Government: Page 128
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CMS star ratings biased towards specialty hospitals, analysis suggests
Specialty hospitals reported fewer measures than major teaching hospitals, and frequently omitted mortality data.
By Meg Bryant • March 16, 2018 -
Female doctors earn 28% less than men, report finds
Doximity found doctors saw a 4% wage increase from 2016 to 2017, but a persistent wage gap is widening.
By Les Masterson • March 15, 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 -
340B accountability under fire at Senate panel
The hearing comes as drugmakers point fingers at hospitals and other players involved in the drug pricing system.
By David Lim • March 15, 2018 -
BCBS joins with Lyft, CVS and Walgreens in new pop health effort
The payer is looking to address "transportation and pharmacy deserts" in test markets.
By Les Masterson • March 15, 2018 -
Centene partnering with PBM RxAdvance
The announcement comes as other payers, such as Cigna and Aetna, are looking to make major moves in the PBM space.
By Les Masterson • March 14, 2018 -
AHIP's CEO Tavenner to retire
The organization's chief operating officer, Matt Eyles, will be next to lead the lobby group.
By David Lim • March 14, 2018 -
Elizabeth Regan/Healthcare Dive
Deep DiveRight to Try fails amid warning from regulators, patient groups
Backers of the bill, like President Trump and the Koch brothers, faced off against major patient groups and some regulators.
By David Lim • March 14, 2018 -
HDHPs can be more cost-effective for consumers, report says
A new National Bureau of Economic Research working paper looked at how much people could save over a year by going with high-deductible health plans.
By Les Masterson • March 14, 2018 -
Labor, administrative costs drive US healthcare spending far beyond other nations
The report found the U.S. pays more for healthcare than other high-income countries, but has the lowest percentage of insured people, the lowest life expectancy and the highest infant mortality rate.
By Les Masterson • March 13, 2018 -
Drug spending growth to come solely from specialty meds, report says
Developed markets will shell out more than $300 billion for the often complex, expensive treatments this year, according to new estimates from IQVIA.
By Jacob Bell • March 13, 2018 -
Restoring CSR funds with no reforms may do more harm
The individual market endured an end to cost-sharing reduction payments, but reviving them without more changes could threaten stability, a new report said.
By Les Masterson • March 12, 2018 -
GOP actions may spur huge ACA premium hikes
Premiums could skyrocket by more than 90% in some states over the next three years, according to a report by Covered California.
By Les Masterson • March 12, 2018 -
Medicare Advantage risk-adjustment proposal causes alarm
The American Hospital Association and other groups are concerned about the plan to use more patient encounter data when calculating risk scores.
By Les Masterson • March 9, 2018 -
CMS denies Idaho bid to sell plans not compliant with ACA
Agency head Seema Verma said that despite the denial, the state could meaningfully implement many of the same goals legally through short-term, limited-duration plans.
By David Lim • March 9, 2018 -
UnitedHealth Group plans more scrutiny of ED claims
The payer will review emergency claims with the most serious conditions and reduce or deny any incorrect claims it finds.
By Les Masterson • March 8, 2018 -
Gottlieb takes aim at payers, pharmas for blocking biosimilars
The FDA chief lambasted PBMs, insurers and branded drugmakers for allegedly blocking market entry of the copycat biologics.
By Lisa LaMotta , David Lim • March 8, 2018 -
Out-of-pocket healthcare costs up 11% in 2017
Highest out-of-pocket cost estimates were for orthopedics, plastic surgery, urology and neurology.
By Les Masterson • March 7, 2018 -
Insurers, hospitals slam Trump admin's association health plan proposal
America’s Health Insurance Plans argued the proposal could increase the risk of fraud and insolvency for consumers.
By David Lim • March 7, 2018 -
CMS floats $30M for QPP measures development
Areas for measure development include safety, care coordination, population health and prevention.
By Meg Bryant • March 6, 2018 -
State efforts to impose individual mandate going nowhere
Six states and Washington, D.C., have all proposed measures to bring back the individual mandate penalty for health insurance, but so far no legislature has done so.
By Les Masterson • March 6, 2018 -
HIMSS18: CMS chief touts EHR, PHR overhaul
Seema Verma said the agency is planning a "complete overhaul" of meaningful use standards for hospitals, but provided few details.
By Kim Dixon • March 6, 2018 -
Azar says HHS could intervene to 'uncomfortable degree' to achieve value
Speaking at an FAH conference, Azar emphasized giving consumers greater control over their health data and encouraged price transparency from both payers and providers.
By David Lim • March 6, 2018 -
Arkansas gets Medicaid work requirement
The state has not yet won approval for a part of the proposal to change the income requirement for Medicaid to 100% of the federal poverty level instead of 138% of FPL.
By Les Masterson • March 5, 2018 -
Patient safety ripe for investment, Frost & Sullivan says
The report predicted that adverse patient safety events in the U.S. and Western Europe will result in about $383.7 billion in healthcare costs over the next four years.
By Les Masterson • March 5, 2018 -
Medicaid can be key to tackling social determinants of health
Researchers said adding optional Medicaid benefits, integrating data systems and incorporating social determinants in screening and care delivery can help reduce disparities.
By Les Masterson • March 2, 2018
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