Government: Page 136
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Alphabet's Verily seeks collaboration with health insurers
CNBC reported the life sciences arm of Google is interested in assisting payers with population health management.
By Les Masterson • Feb. 28, 2018 -
Clinicians seek more time in risk-free ACO track
Of the 561 accountable care organizations currently in the Medicare Shared Savings Program, 82% are still in Track 1.
By Meg Bryant • Feb. 27, 2018 -
CMS study to shed light on MIPS burden
The study could lead to changes in data capture and reporting, the agency said.
By Meg Bryant • Feb. 27, 2018 -
Kentucky Medicaid to penalize patients for unneeded ED visits
The move is part of a larger plan to reshape Medicaid in Kentucky, most notably requiring able-bodied beneficiaries to work to be eligible for coverage.
By Les Masterson • Feb. 27, 2018 -
Elizabeth Regan/Healthcare Dive
PhRMA pitches value-based care, skeptics raise flags
The link between outcomes-based contracts and copayments is hard to discern.
By Randi Hernandez • Feb. 27, 2018 -
6.4M more will be uninsured next year, Urban Institute says
Trump administration policies and the end of the individual mandate will result in fewer people insured, leading to higher premiums for ACA exchange plans, according to the report.
By Les Masterson • Feb. 27, 2018 -
Deep Dive
CVS, Aetna go to Congress to defend proposed merger
CVS is expected to argue that the merger will allow for better-integrated patient care by enabling pharmacists, equipped with both prescription and medical information, to play a bigger role between physician visits.
By David Lim • Feb. 27, 2018 -
Lay-health workers reduced readmission rates at rural hospital, study finds
Healthcare organizations have increasingly explored how social determinants of health affect population health.
By Les Masterson • Feb. 26, 2018 -
US healthcare system not prepared for large-scale disasters, report finds
The Center for Health Security Project Team paper said the country does well with smaller scale crises, but needs to improve efforts to prepare for and respond to bigger events.
By Les Masterson • Feb. 26, 2018 -
$1B hospital complex coming to Indiana
Ambrose Property Group has been tight-lipped on the details, including the name of the health system.
By Kim Slowey • Feb. 26, 2018 -
AMA seeks MAT changes to combat opioid crisis
HHS Secretary Alex Azar also previewed two new guidance documents coming on medication assisted therapy.
By Les Masterson • Feb. 26, 2018 -
Anthem rescinds same day service cut, AMA says
It's a win for the AMA and other providers that protested the E/M cut planned for 14 states. Anthem had already reduced the cut from 50% and delayed the onset for two months.
By Shannon Muchmore • Feb. 23, 2018 -
Provider shortage a barrier to opioid dependence treatment, Avalere finds
Eleven states and the District of Columbia have lower than average rates of providers to prescribe treatment drugs.
By Meg Bryant • Feb. 23, 2018 -
High deductible plan use jumps since 2010, now at 43%
The National Center for Health Statistics also said the percentage of uninsured Americans in 2017 remained about the same as the previous year.
By Les Masterson • Feb. 23, 2018 -
Flawed evaluation of Medicaid demonstrations limits policy impact, GAO says
The government watchdog looked at state evaluations of Medicaid demonstrations in three states and found shortcomings in each of them.
By Meg Bryant • Feb. 23, 2018 -
Deep Dive
Trump short-term health plan may spur more ACA exits
The impact of the individual mandate repeal and higher premiums could inflate a shift out of ACA plans.
By David Lim • Feb. 23, 2018 -
Community health center patients more likely to cite housing struggles, JAMA reports
People who can’t rely on steady housing will likely have difficulties staying on top of their health, adhering to medication and making appointments.
By Les Masterson • Feb. 22, 2018 -
Anthem to limit anesthesiologists in latest cost-saving move
Critics of the policy say it will force cataract surgery patients to pay for the service themselves or face higher risks.
By Les Masterson • Feb. 21, 2018 -
Express Scripts joins Walgreens Boots to cut biosimilar costs
The pharmacy benefit manager is expanding its agreement with the drug store giant to simplify the supply chain for specialty pharmaceuticals.
By Lisa LaMotta • Feb. 21, 2018 -
Deep Dive
Anthem's cost-cutting drive riles providers
The payer said the E/M payment cut is one way to reduce costs for its members and employer clients, but critics say the change may require patients to return for another doctor visit.
By Les Masterson • Feb. 21, 2018 -
JAMA: Admin costs vary by type of visit
The researchers said their findings could be used to inform policies that reduce administrative costs.
By Les Masterson • Feb. 20, 2018 -
UPDATE: CMS seeks expansion of short-term plans to sidestep ACA
HHS acknowledges that the exodus of young and healthy exchange members could contribute to rising premiums within the ACA exchange markets.
By Jeff Byers , David Lim • Feb. 20, 2018 -
Tax cuts a win for most for-profit hospitals, Moody's says
HCA and Universal Health Services will get the most out of the change, while others won’t benefit as much due to interest deductibility limits.
By Les Masterson • Feb. 20, 2018 -
Anthem makes exceptions to controversial ER policy
In the six states where Anthem denies ER claims it later deems unnecessary, patients who receive treatment on a weekend or receive certain services, for example, are now exempt.
By Shannon Muchmore • Feb. 16, 2018 -
CMS to watch and wait on Idaho Blue Cross's ACA-skirting plans
HHS Secretary Alex Azar told lawmakers the department would look at the health plans and measure them against ACA requirements once it receives a waiver request from the insurer.
By David Lim • Feb. 16, 2018
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