The number of hospital mergers and acquisitions (M&A) has reached 87 through the end of the third quarter, according to an analysis from consulting firm Kaufman Hall, putting 2017 M&A activity in the sector on pace to surpass the 102 deals that were completed in 2016.

The impact of hurricanes Harvey and Irma on hospitals owned by Nashville, Tennessee-based HCA Healthcare was spelled out in a preview of its third quarter earnings report, with the company saying it lost $140 million thanks to additional expenses and lost revenue at its facilities in Texas, Florida, Georgia and South Carolina.

A bonus of up to 10 percent has been proposed for using an upgraded electronic health record (EHR) system for reporting in the Merit-based Incentive Payment System (MIPS) in 2018, but speakers at two recent industry conventions warned it’s likely not a worthwhile investment for providers.

Combining health systems and hospitals means combining their health information, making the health information management (HIM) strategy a critical facet of any merger, which can be tripped up by poor planning or having an unhelpful electronic health record (EHR) vendor.

President Donald Trump is considering nominating Alex Azar, a former executive for pharmaceutical giant Eli Lilly, as the next secretary of HHS, which could place the agency in the hands of man who has been skeptical of value-based care and opposed drug price controls.