Judge Dismisses Baylor Scott and White False Claims Lawsuit

Baylor Scott and White Health has escaped an lawsuit alleging they upcoded claims after a Texas judge dismissed a False Claims lawsuit, according to Law360. The whistleblower lawsuit claims BSW was responsible for more than $61.8 million in fraudulent claims to medicare over seven years. Filed in 2017, the claim says BSW’s medical director led the effort to increase higher billing codes without medical justification. U.S. District Judge David Ezra said the claimant failed to provide a claim a relief, saying there is nothing wrong with hospitals taking advantage of coding opportunities to increase Medicare payment  that is supported by documentation.… Full Story

Insights From CEOs of Baylor, UnitedHealthcare, Catalyst, Caddis, and More

Providers, health plans, and pharmacies are uniting into single entities while evidence shows that investing upstream with primary care improves quality and reduces healthcare costs. In a battle against ever increasing premiums, employers are looking at ways to spend less on healthcare, with more and more moving to self-funded plans, educating their employees about how their choices impact everyone’s cost, and redesigning their pharmacy benefit plans for up to 50 percent savings. These are just a few of the insights shared during the D CEO 2019 Healthcare Roundtable, a sponsored discussion from the July issue with North Texas Healthcare leaders.… Full Story

Fighting Maternal Mortality with Baylor’s Perinatal Outreach Team

Anyone who has ever had a job knows this routine. There is an unfamiliar person in the break room or lobby, often adjacent to a table with some bright signage, swag, and perhaps a tray of brownies. They are a bit too friendly, searching desperately for your eye contact. You want that treat or stress ball, but you will end up having to do something between signing up for a newsletter and starting a Roth IRA in order to get it. If you worked in healthcare and a group from an unaffiliated hospital showed up in the break room, you… Full Story

North Texas CEOs Team Up to Fund Hope Lodge

The North Texas CEOs Against Cancer chapter of the American Cancer Society has pledged to raise funds for a year of operating expenses for the Hope Lodge, a lodging facility for patients and their families receiving treatment for cancer in Dallas. The Dallas-Fort Worth-based executives will show their commitment to cancer care by helping fund the 40,000 square foot facility, which will have 50 private suites, common living areas, laundry, a library and more. It is expected to provide 18,000 nights of free lodging each year, and guests can benefit from American Cancer Society programming. The facility is being built… Full Story

Expansion of Minimally Invasive Heart Surgery in North Texas

As the Centers for Medicare and Medicaid Services considers expanding transcatheter aortic valve replacement, a minimally invasive heart surgery, a study in the New England Journal of Medicine authored by the Baylor Scott and White Plano Heart Hospital’s Dr. Michael Mack shows that results improve as TAVR centers increase surgery volume. TAVR involves inserting a collapsed valve through an artery near the hip and expanding it once it is in place in the aorta, and is becoming more common because of its reduced recovery time and risk compared to open heart surgery. The surgery was first used for older, more fragile… Full Story

Barber Shops, Baylor, and CitySquare are Fighting Health System Stigma

Clippin Crownz 4Christ, Jay Vee Burberry’s shop next to the Forest Theater in South Dallas, is decked out with Dallas Cowboys gear and the plaid pattern that shares his last name. Burberry used to be homeless, but with the help of a nearby nonprofit he was able to start his own business. Every fourth Monday he can be found cutting hair for free at his shop, paying forward his good fortune.  In addition to his services for the homeless, Burberry is one of several barbers in mostly black South Dallas who have partnered with Baylor Scott & White and CitySquare… Full Story

First Look: Baylor Scott and White’s Neuro Transitional Rehabilitation Facility

When a patient experiences brain trauma, their path often takes them to the emergency room, possibly to neurotrauma surgery, and they recover in acute inpatient rehab before they head home. But often times, the jump from inpatient facility to the home can be a bumpy one for patients with neurological trauma. Baylor Scott and White’s Neuro Transitional Rehabilitation Facility, which had its grand opening last week, hopes to smooth the transition. The nine bed, 7,000-sqaure-foot facility allows each patient to have their own suite, and provides a domestic environment where they use a kitchen to prepare food, clean up and… Full Story

Baylor Scott and White, Memorial Hermann “Discontinue Talks” of a Merger

Baylor Scott and White and Memorial Hermann health systems won’t be merging, according to a joint statement. In the fall, Baylor Scott and White Health announced a potential merger with Houston-area system Memorial Hermann in what would have formed the largest health provider in the state, with 68 hospitals and 73,000 employees worth over $15 billion. The two providers would have formed a contiguous coverage area that would have spanned Houston, Dallas-Fort Worth, and Central Texas. Officials said that because there was no overlap in coverage areas, the merger wouldn’t have resulted in any job cuts, and that the scale… Full Story

Baylor Scott and White in Waxahachie Has a New President

Will Turner is the new president of Baylor Scott & White – Waxahachie as of December of last year, according to the hospital’s website. Turner has been with Baylor since 2012, most recently serving as the interim leader of operations for Baylor Scott & White Medical Center – Carrollton. In an interview with the Waxahachie Daily Light, Turner discussed his move from Carrollton to Waxahachie. “We will be a lot closer to family, and I think this is a lot more our speed,” Turner said. “Gosh, like I said, the reputation of this facility, the culture. You know, obviously, it’s a… Full Story

How Are Hospitals Posting Their Prices, and Is It Helpful?

The Public Health Act was enacted as part of the Affordable Care Act, which requires hospitals to make a public list of the hospital’s standard charges starting this year, but the posted price doesn’t tell the full story. Insurance, a person’s health, and the negotiated rate between insurers and providers complicates the out-of-pocket payment, the posted prices might not mean much to the average consumer. President and CEO of the DFW Hospital Council W. Stephen Love says the council’s member hospitals support transparency, but warn to proceed with caution. “We support transparency and want people to make informed decisions,” he says.… Full Story