Government: Page 123
-
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 -
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 -
Alex Wong via Getty Images
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 -
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 -
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 -
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 Meg Bryant • Aug. 17, 2018 -
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 -
Teva granted FDA approval for first EpiPen generic
It's the latest blow to Mylan, which came under fire for hiking EpiPen's price over the last decade and is now facing manufacturing challenges for the flagship product.
By David Lim • Aug. 16, 2018 -
Insurance brokers expect higher ACA plan premiums, market instability
Brokers predict more people will leave individual insurance for lower-cost options like short-term health plans and association health plans.
By Les Masterson • Aug. 16, 2018 -
FDA sets out vision to use real-world data in product evaluations
The agency wants insights into safety and efficacy outside of controlled research environments.
By Nick Paul Taylor • Aug. 16, 2018 -
Partial Medicaid expansion would restrict access for near-poor adults, study finds
Wisconsin is the only state so far to partially expand the program, but at least three other states are considering such a proposal, according to a Center on Budget and Policy Priorities report.
By Les Masterson • Aug. 15, 2018 -
Deep Dive
Prior authorization moves to EHRs
Manual prior authorization can create administrative burdens for practices and hospitals, but case studies show some success in making the process electronic.
By Les Masterson • Aug. 15, 2018 -
Nearly 20% of inpatient admissions include out-of-network charge
A Kaiser Family Foundation report found the issue of surprise billing is especially problematic for care in ERs and for psychological or substance abuse treatment.
By Les Masterson • Aug. 14, 2018
Previous
