Government: Page 137
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Trump administration plans review of Stark Law regulations
An inter-agency working group will consider ways to revise the anti-kickback law.
By Les Masterson • Jan. 18, 2018 -
Pharma, payers clash over CMS Part D drug rebate plan
The drug, pharmacy benefit managers and insurance industries are squabbling over a CMS proposal to require Part D sponsors to pass on a percentage of rebates to consumers.
By David Lim • Jan. 18, 2018 -
Hospitals, payers and docs collaborate on prior authorization
Trade groups for major healthcare players say they share a "commitment to industry-wide improvements to prior authorization processes and patient-centered care."
By Les Masterson • Jan. 17, 2018 -
Uninsured rate in 2017 had biggest increase in a decade
The rate increased in all demographic groups except for senior citizens, but went up most for young adults, blacks, Hispanics and low-income Americans.
By Les Masterson • Jan. 17, 2018 -
FDA works to ease IV shortages after Hurricane Maria
U.S. saline and drug shortages are still challenging.
By Suzanne Elvidge • Jan. 17, 2018 -
Kentucky first to try Medicaid work requirement
Allowing states to require work is one way the Trump administration is looking to reduce the size of Medicaid.
By Les Masterson • Jan. 15, 2018 -
Trump administration had own plan to sabotage ACA
A Democratic senator made public a document from March that outlines a plan to use executive orders and policy changes to take apart the ACA.
By Les Masterson • Jan. 12, 2018 -
Deep Dive
Trump admin's new bundle bid shows value-based care's staying power
Advocates of value-based payment reform breathed a sigh of relief last week when CMS announced a new bundled payment model.
By Shannon Muchmore • Jan. 12, 2018 -
FDA lays out digital health goals in 2018 strategic roadmap
The agency will continue to build out its Pre-Certification Pilot Program to help encourage the development of digital health tools.
By David Lim • Jan. 12, 2018 -
Kendall Davis/Healthcare Dive
Deep DiveLoss of net neutrality could slow telehealth access
"The ability for hospitals to access internet service providers and bandwidth is a 'has to' in healthcare," says Eagle Telemedicine COO Robert Annas.
By Meg Bryant • Jan. 11, 2018 -
AHA, health systems appeal 340B decision
The House Energy & Commerce Committee issued a report Wednesday that offered a series of suggestions to improve oversight of the program that gives drug discounts to some hospitals.
By Les Masterson • Jan. 11, 2018 -
CMS goes all in on Medicaid work requirements
At least ten states are considering section 1115 Medicaid waivers that require enrollees to have a job, train for a job or participate in community activities like volunteer work.
By Shannon Muchmore • Jan. 11, 2018 -
ACOs flock to Medicare Shared Savings Program
Most of the ACOs in a risk-based contract chose Track 1+, which is the latest risk model.
By Les Masterson • Jan. 11, 2018 -
CMS extends Maryland all-payer program for another year
Maryland is working with the agency on a larger proposal to include outpatient services.
By Les Masterson • Jan. 10, 2018 -
Payers with ACA plans expected to have relatively strong year
Experts predict a fairly stable 2018 for the individual market, as long as Congress doesn't try another "repeal and replace" effort or make more moves that might destabilize the exchanges.
By Les Masterson • Jan. 10, 2018 -
CMS launches new, voluntary bundled payment model
The Bundled Payments for Care Improvement Advanced program will be considered an advanced alternative payment model for the purposes of MACRA reporting.
By Shannon Muchmore • Jan. 10, 2018 -
Azar talks list prices, mandatory Medicare pilots
The nominee for HHS secretary identified high drug prices and shifting payment models to reward health outcomes as among his top priorities.
By David Lim • Jan. 9, 2018 -
Health Affairs: Ending Medicaid expansion would cause rural hospitals to go under
Researchers found Medicaid expansion improved hospital finances and meant a substantially lower chance that hospitals — especially rural facilities — closed.
By Les Masterson • Jan. 9, 2018 -
GAO: CMS must improve state-reported data collection for Medicaid
“CMS has taken steps for the initial use of T-MSIS data, but does not have a plan or associated timeframes for using these data for oversight,” GAO said.
By Les Masterson • Jan. 9, 2018 -
Large health systems speak out about MACRA
Larger companies questioned the burden MACRA will put on providers and also whether low-volume exemptions will slow Medicare's transition to a value-based system.
By Les Masterson • Jan. 8, 2018 -
CBO: Needed CHIP funding drastically reduced due to individual mandate repeal
The Senate bill that would reauthorize CHIP would increase the deficit by $0.8 billion over 2018-2027 rather than the Congressional Budget Office and the Joint Committee on Taxation's previous $8.2 billion estimate.
By David Lim • Jan. 8, 2018 -
Avalere: Value-based care movement will overcome speed bumps this year
The annual report predicted a year full of changes to the healthcare system, including additional attempts to repeal the ACA, mergers and technological changes.
By Les Masterson • Jan. 8, 2018 -
Uncompensated care increased for community hospitals in 2016
An AHA report found that 4,840 community hospitals provided a total of $38.3 billion in uncompensated care in 2016, up from $35.7 billion in 2015.
By Les Masterson • Jan. 8, 2018 -
Study finds huge price swings at Minnesota hospitals
The Minnesota study is part of a growing movement to increase healthcare price transparency across the country.
By Meg Bryant • Jan. 5, 2018 -
Trump rule would expand association health plans
Supporters say the move would allow for more affordable health insurance options, but critics charge that expanding association health plans will weaken consumer protections and hurt the individual exchange market.
By Les Masterson • Jan. 4, 2018
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