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Massachusetts community hospitals are losing business to larger urban teaching hospitals, a trend that threatens to undermine the state’s campaign to curb health care spending. In its first report on the issue, the state’s Health Policy Commission said Monday that community hospitals are being squeezed by lower payments from insurers and the choice of many patients to be treated at big Boston hospitals, even for routine medical care. (Dayal McCluksey, 3/21)

When is a video chat with a doctor equivalent to an office visit? State legislators across the US have been grappling with that question as hospitals press for insurance companies to fully cover virtual appointments — and insurers balk at those demands. But the political wrangling, including a heated debate now at the Massachusetts statehouse, hasn’t stopped the growth of telemedicine. (Bailey, 3/22)

There’s a growing – and troubling – body of evidence that hospital mergers lead to higher prices. In other words, insurers, employers — we all tend to pay more for C-sections, heart surgery and hip replacements as hospitals get bigger and more powerful. (Gorenstein, 3/21)

Michael Englehart, president and CEO of Presence Health, is not a doctor. But he's caring for a sick patient — his hospital chain. In an unusually frank discussion Wednesday, Englehart said he's surprised at what he has uncovered since starting Oct. 1. His diagnosis is ugly. Billing and collection failures. Weak internal accounting controls. Outdated technology. (Sachdev, 3/18)

The Holy Grail in health care is finding a way to cut costs and improve outcomes. Researchers at Parkland Hospital in Dallas say they’ve uncovered a way to do both — so that patients who typically have to stay in the hospital for more than a month can go home and care for themselves. (Silverman, 3/21)