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PROPOSED CHANGES: Panelists at the 2019 PBN Spring Health Care Summit discuss efforts of President Donald Trump’s administration to undermine or replace the Affordable Care Act, as well as Trump’s proposed changes in regulations for accountable care organizations and the cost of prescription drugs. From left: Dr. Marylou Buyse, chief medical officer of Neighborhood Health Plan of R.I.; Dr. James E. Fanale, CEO of Care New England; Chris Ferraro, chief financial officer at Coastal Medical; Marie L. Ganim, R.I. health insurance commissioner; Stephen Kogut, professor of pharmacy practice at URI; and Zachary W. Sherman, director of HealthSource RI.
 / PBN PHOTO/RUPERT WHITELEY

Undermining of ACA could reverse R.I. gains

Government
If repeated attempts by President Donald Trump’s administration to undermine or replace the Affordable Care Act aren’t thwarted, consequences in Rhode Island could be...
ANDREW LELLING, U.S. Attorney for Massachusetts, says CareWell Urgent Care Centers has agreed to pay $2 million in the wake of allegations it had defrauded Medicare and Medicaid in Rhode Island and Massachusetts. / COURTESY U.S. DEPARTMENT OF JUSTICE

Urgent-care company with R.I. site agrees to pay $2M in false-billing...

Government
BOSTON – An urgent-care company with locations in Massachusetts and Rhode Island has agreed to pay $2 million to resolve allegations it defrauded Medicare...
The state has released a list of 200 employers who had at least 50 employees on Medicaid for the second quarter last year./PBN FILE PHOTO BY PAM BHATIA.

State releases data on Medicaid employers with more than 50 employees...

Government
PROVIDENCE – Nearly 200 employers in Rhode Island had at least 50 workers on state-supported Medicaid for at least three months last year, according...
FIRST STEP: Rhode Island Business Group on Health Executive Director Al Charbonneau says a federal rule requiring hospitals to post pricing data online is the first of many steps to price transparency. Next to Charbonneau is Hospital Association of Rhode Island President Teresa Paiva Weed.
 / PBN PHOTO/MICHAEL SALERNO

New CMS rule requires hospitals to post pricing data online

Health Matters
The Centers for Medicare & Medicaid Services requires hospitals’ pricing data to be posted to their websites, billed as the first step toward a...
ASSESSMENT FEE: Gov. Gina M. Raimondo has proposed a fiscal 2020 budget that includes a Medicaid Employer Assessment Fee, which if approved would annually charge companies that employ 300 or more workers as much as a $1,500 penalty per employee who was not offered health insurance but then qualified for state-supported Medicaid.
 / PBN FILE PHOTO/MICHAEL SALERNO

Raimondo proposes new fee to ensure employers offer health insurance

Focus
A powerful disincentive for not offering employees health care insurance is included in the proposed 2020 budget introduced by Gov. Gina M. Raimondo.If a...
HELPING HAND: Customer-service representative Ramon Chevas German, right, assists a client with health insurance at a HealthSource RI center in East ­Providence.
 / PBN PHOTO/MICHAEL SALERNO

Raimondo budget supports reinsurance program

Focus
Gov. Gina M. Raimondo’s budget includes proposals she says are intended to keep health insurance affordable for thousands of Rhode Islanders, in response to...

Wood River Health Services names Croke president, CEO

Health Services
HOPKINTON – South Kingstown resident Alison L. Croke is the new president and CEO of Wood River Health Services, which provides primary care, pediatrics,...

ACLU of Rhode Island settles suit against state on behalf of...

Health Services
PROVIDENCE – The American Civil Liberties Union of Rhode Island has ended its class-action lawsuit against the state claiming its Medicare Premium Payment Program kicked people...
RHODE ISLAND HOSPITAL has been named among the nation's top 50 cardiovascular hospitals by IBM Watson Health for the fifth time.

Report: Rhode Island Hospital among 50 top cardiovascular hospitals in...

Health Services
PROVIDENCE – Rhode Island Hospital has been named to IBM Watson Health’s 50 Top Cardiovascular Hospitals 2019 Winner List, the only one in Rhode Island and...
IN A REPORT in the Rhode Island Medical Journal, Clinica Esperanza posits that its Bridging the (Health Equity) Gap program could save the Rhode Island health care system up to nearly $800,000 annually if expanded to 8,000 uninsured Hispanics statewide.

Study: Clinica Esperanza BTG program could save R.I. health care system...

Health Services
PROVIDENCE – In a new report slated to be published in the upcoming November edition of the Rhode Island Medical Journal, the Clinica Esperanza/Hope...
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