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Friday, Nov 20 2015

Full Issue

Consolidation Gives Florida Hospitals Leverage In Negotiations With Insurers: Analysis

In other regional hospital news, medical groups in New Jersey appeal the state's approval of an insurer alliance. And in Louisiana, a judge throws out a lawsuit filed by LSU seeking to remove the manager of two of its university hospitals.

A new analysis of Florida鈥檚 health care markets finds that as the state鈥檚 hospitals consolidate and expand, new business models are shifting the negotiating power. 鈥淵ou have at least three major hospital systems in the state moving in the direction of becoming statewide hospital systems,鈥 says Allan Baumgarten, the health care finance analyst behind the latest Florida Health Market Review. (Mack, 11/19)

A dozen medical groups are appealing the state's approval of a new alliance formed by its largest health insurer. The groups, including Capital Health Regional Medical Center, Trinitas Regional Medical Center and Virtua Health, filed their appeal against the Department of Banking and Insurance on Thursday in Superior Court. They say the department approved Horizon Blue Cross Blue Shield's OMNIA Health Alliance without holding public hearings, among other objections. (11/19)

LSU's lawsuit seeking to oust the operator of its university hospitals in Shreveport and Monroe was thrown out Thursday by a state district judge who said the breach-of-contract filing was premature. Judge Todd Hernandez agreed with the hospitals' manager, Biomedical Research Foundation of Northwest Louisiana, that LSU didn't follow contract provisions for working to repair problems before declaring a breach. (Deslatte, 11/20)

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