The Latest
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Kidney transplants jump under Medicaid expansion
A study of more than 15,000 adults with advanced kidney disease showed rates rose after the Affordable Care Act's broadening of coverage, allowing patients access to the pricey procedure.
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CMS to update hospital star ratings early next year despite blowback
"Republishing the flawed ratings in 2020 will not advance the goal of providing the public with accurate, purposeful information about quality," the American Hospital Association's SVP of policy said.
UPDATED: Aug. 19, 2019 at 4:26 p.m. -
US task force expands recommended BRCA test population
The Preventive Services Task Force's update potentially boosts business for Myriad Genetics and other BRCA test makers.
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Livongo a darling of one Wall Street firm a month after IPO
"The digital health field is littered with companies that have over-promised and under-delivered," analysts at SVB Leerink acknowledge, but they made the case the startup is different.
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$190 or $47,779? Colorado emergency charges vary wildly across state
But the entire cost of care is likely higher, as the Center for Improving Value in Health Care only looked at direct reimbursement from commercial payers.
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Medicare Advantage is booming but not producing savings, report finds
At the same time, the Medicare Shared Savings Program is cutting costs, but punitive aspects of the program make it less alluring for providers.
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Price, safety will test blockbuster billing for AbbVie's new arthritis drug
Rinvoq adds another oral option to rheumatologists' tool kits at a list price of $59,000 per year.
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Amgen biosimilar debut boosted by UnitedHealthcare coverage switch
UnitedHealthcare will preferentially cover lower-cost versions of Roche's top-selling cancer drugs, helping Amgen's efforts to gain market share.
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EHRs fuel burnout but don't blame it all on them, study says
In a finding not likely to surprise providers, researchers found electronic health record systems create "information overload" for many clinicians.
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CMS chief unable to provide details on Trump healthcare plan
But Seema Verma did confirm the healthcare agency is "actively engaged in conversations" around the long-awaited plan.
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CMS brings controversial star ratings system to ACA plans
Insurance lobby AHIP is not opposed to the rankings, telling Healthcare Dive they're a "positive step" for plan shopping.
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Nation's uninsured rose 700K in Trump's first year
States that refused to expand income eligibility for Medicaid saw the highest increase in uninsured rates.
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Ranking groups that rank hospitals — U.S. News comes out on top
Researchers attempted to rate the raters of hospital performance, but those organizations had fiery comments about the report that some said had "serious errors."
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Mercy expands RWE program to capture data from other providers
The expansion of the network follows real-world evidence deals with BD, Johnson & Johnson and Medtronic.
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Tufts, Harvard Pilgrim say they intend to merge
The yet-to-be-named combined nonprofit payer will serve 2.4 million members in Massachusetts, Maine, Connecticut, New Hampshire and Rhode Island.
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SponsoredThe US has fantastic health care, the problem is….
CEO Dr. Wyatt Decker discusses his perspectives on the challenges and opportunities for reinventing health care.
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EHRs linked with smartphones spur patient interest, study shows
Though health systems and IT vendors are doing little to market their efforts to improve health record access, researchers found more patients are viewing their info through APIs.
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Most providers not fully compliant with HIPAA access requirements, research shows
The most common problem was providers not sending health records via email when patients requested them. About a quarter of providers were also potentially noncompliant with the health privacy law's fee limitations.
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Hospitals facing likely DSH payment cuts after appeals court ruling
A federal appeals court reinstated a 2017 rule allowing Medicare and private insurance payments to be included in how Disproportionate Share Hospital reimbursements are calculated.
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Average marketplace premiums for 2020 show smallest increase ever
Rates are expected to rise very modestly for those shopping for individual coverage. Colorado will actually see a decrease in average premiums, according to a report from Charles Gaba of ACASignups.net.
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UnitedHealth Group report targets rising hospital prices
The insurer said inpatient prices rose 4.5% annually from 2013 through 2017 — even though consumers' use of inpatient care dropped 5%.
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CMS says it wants to cut paperwork. Providers have ideas.
Companies took the agency's request for information as an opportunity to air perennial grievances, including inequitable quality measures, cumbersome prior authorization and problems with interoperability and telehealth.
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Tweaking CMS model variables can improve payment estimates, JAMA study finds
Researchers looked at how to improve predictions for three conditions: acute myocardial infarction, heart failure and pneumonia.
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Centene expands ACA offerings in 10 states
About 2 million people have health insurance coverage through the insurer's exchange products. The expansion in 10 markets will likely boost that figure.
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Hospitals bash immigration rule likely to push millions off Medicaid
The American Hospital Association called the policy aimed at legal immigrants "misguided and harmful" and said it creates barriers to care.
UPDATED: Aug. 14, 2019 at 9:02 a.m.
