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While metrics like 30-day readmissions and mortality rates weigh heavily on the results, Truven also places more emphasis on financial status than other hospital rankings lists.
In the state with the highest per-capita healthcare spending, most of the mainstay insurers spent the last year struggling to harvest operating income.
The move joins Samaritan Hospital's 55-bed acute-care, inpatient facility to University Hospital's integrated network of 15 hospitals.
Healthcare leaders and millions of customers insured by federal exchanges will be watching Washington closely on Wednesday as oral arguments take place on King Vs. Burwell.
Monetary terms, or reasons for the sale, were not disclosed.
Improving economy helps more low-income patients pay their balances in states that did not expand under Obamacare.
The selected hospitals are spread across 28 states, with California scoring the highest with 21 top hospitals.
If the court rules against the Obama administration, those subsidies could be cut off for everyone in the three dozen states using healthcare.gov.
One of the largest Blue Cross insurers in the American South has taken its first loss in 15 years, showing the challenges of the two main growth areas, ACA plans and Medicare Advantage.
Health insurers treading in legacy business processes are turning to contractors for help ply the new waters of reform, fueling an $8 billion market of its own.