Government: Page 125
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Judge strikes down Kentucky Medicaid work requirements
HHS Secretary Alex Azar "must adequately consider the effect of any demonstration project on the state’s ability to help provide medical coverage," U.S. District Judge James Boasberg wrote.
By Jeff Byers • July 2, 2018 -
Payment reform must keep patient equity in mind, consumer group says
A Families USA report urges shifting to a payment system that recognizes population health efforts, rewards value and addresses inequities.
By Les Masterson • July 1, 2018 -
Feds boast largest healthcare fraud takedown ever at $2B in false claims
The investigations included 84 opioid cases involving more than 13 million illegal doses.
By Meg Bryant • June 29, 2018 -
Earnings gap between employed, self-employed healthcare professionals narrows
A new JAMA study highlights the trend of physicians moving away from self-employment.
By Les Masterson • June 29, 2018 -
GAO: 340B hospitals, contract pharmacies need more oversight
Republicans say the watchdog report is the latest example that changes are needed to ensure the program's integrity.
By David Lim • June 29, 2018 -
CMS clears Medicaid value-based drug state plan, denies closed formulary
The agency also made clear that drugs approved by the FDA under its accelerated approval pathway must be covered by state Medicaid programs if they are defined as a "covered outpatient drug."
By David Lim • June 28, 2018 -
Most healthcare organizations polled ready for value-based care
The HealthLeaders Media report also found many companies lack the necessary infrastructure to make payment model changes.
By Les Masterson • June 28, 2018 -
CMS to step up scrutiny of state Medicaid programs
MLR audits will focus on states "based on the amount spent on clinical services and quality improvement versus administration and profit."
By David Lim • June 27, 2018 -
New partnership aims to launch employer bundled payment programs
Healthcare purchasers are working with Remedy Partners to create a national episode-based payment platform.
By Les Masterson • June 27, 2018 -
VA nominee Wilkie says he doesn't support agency privatization
Robert Wilkie also said he wouldn't go live with a new EHR system at the agency until it had been properly tested.
By Jeff Byers • June 27, 2018 -
Few post-acute care facilities took part in voluntary CMS bundle model
Nearly half of those that took part dropped out, raising questions about the effectiveness of programs that are not mandatory.
By Les Masterson • June 26, 2018 -
Pew offers CMS advice to boost inpatient rule interoperability
The nonprofit said the agency's effort to improve interoperability faces three key barriers: matching health records to the correct patient, gathering data from health records and limitations on describing clinical information.
By Les Masterson • June 25, 2018 -
Medicare Part A funding will dry up by 2026, KFF finds
Medicare Advantage payments nearly doubled over 10 years, according to a new analysis from Kaiser Family Foundation.
By Les Masterson • June 24, 2018 -
Trump admin pitches sweeping plan to reorganize HHS, government
Among the proposals is creation of a permanent “Council on Public Assistance" with authority to set uniform work requirements across Medicaid and other programs. Congress must sign off on most of the ideas.
By David Lim , Tony Abraham • June 22, 2018 -
Oscar Health expanding ACA marketplace footprint
The health insurance company plans to grow to nine states in 2019.
By Les Masterson • June 21, 2018 -
CMS seeks input on Stark Law changes amid value-based care shift
The American Hospital Association has been vocal in pushing for changes to the physician self-referral law, calling it outdated.
By David Lim • June 21, 2018 -
Opioid supply levels decline in most states, report finds
States that passed laws to limit opioid prescriptions, such as Maine, appeared to have the biggest reductions.
By Suzanne Elvidge • June 21, 2018 -
FDA
FDA unveils software Pre-Cert update
The agency hopes to finalize the working model by the end of the year and launch a large-scale pilot program in 2019.
By Meg Bryant • June 21, 2018 -
Deep Dive
Hospital CEO pay rises steadily, but still lags many sectors
Median CEO pay at hospital and health systems is stable with very modest increases in the range of 2.5% to 3% year-over-year.
By Les Masterson • June 20, 2018 -
Bruce Bennett via Getty Images
AMA opposes CVS-Aetna deal
Company officials argued the deal could reduce healthcare spending, improve efficiencies and help patients with chronic illnesses, but the AMA said less healthcare competition would be bad for consumers.
By Les Masterson • June 20, 2018 -
Deductibles, coinsurance on the rise, but cost of copays are down
A new Peterson-Kaiser Health System Tracker report on large employer health plans also found that insurers are paying slightly less on covered medical expenses than a decade ago.
By Les Masterson • June 20, 2018 -
Trump admin finalizes Association Health Plans expansion
The final rule appears to contain protections for pre-existing conditions, age and gender, but allows AHPs to skirt the ACA's 10 essential health benefits.
By David Lim • Updated June 20, 2018 -
340B audit imbalances under fire at Senate panel
The director of the agency overseeing the drug discount program for hospitals said legislation is needed for it to do a better job at oversight and transparency.
By Tony Abraham • June 19, 2018 -
Patients want better communication, care coordination, survey shows
Insurance giant Aetna finds physician respondents working within value-based care models have better access to community resources.
By Les Masterson • June 19, 2018 -
Hospitals to lose $218B in federal payments by 2028, study predicts
The Federation of American Hospitals and the American Hospital Association commissioned a report to look at how 11 pieces of legislation, combined with regulatory changes, are affecting hospital reimbursement.
By Les Masterson • June 18, 2018
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