Government: Page 112
-
#AHIPMMD speakers mull role of government regulation in healthcare
As payers gathered at AHIP's annual conference on Medicare, Medicaid and dual eligibles, hot topics included the promises of Medicare Advantage, the role of the federal government and drug prices.
By Samantha Liss • Oct. 17, 2018 -
5 questions on the Trump admin's bid to mandate prices in drug ads
The proposal is expected to face fierce opposition from industry and raises a wide range of legal, political and economic questions.
By Ned Pagliarulo , Andrew Dunn • Oct. 17, 2018 -
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 -
#AHIPMMD: Verma touts MA growth, blasts Medicare for all
So far, 270 Medicare Advantage plans will offer new benefits allowed for 2019 that include adult day care and meals, the CMS administrator said at the annual payer conference.
By Samantha Liss • Oct. 17, 2018 -
GAO study underscores health benefits of Medicaid expansion
Voters in four states will decide on expansion initiatives in the midterm elections next month.
By Meg Bryant • Oct. 16, 2018 -
CVS CEO unfazed by Amazon, focused on closing merger, growth
In a speech to the Economic Club of Washington, Larry Merlo said his goal is to not "leave any white space for Amazon to disrupt."
By Rebecca Pifer • Oct. 16, 2018 -
Anthem shells out $16M in largest ever HIPAA fine
The settlement will pay for four years of credit monitoring and all other claims, costs and fees for affected members.
By Rebecca Pifer • Oct. 16, 2018 -
Montgomery County Planning Commission
Aetna settles HIV disclosure investigation for close to $650K
The multistate settlement stems from 2017 mailings that revealed some policyholders' HIV/AIDS or A-fib status.
By Meg Bryant • Oct. 15, 2018 -
Confronting pharma, Trump admin seeks price disclosure in drug ads
HHS chief Alex Azar announced the much-anticipated proposal Monday, dismissing a new pledge from trade lobby PhRMA as insufficient.
By Andrew Dunn • Oct. 15, 2018 -
Immigration rule change could force millions off Medicaid, report warns
The Trump administration is proposing a change to "public charge" policies that could also lead to higher costs for providers via uncompensated care and more ER visits, according to the Kaiser Family Foundation.
By Les Masterson • Oct. 15, 2018 -
States requiring hospitals provide more info on 340B drugs
Most states don't track 340B drug payments after rebates, but gaining that information could ultimately result in a change to reimbursement amounts.
By Les Masterson • Oct. 15, 2018 -
Grassley urges FTC to investigate hospital-payer contracts
The Senate Judiciary chairman is concerned that anticompetitive contracts could limit access to affordable care.
By Meg Bryant • Oct. 12, 2018 -
Massachusetts officials attach stiff conditions to Beth Israel-Lahey merger
The requirements follow a report warning the merger could result in a $128.4 million to $170.8 million spending increase for inpatient, outpatient and adult primary care services.
By Meg Bryant • Oct. 12, 2018 -
Average ACA premiums will drop for first time in 2019
Payers put through huge premium increases over the past two years, meaning next year's rates are likely a market correction.
By Les Masterson • Oct. 12, 2018 -
Montgomery County Planning Commission
'Nowhere to hide' for rivals after blockbuster CVS-Aetna deal
The nearly $70 billion merger poses threats to providers as its scale and access to care aims to shift the healthcare dynamic in favor of consumers, BDO's David Friend told Healthcare Dive.
By Samantha Liss • Oct. 11, 2018 -
CMS touts more highly-ranked MA prescription plans next year
More than 36% of Medicare beneficiaries are expected to have Medicare Advantage plans in 2019.
By Les Masterson • Oct. 11, 2018 -
CMS bid to overhaul E/M codes leaves few happy
With its proposed changes to payments and documentation for office visits, the agency is effectively forcing providers to reckon with a longstanding, oft-disputed problem.
By Tony Abraham • Oct. 10, 2018 -
Arkansas Medicaid work requirements beset by challenges, report finds
Most are unaware of the new rules or face major obstacles to complying, according to the Kaiser Family Foundation study.
By Rebecca Pifer • Oct. 10, 2018 -
Mayo, Geisinger among 1,300 providers signing up for BPCI-A
CMS announced the participants for its latest bundled payment model, including 832 acute care hospitals and 715 physician group practices.
By Les Masterson • Oct. 10, 2018 -
Wisconsin shelled out $1.1B for uncompensated care in FY17
Last year's cost for charity care and bad debt is a 14% increase from 2016.
By Rebecca Pifer • Oct. 9, 2018 -
Health spending growth gap continues between public and private payers
The sector seems to be in a "post-recession, post-expanded coverage period of steady, moderate growth," according to a report from Altarum.
By Les Masterson • Oct. 8, 2018 -
More individual plans limit out-of-network care, report finds
Payers that still offer such coverage have shifted more costs to consumers, according to the Robert Wood Johnson Foundation. Narrow networks are less common in large employer plans.
By Les Masterson • Oct. 8, 2018 -
Payers find financial success in the ACA exchanges
Insurers have found footing after years of uncertainty, but risks remain.
By Les Masterson • Oct. 8, 2018 -
Hospitals give patients conflicting information on obtaining records, study finds
Some hospitals weren't in compliance when it came to the charges they required for the release of records and some didn't adhere to state requirements for processing times, according to a report in JAMA.
By Samantha Liss • Oct. 5, 2018 -
CMS to post more hospital accrediting information online
The agency said it will post care quality deficiency findings from complaint surveys, a list of providers the agency determines to be out of compliance and overall performance data for accrediting organizations.
By Shannon Muchmore • Oct. 5, 2018 -
New plans in Iowa don't offer pre-existing condition protections
Meanwhile, a federal judge scheduled a hearing on short-term health plans for Oct. 26. The plaintiffs filed a motion in September arguing those plans will harm the health insurance industry.
By Les Masterson • Oct. 5, 2018
Previous
