Government: Page 100


  • VA snafus prompt bipartisan call for more EHR oversight

    An unflattering status report, GAO criticism and the VA CIO's absence during a congressional hearing are just a few of the reasons senators want extra control over the project.

    By Tony Abraham • April 18, 2019
  • NYC hospitals agree to hire 1.5K nurses, raise wages

    Under the deal, nurse-to-patient staffing levels will be based on ratios agreed upon in the parties' contracts and "enforced by an independent neutral party."

    By Tony Abraham • April 18, 2019
  • Trendline

    Labor

    Hospitals are navigating persistent labor shortages with the need to cut costs — a source of contention that could leave patients caught in the middle.

    By Healthcare Dive staff
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    Safety net hospitals benefit from change to readmission reduction program

    The rule, which took effect in fiscal year 2019, separated hospitals into five groups, each with similar proportions of dual eligible patients and adjusted payments for socioeconomic factors.

    By Tony Abraham • April 17, 2019
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    Nearly all states using value-based payment models

    Researchers commissioned by health IT firm Change Healthcare found 34 states have initiatives that are two years or older. Just four states have no official value program: Georgia, Indiana, Mississippi and West Virginia.

    By April 16, 2019
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    Dollar Photo Club
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    Primary care accounts for small fraction of Medicare spending

    Primary care spending percentages were lower for more vulnerable beneficiaries and varied by state, according to a new report by RAND.

    By Les Masterson • April 16, 2019
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    Growing ED use in rural areas putting strain on safety nets, JAMA finds

    Rural ED visit rates increased by more than 50% between 2005 and 2016, compared to only a slight increase for urban departments, according to the study.

    By Les Masterson • April 15, 2019
  • Better quality, lower costs when providers and payers share risk

    Integrated Healthcare Association's review of California care found that capitation is connected with better healthcare quality.

    By Les Masterson • April 15, 2019
  • Safety net hospitals near 'breaking point,' advocacy group says

    America's Essential Hospitals said safety net facilities saw their average margin cut in half in 2017.

    By Les Masterson • April 12, 2019
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    Medicaid reimbursement, not expansion status, affects doctors' acceptance of new patients

    The percentage of providers willing to take on new Medicaid patients also did not change based on a state's Medicaid managed care offerings, according to an analysis of MACPAC data.

    By Les Masterson • April 11, 2019
  • Pharmacy's 'middlemen' counter pharma's campaign to shift the price blame

    Banning rebates will not be a silver bullet leading to cost control, PBM executives argued in front of the Senate Finance Committee. 

    By Jonathan Gardner • April 9, 2019
  • Hospital execs argue disruptors will 'skim the cream,' ignore community health

    CEOs of Henry Ford Health System and Yale New Haven Health worry new entrants in healthcare could divert revenue from hospitals, leaving them with unnegotiable Medicare and Medicaid payments.

    By Tony Abraham • April 9, 2019
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    Hospitals, payers decry HHS proposal to change safe harbor for drug rebates

    The comments come as chiefs at the big pharmacy benefit managers — UnitedHealthcare's Optum, Cigna's Express Scripts and CVS Caremark — take the hot seat before the Senate Finance Committee on Tuesday.

    By Les Masterson • April 9, 2019
  • Emergency department visits rose, but misuse fell in 2016

    Wait times improved, according to the CDC data. Nearly 40% of patients had wait times of less than 15 minutes and 72% waited less than an hour.

    By Les Masterson • April 8, 2019
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    CMS gives MA plans telehealth boost with expanded benefits

    Building on recently finalized policies to expand supplemental benefits, the rule also seeks to update star ratings methodology and improve the appeals process for dual eligible beneficiaries.

    By Tony Abraham • April 8, 2019
  • 340B program leads to higher costs, PhRMA-commissioned report finds

    The research conducted by Berkeley Research Group is the latest skirmish in a battle over the program, which health systems argue helps safety net hospitals access affordable prescription drugs.

    By Les Masterson • April 8, 2019
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    MedPAC wants to redesign MA quality bonus program

    The advisory commission also voted Thursday to recommend Congress pass legislation to withhold some Medicare Advantage plan payments if an insurer's encounter data is wrong or incomplete.

    By April 5, 2019
  • 3 issues that put VA officials on defense in front of Congress this week

    VA Secretary Robert Wilkie and others argued in a series of hearings that the agency is prepared to roll out its community care program by the deadline two months from now and that its EHR implementation woes are improving.

    By Tony Abraham • April 5, 2019
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    CVS expands same-day Rx delivery to 6K stores

    Increasing home delivery options could be a huge advantage for the drugstore retailer against rivals like Walgreens and even Amazon.

    By Daphne Howland • April 5, 2019
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    PBM group says HHS drug rebate proposal would increase costs more than predicted

    However, Fitch Ratings said in a new forecast it doesn't expect the change will have a long-term impact on margins or profits for payers, drug companies or distributors.

    By Les Masterson • April 5, 2019
  • Imprivata, Verato leverage biometrics in effort to improve patient matching

    The companies say linking Imprivata's patient identification tool with Verato's cloud-based master patient index will ensure patients are matched with the correct medical records.

    By April 4, 2019
  • Amazon's Alexa now has HIPAA-compliant features

    Six companies taking part in the online giant's invitation-only developer program launched their features Thursday, including Atrium Health, Cigna, Express Scripts and Livongo.

    By April 4, 2019
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    CMS approves Maine's long-awaited Medicaid expansion

    The state's voters approved expansion in November 2017 for implementation no later than July 2018. However, then-governor Paul LePage, a Republican, refused to carry out the measure last year.

    By April 4, 2019
  • Medicaid expansion improves community health center finances, access to care

    Centers in the three dozen expansion states are more likely to offer behavioral health counseling and coordinated care than non-expansion states, according to The Commonwealth Fund.

    By Les Masterson • April 4, 2019
  • Industry groups seek cybersecurity safe harbor

    In response to a senator's request, several organizations highlighted the need for a national strategy and greater collaboration among various stakeholders, according to a think tank that read the responses.

    By April 3, 2019
  • UnitedHealthcare, AMA team up on billing codes for social determinants

    The two entities are developing 23 ICD-10 codes that could help address patients' socioeconomic needs by connecting them to relevant resources and social services.

    By Tony Abraham • April 3, 2019