Government: Page 116


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    Health insurance tax return would increase out-of-pocket costs, report finds

    Congress approved a one-year moratorium on the tax for 2019, but it is expected to return the following year.

    By Les Masterson • Aug. 29, 2018
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    Nixing discharges to long-term care hospitals could save Medicare $4.6B, study finds

    Long-term care hospitals are reimbursed at substantially higher rates than other post-acute care arrangements.

    By Aug. 28, 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
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    Credit: Andrew Propp, FDA / Edited by BioPharma Dive
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    Deep Dive

    How Scott Gottlieb is upending FDA communication, 1 tweet at a time

    The FDA commissioner has been relentless in pumping out tweets, statements and more. But how has that affected FDA communications and the agency overall?

    By Andrew Dunn • Aug. 28, 2018
  • Critics say GOP pre-existing conditions bill flawed

    The legislative effort comes as a Republican-backed court case may wipe out the ACA's protections for people with pre-existing conditions. 

    By Les Masterson • Aug. 28, 2018
  • Next-Gen ACOs saved $62M in first reporting year, CMS says

    Half of the drop in spending and utilization stemmed from just four of the 18 NGACOs active in 2016, according to a report from the agency.

    By Aug. 28, 2018
  • Clover Health expanding MA offerings to 6 more markets

    The San Francisco-based payer also announced it is working with Taiwan-based Cathay Life Insurance to use artificial intelligence products that can predict elements like what patients will need hospitalization and when.

    By Les Masterson • Aug. 27, 2018
  • Medicaid expansion decreased uninsured hospitalizations for major cardiovascular events

    A study of more than 3 million non-Medicare hospitalizations from databases across 30 states didn't, however, find any changes for in-hospital mortality rates in expansion or non-expansion states.

    By Les Masterson • Aug. 27, 2018
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    HHS asks for advice on anti-kickback rules as industry files Stark Law input

    While device makers, physicians, labs and hospitals all agree changes should be made to the Stark Law to boost value-based care, the industry is split on what revisions should be made.

    By David Lim • Aug. 27, 2018
  • New CMS model aims to improve child behavioral health services, tackle opioid abuse

    The program requires states to integrate behavioral health with primary care and preventive medicine and to use the help of community groups.

    By Les Masterson • Aug. 27, 2018
  • GAO highlights 3 ways HHS can improve ACA exchange membership

    The new report reviewed Trump administration efforts that likely led to fewer signups during open enrollment.

    By Les Masterson • Aug. 24, 2018
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    HHS calls for feedback on criteria for EHR reporting program

    The 21st Century Cures Act tasked HHS with developing a reporting program that assesses characteristics of EHRs including interoperability and security.

    By Nick Paul Taylor • Aug. 24, 2018
  • CSL expects to double flu vaccine production at North Carolina plant

    Coming off one of the worst U.S. flu seasons in the past decade, the FDA has approved a new process that CSL believes will improve the way cells are grown at its Holly Springs site.

    By Jacob Bell • Aug. 23, 2018
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    Slavitt group, 17 health systems come together in effort to improve Medicaid

    About 5% of the nation's hospitals are participating in the new project, which includes big names like Advocate Aurora, Dignity Health and Geisinger.

    By Les Masterson • Aug. 23, 2018
  • Questions remain about MA supplemental benefits for chronically-ill members

    In a new report, the Bipartisan Policy Center said HHS and CMS will need to figure out a balance between loosening restrictions for population health programs and opening up vulnerabilities for fraud and abuse.

    By Les Masterson • Aug. 22, 2018
  • Maryland reinsurance waiver secures federal approval

    The state's reinsurance plan, which uses $800 million to keep ACA rates down, is being hailed as a bipartisan solution.

    By Tony Abraham • Updated Aug. 22, 2018
  • Verma talks Medicaid, preexisting conditions and fraud

    Also at a congressional hearing Tuesday, GAO issued a report on CMS actions to combat Medicaid fraud.

    By Les Masterson • Aug. 22, 2018
  • FDA extends EpiPen expiration date to ease shortages

    Current supply problems stemming from ongoing manufacturing delays could put children at risk as the school year approaches.

    By Suzanne Elvidge • Aug. 22, 2018
  • CMS gives $8.6M to states to help stabilize ACA exchanges

    Thirty states and the District of Columbia will receive less than $300,000 each from rate review grants established by the Affordable Care Act.

    By Les Masterson • Aug. 21, 2018
  • Medicare overpaid millions for outpatient planning services

    A report from the HHS Office of Inspector General blamed the excessive payments for intensity-modulated radiation therapy planning services mostly on hospitals not knowing or misinterpreting CMS guidance.

    By Les Masterson • Aug. 21, 2018
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    Trump seeks federal opioid lawsuit, DOJ aims to slash manufacturing quotas

    The president said he'd like Attorney General Jeff Sessions to launch a federal suit in addition to ongoing state legal actions. Meanwhile, the DOJ and DEA proposed further cuts to quotas on opioids for 2019.

    By Andrew Dunn • Aug. 20, 2018
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    Health orgs aren't fully following IT safety advice, survey finds

    Funding and personnel issues could contribute to systems not following through, according to the report published in the Journal of the American Medical Informatics Association.

    By Les Masterson • Aug. 20, 2018
  • CMS touts quicker Medicaid waiver process

    The agency said its efforts reduced administrative burdens for states and the government.

    By Les Masterson • Aug. 20, 2018
  • Providence Health slapped with $188M False Claims Act lawsuit

    The Renton, Washington-based health system is accused of adding spurious secondary diagnoses to Medicare claims to increase reimbursements.

    By Aug. 17, 2018
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    Moving to electronic transactions could save Medicaid plans over $4.8B annually

    A new report finds only 44% of Medicaid recipients are currently in plans with electronic claims processes.

    By Les Masterson • Aug. 17, 2018
  • Payers transition to government health plans despite risks

    Commercial health plans have dropped over the past 10 years as payers move to managed Medicaid and Medicare Advantage.

    By Les Masterson • Aug. 16, 2018