Government: Page 134


  • Hospital groups press on with 340B lawsuit despite judge's decision

    The changes to the 340B drug prescription program went into effect on Jan. 1 and will mean huge prescription payment cuts to hospitals. 

    By Les Masterson • Jan. 3, 2018
  • CMS proposes Medicare Advantage risk adjustment increase

    The proposal would increase payments for MA members with mental health issues, substance use disorder and chronic kidney disease starting in 2019.

    By Les Masterson • Jan. 2, 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
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    CMS penalizes 751 hospitals over patient safety issues

    More than half of hospitals were subject to Medicare cuts last year.

    By Jan. 2, 2018
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    Deep Dive

    Health systems brace for 2018 disruption

    Look for more care in outpatient settings as hospitals consider cost containment and hiring strategies to stay above water.

    By , , David Lim • Jan. 2, 2018
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    Deep Dive

    Medical drones geared for take off

    While still an emerging technology with strict regulations, drones could assist and supplement medical care plans, especially during catastrophic events.

    By Dec. 29, 2017
  • States could play pivotal role in regulating association health plans

    A new report from Georgetown University’s Center on Health Insurance Reforms offered ideas for how states can protect consumers and the insurance markets, depending on how much oversight the federal government allows.   

    By Les Masterson • Dec. 22, 2017
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    CMS updates hospital star ratings formula

    The agency said the methodology changes will result in broader distribution of the ratings, increased reliability and more stable estimates.

    By Dec. 22, 2017
  • ACA signups surge in last week, HealthCare.gov total at 8.8M

    Many state-run exchanges are still enrolling people, which could result in overall enrollment for 2018 to potentially exceed 2017, according to Larry Levitt, senior vice president at the Kaiser Family Foundation. 

    By David Lim • Dec. 21, 2017
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    Congress delays decision on CHIP renewal until next year

    The program will run out of money in early 2018 if Congress doesn’t find a way to extend funding.

    By Linda Jacobson • Dec. 21, 2017
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    HHS falls short on cybersecurity, OIG says

    OIG plans to audit HHS’ cybersecurity capabilities again in 2018.

    By Dec. 21, 2017
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    Kendall Davis
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    Deep Dive

    M&A, payment models and the future of healthcare: Top 10 Healthcare Dive stories of 2017

    As 2017 comes to a close, seismic shifts are under way in the healthcare sector. Looking back, Healthcare Dive curated a list of our top 10 stories of the year.

    By David Lim • Dec. 21, 2017
  • Democratic lawmakers raise concerns about 'skinny' health plans

    A few members of Congress sent letters to the National Association of Insurance Commissioners, Xpress Healthcare and Apex Management Group.

    By Dec. 21, 2017
  • UPDATED: Congress passes massive tax bill that nixes individual mandate

    The legislation cuts the corporate tax rate from 35% to 21%. That should benefit health insurers and hospitals, which tend to pay higher effective tax rates.

    By Kim Dixon • Dec. 20, 2017
  • DOJ settles with EmCare, accused of improperly steering patients

    "This settlement should serve as a warning to all providers who allow financial incentives to displace their medical judgment," said U.S. Attorney Louis Lappen for the Eastern District of Pennsylvania.

    By David Lim • Dec. 20, 2017
  • CMS adds patient experience scores, star ratings to Physician Compare

    The agency said it conducted “extensive research and outreach,” including working with stakeholders, before deciding to add more ratings to the site. 

    By Les Masterson • Dec. 18, 2017
  • ACA coverage gains at risk, Commonwealth says

    The report warned that political headwinds in D.C. “could jeopardize the gains made to date," citing the lack of action on CHIP, the potential repeal of the individual mandate and the reduced open enrollment period.

    By Les Masterson • Dec. 18, 2017
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    Fitch Ratings: Healthcare sector stable, but providers face headwinds

    Regulatory uncertainties, growing consumerism, payer consolidation and a move from fee-for-service to value-based payments are all issues for providers. 

    By Les Masterson • Dec. 18, 2017
  • Quality Payment Program needs more technical assistance, oversight, OIG finds

    Without sufficient guidance, participating clinicians could struggle to succeed, while others may opt out of the program altogether, the report warns.

    By Dec. 15, 2017
  • ACA enrollment expected to fall well short of last year

    Democratic lawmakers have called on the White House to extend the Friday deadline to the end of January, which was the deadline in previous years.  

    By Les Masterson • Dec. 15, 2017
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    NEJM: Opioid crisis measures aimed at docs mostly fail

    Policies such as making doctor shopping illegal, limiting the supply of opioids dispensed at one time and alerting high-prescribing physicians were found to have no meaningful effect.

    By David Lim • Dec. 15, 2017
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    Industry-developed guidelines seek to clarify expectations for mobile health apps

    The recommendations cover operability, privacy, security and content.

    By Dec. 15, 2017
  • Nurses love their jobs, but many would have chosen different profession

    Nurses said the best part of their jobs is making a difference, a new Medscape survey finds. The worst part is administration and workplace politics.  

    By Les Masterson • Dec. 14, 2017
  • Moody's: 5 conditions responsible for 30% of adverse health nationally

    Individuals with healthy behaviors, higher education attainment and better economic outcomes are healthier, while health system factors have a relatively modest effect on the prevalence of physical health conditions.

    By David Lim • Dec. 14, 2017
  • Providers warming to risk-based payments, survey shows

    The AMGA report also found that multiple barriers remain for value-based contracting, including issues with data sharing, limited access to capital and a lack of commercial risk products.  

    By Les Masterson • Dec. 14, 2017
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    High-deductible plans don't reduce low-value healthcare spending, study says

    The plans in their current form “may represent too blunt an instrument to specifically curtail" wasteful spending on services of lower value.

    By Les Masterson • Dec. 12, 2017