Government: Page 127
-
CMS announces new Medicaid transparency tool
State Medicaid directors said they are concerned about the "comparability, accuracy and timeliness of the data" and said differences in care delivery approaches from state to state might be lost in translation.
By Tony Abraham • June 5, 2018 -
Losing ACA mandate penalty will reverse coverage gains, report finds
A Brookings analysis that focused on those not eligible for ACA subsidies found the individual mandate was the major reason the group got insured.
By Les Masterson • June 4, 2018 -
AMA trumpets physician efforts in opioid epidemic fight
The doctors' group said opioid prescriptions are down while prescription drug monitoring program queries are up.
By Les Masterson • June 1, 2018 -
Trump administration pushes 340B ceiling price rule to 2019
It is the fifth delay for the rule, which would also set a penalty for drugmakers that overcharge participating hospitals.
By Tony Abraham • June 1, 2018 -
Healthcare pricing transparency remains elusive, study finds
A JAMA Network survey found that even fewer hospitals provided pricing information in 2016 than did for a similar study four years earlier.
By Les Masterson • May 31, 2018 -
Deep Dive
Days of information blocking look numbered
Government pressure and emerging business incentives are encouraging companies to share data.
By Meg Bryant • May 31, 2018 -
Healthcare groups mixed on proposed direct provider contracting model
Some groups support DPC as a way to increase access to alternative payment models, but others fear it is too redundant and encouraged CMS to fix other programs instead.
By Les Masterson • May 30, 2018 -
Virginia on cusp of expanding Medicaid
The state Senate on Wednesday moved past the most significant hurdle to expand Medicaid to an additional 400,000 residents, a long-sought goal of Democrats using the powers under the Affordable Care Act.
By David Lim • Updated May 31, 2018 -
Readmission rates among BPCI episodes show room for improvement
Groups mulling participation in the Bundled Payment for Care Improvement Advanced model may find success in targeting certain high readmission rates, according to a new report from Avalere.
By Shannon Muchmore • May 30, 2018 -
ACA health insurance tax would be delayed 2 years under bipartisan bill
Insurance companies say ending the tax would let them reduce premiums by 3%.
By Les Masterson • May 29, 2018 -
Medicaid expansion sees movement in Virginia, may get vote in Idaho
Virginia could become the next state to expand Medicaid, with the state legislature expected to vote in the coming days on a plan that would tax hospitals to fund the added coverage.
By Les Masterson • May 29, 2018 -
California to hospitals: 'Time's up' on unnecessary procedures
Covered California is threatening to oust hospitals with high C-section rates from participating health plans' provider networks.
By Meg Bryant • May 25, 2018 -
Comments criticize CMS plan to cut Medicaid care access monitoring
Healthcare officials said the change could especially hurt rural hospitals and force facilities to take lower rates without any recourse.
By Les Masterson • May 24, 2018 -
$5.2B bill extending VA private sector options passes Congress
President Donald Trump is expected to sign the compromise measure, which is backed by most major veterans groups and stops short of full privatization.
By Tony Abraham • May 24, 2018 -
CMS primary care model slowed ED visits, but did not cover costs
A new study found no significant differences between participants in the Comprehensive Primary Care Initiative and comparison practices when examining spending growth.
By David Lim • May 24, 2018 -
Physician practices seek help in transition to value-based care
A new report found physicians are moving more toward independent and physician-led group practices after a six-year trend of doctors moving to hospitals.
By Les Masterson • May 23, 2018 -
Right to Try bill clears House, ready for Trump's signature
The vote is the culmination of a multi-year campaign for the legislation, which aims to provide access to unapproved experimental drugs under FDA review to patients facing life-threatening illnesses.
By David Lim • May 23, 2018 -
Payers should rethink Medicare Advantage marketing, report suggests
Accenture Consulting said insurers risk millions in revenue by not taking into account how many people wait until after 65 to enroll in Medicare.
By Les Masterson • May 23, 2018 -
Trump pricing plan could lead to higher patient costs, Avalere suggests
The consultancy says a proposal to move drugs from Medicare Part B to Part D could end up costing cancer patients more out of pocket.
By Lisa LaMotta • May 23, 2018 -
Hospitals could save millions on hip, knee implants
Optimizing use of anesthesia and bone cement, along with streamlining workflow, could cut costs for the expensive procedures, a Premier report found.
By Les Masterson • May 23, 2018 -
California plan would provide Medicaid to undocumented adults
The plan could cost as much as $3 billion in 2018 and 2019.
By Les Masterson • May 22, 2018 -
CMS should extend prior authorization pilots, GAO says
The handful of Medicare prior authorization programs saved an estimated $1.1 billion to $1.9 billion through March 2017, according to a new report.
By Shannon Muchmore • May 22, 2018 -
Early 340B hospitals gave more uncompensated care than later participants
The research comes as Congress and President Donald Trump have called into question whether the program has outgrown its intent.
By David Lim • May 22, 2018 -
Georgia health system paying $4.1M to settle opioid diversion claims
The alleged drug diversion scheme at Effingham Health System spanned nearly four years and involved tens of thousands of oxycodone tablets.
By Meg Bryant • May 18, 2018 -
Payers in ACA exchanges beginning to find success
A Kaiser Family Foundation review of data from the National Association of Insurance Commissioners found that payers' MLR and gross margins have improved significantly in the ACA marketplace over the past two years.
By Les Masterson • May 18, 2018
Previous
