of nurses that their personal information was inadvertently exposed in the online licensing portal and is offering them one year of credit-monitoring services. A nurse navigating the nursing board鈥檚 online portal somehow ended up on a nonpublic portion of a database that included the Social Security numbers, names and addresses of nurses, said Department of Health spokesman Tom Lalley. Seven nurses had their information exposed. City officials couldn鈥檛 identify them, so they sent warning letters last week to all 600 people who were then registered in the system. (Nirappil, 5/24)
Investors are ratcheting up the pressure on Watertown-based athenahealth to consider a sale, arguing that the publicly traded health care information technology company might operate more efficiently under private ownership. Elliott Management Corp., the New York hedge fund that has offered to buy athenahealth for nearly $7 billion, wrote to the company鈥檚 board of directors Thursday that other shareholders share its frustration with how the company has performed. (Rosen, 5/24)
Sadly, despite their proven success rate in helping prevent crashes and reduce drunk driving fatalities by 20 percent, the legislature voted to reduce state funding for sobriety checkpoints to just $1. We urge the lawmakers next session to restore funding for these services, which allow law enforcement to choose the best method for protecting Missourians. (Meghan Carter, 5/24)
An $800 million project announced Thursday would replace Duluth鈥檚 biggest hospital while also making renovations to related facilities across its downtown campus over the next four years. Duluth-based Essentia Health said it will build a new St. Mary鈥檚 Medical Center plus a clinic building and an outpatient surgery center as part of a plan called 鈥淰ision Northland,鈥 which hospital officials say is the largest private development in Duluth鈥檚 history. (Snowbeck, 5/24)
Dr. Peter Pisters, MD Anderson Cancer Center鈥檚 new president, has unveiled a vision that would make the elite Houston hospital more accessible to patients and more humane about end-of-life care. In his first major address since taking over the top job in December, Pisters said Tuesday he wants to create a more patient-centered MD Anderson, one that features same- or next-day appointments and better anticipates the desires of those who want to die in hospice or at home rather than in the hospital. (Ackerman, 5/24)
A whistle-blower lawsuit filed against Steward Health Care exposes a part of medicine largely hidden from patients: the behind-the-scenes pressure health care companies put on doctors to keep patient referrals in-house. Dr. Stephen Zappala, a longtime Massachusetts urologist, said company representatives exerted immense personal and financial pressure on him and other physicians to refer patients only to Steward hospitals and specialists, putting profits first. (Kowalczyk, 5/24)
A woman who spent 10 years toiling without pay for a Kansas City, Kan., religious group has won an $8 million judgment against the group and its leader. U.S. District Judge Daniel Crabtree issued a 57-page ruling Wednesday, finding that Kendra Ross was the victim of human trafficking at the hands of Royall Jenkins and his group, which calls itself The Value Creators. (Rizzo, 5/24)
When a child almost drowns, suffers a serious asthma attack or experiences any sort of catastrophic health emergency, whether they survive can often depend on a handful of seconds. The margin just got better for critically ill or injured babies and children here and across South Texas, thanks to local philanthropist Harvey E. Najim, who donated $1.4 million toward the purchase of two ambulances for the Children鈥檚 Hospital of San Antonio. (Stoeltje, 5/24)
The tragedy unraveled聽on聽a gravel driveway at a home in Tennessee, where聽a family鈥檚聽dark blue pickup truck sat, eerily, with聽a rear door still ajar and an empty car seat lying beside it on the ground. Authorities said it was there, in聽East Nashville, that a father said he forgot聽his 1-year-old daughter in a hot car Wednesday and, sometime later that evening, the mother discovered the child. The Metropolitan聽Nashville Police Department said on Twitter that the child was聽taken to聽Vanderbilt University Medical Center, where she was pronounced dead. (Bever, 5/24)
Doctors at University Medical Center and hospital officials gathered Thursday morning (May 24) to talk about the need to retain state funding to keep the hospital running past July 1. "It's critically important that we understand UMC is not just a resource to New Orleans or Orleans Parish. It's a resource that spreads across the entire state into Mississippi out to Lake Charles," said Dr. Peter DeBlieux, the Chief Medical Officer at UMC, and one of several doctors present Thursday at the launch of a campaign called聽#UMCisVITAL, which聽aims to ramp up community involvement in helping stave off cuts to funding UMC. (Clark, 4/24)
The city must placard with warning signs homes it currently knows have lead hazards that have not been fixed, an appeals court ruled late Wednesday. The Ohio 8th District Court of Appeals, however, said it could not issue general orders to force the city to follow state provisions that outline steps to respond to lead hazards. (Dissell, 5/24)
In response to the shooting at Marjory Stoneman Douglas High School in Parkland, Florida lawmakers are providing $69 million to enhance mental health care at public schools. The money will be divided among districts based on the number of students they have. (Ochoa, 5/24)
A physician assistant is a health care professional who has the training to perform many of the duties that doctors routinely handle. ...New national statistics on the PA workforce, published this week by the National Commission on Certification of Physician Assistants, show there are more than 3,500 practicing in Georgia. (Miller, 5/24)
Advocate Aurora Health announced plans Thursday to build a $250 million hospital and medical office building in Mount Pleasant, positioning the health system to benefit from the projected growth from Foxconn Technology Group鈥檚 planned plant. The health system 鈥 created by the merger of Advocate Health Care Network and Aurora Health Care in April 鈥 has said that it initially would focus on expanding in growing areas of northeastern Illinois and southeastern Wisconsin. (Boulton, 5/24)