Government: Page 133
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M&A risks patient safety, JAMA report warns
Mergers, acquisitions and affiliations are led by financial experts who may not prepare organizations for changes in patient population and practice settings.
By Les Masterson • April 9, 2018 -
Elizabeth Regan/Healthcare Dive
CVS points finger back at pharma for drug prices
The retail giant says it managed to keep drug costs flat despite 8.3% specialty drug pricing growth.
By Suzanne Elvidge • April 9, 2018 -
Medicare to pay hundreds of thousands for CAR-T therapies
CMS will give hospitals outpatient reimbursements of about $400,000 for Gilead's Yescarta and $500,000 for Novartis' Kymriah.
By Jacob Bell • April 6, 2018 -
Facebook confirms asking top hospitals for patient data
The technology company planned to use the de-identified patient data to help hospitals target patients who may need care.
By Jeff Byers • April 6, 2018 -
Opioid prescriptions down while addiction, overdose costs rise
The Kaiser Family Foundation looked at claims data for large employers between 2004 and 2016 to examine treatment costs from the opioid crisis.
By Les Masterson • April 6, 2018 -
Pop health program reduced ED use, inpatient hospitalizations
A new Health Affairs study found that a Baylor Scott & White Health and Wellness Center program with the Dallas Park and Recreation Department showed cost savings after one year.
By Les Masterson • April 5, 2018 -
Surgeon General: More people should carry naloxone
The advisory comes a week before Congress is set to consider two competing packages aimed at curbing the opioid crisis.
By David Lim • April 5, 2018 -
Lafayette General threatens to shutter hospital amid budget impasse
LGH said that without funding either Louisiana State University will have to take over University Hospitals & Clinics again or the health system will close the hospital and lay off its employees on July 1.
By Les Masterson • April 5, 2018 -
Virginia bill giving NPs full practice rights awaits signature
Gov. Ralph Northam, a physician, has not indicated whether he’ll sign, amend or veto the bill that overwhelmingly passed the General Assembly.
By Les Masterson • April 4, 2018 -
ACA plans expanded coverage for chronic conditions
Repeal of the individual mandate penalty, which goes into effect next year, will likely put the burden on states to figure out how to stabilize the ACA exchanges.
By Les Masterson • April 4, 2018 -
Medicaid FFS biggest factor in billing headaches, report finds
A Health Affairs study found that there are more challenged claims with traditional Medicaid than involving other payers. Also, Medicaid payments take longer to process than others, including Medicare.
By Les Masterson • April 4, 2018 -
Deep Dive
Insurers bracing to hike premiums in 2019 and beyond
Despite worries about the individual market, consumers may not be running for the exits just yet.
By David Lim • April 4, 2018 -
'Nightmare' bacteria found in 221 cases across 27 states
The incidents reported by the CDC were mostly found in hospitals and nursing homes, especially those where patients might be on ventilators for long periods of time.
By Jeff Byers • April 4, 2018 -
Study finds 'pervasive' income disparities in pediatric hospitalizations
The report suggests that hospitals should spend more time on inpatient to outpatient transitions and on population health.
By Meg Bryant • April 3, 2018 -
Payers get better-than-expected Medicare Advantage rate increase
CMS also increased the role encounter data will play in determining risk scores and announced policies to target opioid abuse.
By Les Masterson • April 3, 2018 -
Medicare ACOs missing federal cost-savings predictions, analysis finds
The finding raises questions about the long-term success of the Medicare Shared Savings Program, which has swelled to 561 ACOs from 27 six years ago.
By Meg Bryant • April 2, 2018 -
NQF report finds gaps in post-acute, long-term care measures
The report suggests a need for bidirectional measures that hold both referring providers and nursing homes accountable for care.
By Meg Bryant • April 2, 2018 -
States need more rules to protect individual insurance market
Changes made by the federal government may further destabilize the ACA exchanges, a new Commonwealth Fund report said.
By Les Masterson • April 2, 2018 -
DexCom's glucose monitoring system gets FDA approval
The news opens the door for streamlined review of similar devices.
By Meg Bryant • March 29, 2018 -
Deep Dive
GE, Medtronic among those linking with hospitals for value-based care
Manufacturers are putting their money where their mouth is — tying payment to real outcomes.
By Meg Bryant • March 29, 2018 -
Healthcare M&A leading to higher prices in California
A University of California, Berkeley study said northern California pays much higher healthcare prices than the southern part of the state.
By Les Masterson • March 28, 2018 -
PhRMA goes after drug 'middlemen' in new ad attack
The trade group accused insurers and PBMs of preventing patients from reaching their deductibles by changing how copay coupons are processed.
By Ned Pagliarulo • March 28, 2018 -
Alex Wong via Getty Images
AHA argues HHS religious freedom rule unnecessary
The hospital group is also concerned that the proposed rule may endanger federal reimbursement if OCR takes action against a provider.
By David Lim • March 28, 2018 -
HHS panel recommends testing 2 alternative palliative care payment models
Also, a new Health Affairs article explored the complexity of including hospice care in Medicare Advantage.
By Les Masterson • March 28, 2018 -
Legislation looks to limit length of opioid prescriptions
The American Medical Association has called for more research on the topic and said prescription length depends on situation and type of care.
By Les Masterson • March 27, 2018
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