Government: Page 137


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    FDA OKs marketing of AI-enabled stroke alert for providers

    The Viz.AI app was cleared via the de novo premarket review process.

    By Feb. 15, 2018
  • Georgia hospitals sue Anthem over ER, imaging policies

    Anthem will shortly stop paying for imaging in hospitals and for emergency department care that it later deems not an emergency.  

    By Les Masterson • Feb. 15, 2018
  • Healthcare spending to reach 19.7% of GDP within a decade

    Hospital care spending growth is expected to increase 5.5% on average between 2017 and 2026, the report finds.

    By Feb. 14, 2018
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    Reducing healthcare costs not one-size-fits-all, report finds

    The Network for Regional Healthcare Improvement analyzed healthcare costs for five states and found huge differences in terms of costs and drivers.

    By Les Masterson • Feb. 14, 2018
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    Most healthcare execs say value-based programs led to positive financial results

    A Healthcare Financial Management Association survey also said commercial payers haven’t rolled out value-based programs as quickly as expected.  

    By Les Masterson • Feb. 14, 2018
  • DOJ to no longer use guidance docs as binding rules for enforcement

    The revised policy could have major ramifications for False Claims Act lawsuits and other federal litigation.

    By Feb. 13, 2018
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    Hospitals performed small amount of cost-shifting, study finds

    Recent research found that hospitals negotiated 1.5% higher average private payer reimbursements to offset cuts from public payers.

    By Les Masterson • Feb. 13, 2018
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    CMS ends Obama policy requiring docs to rewrite students' medical notes

    Starting March 5, physicians will only need to verify the information.  

    By Les Masterson • Feb. 12, 2018
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    Trump budget slashes Medicaid, targets 340B

    The proposal is more a political document than anything else, but HHS Secretary Alex Azar said it addresses priorities including a push toward paying for value.

    By , David Lim • Feb. 12, 2018
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    More oversight for 340B needed, White House council says

    The Council of Economic Advisers suggested creating an independent agency to oversee the prescription payment program.  

    By Les Masterson • Feb. 12, 2018
  • GAO: Medicare cost-sharing update would involve trade-offs

    Capping beneficiary out-of-pocket costs could reduce demand for supplemental insurance, the agency said.

    By Feb. 9, 2018
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    ACA enrollment fell overall, but ticked up in state-run exchanges

    The figures don't tell the whole story, however. The 2018 numbers were expected to fall well below previous signups after the Trump administration spent the past year trying to dismantle the ACA.

    By Les Masterson • Feb. 9, 2018
  • Deep Dive

    3 reasons evidence-based policy is hard

    Academics and policymakers gave advice on the challenges to making evidence-based policy at a recent healthcare conference.

    By Feb. 9, 2018
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    Deep Dive

    Hospital consolidation has spotty track record, experts say

    Even blocking a "very vanilla merger" is a costly endeavor, Nathan Wilson, an economist at the Federal Trade Commission, said.

    By Feb. 9, 2018
  • Smorgasbord of health items in massive 2-year budget deal

    The agreement staving off an extended government shutdown includes a delay to Disproportionate Share Hospital payment cuts, a repeal of the ACA's Independent Payment Advisory Board and more funding to fight the opioid crisis.

    By David Lim • Feb. 9, 2018
  • Management organizations can play key role in ACOs

    A Health Affairs report found partnerships helped providers in ACOs with data, administrative, educational and care coordination services.

    By Les Masterson • Feb. 7, 2018
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    Express Scripts: Plan drug spending rose at slowest rate in 24 years

    The PBM says its efforts to rein in rising drug costs have helped the plans it administers secure hundreds of millions in savings last year.

    By Ned Pagliarulo • Feb. 7, 2018
  • Industry blasts FDA Clinical Decision Software draft

    A group that includes software providers, medical device makers and drugmakers says that if implemented, the draft guide would "force many sellers of existing CDS software to remove their products from the market."

    By David Lim • Feb. 7, 2018
  • GAO says assisted living facilities need better oversight by state Medicaid

    The agency found 26 state Medicaid agencies could not report the number of critical incidents that occurred in assisted living facilities.

    By Les Masterson • Feb. 6, 2018
  • Expanding ACA plans drove Centene to 8% revenue growth

    In announcing its Q4 earnings, the payer raised its guidance for 2018 after a successful open enrollment period in the ACA exchanges. 

    By Les Masterson • Feb. 6, 2018
  • Deep Dive

    How to make population health pop: What experts say

    Barriers to successful pop health initiatives include quantifying and monetizing health information that may not lend itself to such analysis and getting organizations with different priorities to work together.

    By Feb. 6, 2018
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    Highest healthcare spenders vary each year

    The top 5% of healthcare spenders in 2015 accounted for 53% of spending, a new Health Care Cost Institute analysis found.

    By Les Masterson • Feb. 5, 2018
  • Community health centers face funding deadline, layoffs and closure

    Congress may include a two-year extension of funding for the centers as part of the continuing resolution to keep the government open. 

    By Les Masterson • Feb. 5, 2018
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    Glenview strains relations with Tenet over 'underperformance'

    Some believe Glenview Capital Management, Tenet's largest shareholder, is preparing to launch a boardroom battle with the hospital company.  

    By Les Masterson • Feb. 5, 2018
  • Medicaid work requirements bring uncertainty to hospital bottom lines, Fitch warns

    Kentucky has already received a Medicaid waiver that allows it to implement work requirements, and seven more states could follow shortly.

    By Feb. 2, 2018