Government: Page 137
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Study shows positive results for PCPs in hospital settings
Knowing a patient before admission may play a key role in care during and after hospitalization, according to a JAMA report.
By Les Masterson • Nov. 14, 2017 -
AMA opposes weakening ACA's essential health benefits
The organization argues changing the requirements would hurt patients by stripping protections from high out-of-pocket costs.
By Les Masterson • Nov. 14, 2017 -
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 -
Hospitals file lawsuit to block 340B drug payment cut
Plaintiffs including the AHA argue the reimbursement change exceeds the authority of the HHS secretary and is “arbitrary and capricious.”
By Shannon Muchmore • Nov. 14, 2017 -
Deep Dive
How will instability in the ACA exchanges affect healthcare in 2018?
“Insurance markets work best when there’s stability and when everyone has a pretty good sense of how the market is going to operate. Sadly, we’re not there right now,” says Ken Wood, senior vice president of health plan development at Evolent Health.
By Les Masterson • Nov. 13, 2017 -
Report shines light on ACO successes, strategies
The CMS recently found that 11 of 18 Next Generation ACOs earned savings in 2016.
By Les Masterson • Nov. 13, 2017 -
Trump nominates former pharma exec Azar to head HHS
Alex Azar served as deputy secretary for HHS from 2005 to 2007 under President George W. Bush and until January of this year served as Eli Lilly’s president.
By Shannon Muchmore • Nov. 13, 2017 -
Most states have their own value-based payment programs, report says
Much attention recently has focused on the CMS’ value-based program adjustments, but Change Healthcare found states aren't necessarily waiting for federal direction.
By Les Masterson • Nov. 13, 2017 -
Nashville mayor requests closure of city's only safety-net hospital
The development is part of a larger trend where hospitals move more into outpatient services.
By Les Masterson • Nov. 12, 2017 -
Joint Commission: Sharp uptick in hospitals using eCQMs
Hospitals are becoming more confident in the accuracy of electronic clinical quality measurement data, according to a new report.
By Meg Bryant • Nov. 9, 2017 -
Deep Dive
How will expanding catastrophic health plans affect providers?
A recent presidential executive order to expand the use of safety net coverage could drive down care utilization, but might also promote more patient engagement among providers and payers.
By Les Masterson • Nov. 9, 2017 -
Hospital-employed physicians create more Medicare costs
Services at hospital-employed physicians' offices increased Medicare costs for four services by $3.1 billion between 2012 and 2015, according to a new study from the Physicians Advocacy Institute.
By Les Masterson • Nov. 9, 2017 -
All but 2 states pay for live video Medicaid encounters
Nearly half of state Medicaid programs now reimburse for remote patient monitoring.
By Meg Bryant • Nov. 8, 2017 -
Price increases, population growth drive majority of rising healthcare spending
Healthcare spending rose from $1.2 trillion to $2.1 trillion between 1996 and 2013, according to new research published in JAMA.
By Les Masterson • Nov. 8, 2017 -
Maine voters approve Medicaid expansion
The referendum passed easily and will expand the program to 80,000 additional residents.
By Shannon Muchmore • Nov. 8, 2017 -
Health Affairs shares emerging lessons for ACO implementation
“In addition to designing policy reforms effectively, success requires providers to develop new patient-focused competencies,” the authors wrote.
By Les Masterson • Nov. 7, 2017 -
CMS signals more state flexibility with Medicaid
Administrator Seema Verma said the agency may allow work requirements for Medicaid eligibility.
By Les Masterson • Nov. 7, 2017 -
Report: Trump eyes executive order to cripple individual mandate
The president is reportedly waiting to see whether repealing the mandate becomes part of the tax bill on Capitol Hill.
By Les Masterson • Nov. 7, 2017 -
Appalachian health systems get states OK on merger plan
Mountain States Health Alliance and Wellmont Health System used the Certificate of Public Agreement process to avoid Federal Trade Commission oversight.
By Les Masterson • Nov. 6, 2017 -
Deep Dive
The healthcare of tomorrow will move away from hospitals
Healthcare professionals gathered in Washington, D.C. last week for the annual U.S. News & World Report conference, where discussions focused on social determinants of health and how telemedicine enables patients to receive treatment in their homes.
By Jeff Byers , Shannon Muchmore • Nov. 6, 2017 -
CMS scrubs plan for home health groupings model
The agency wants more time to consider stakeholder concerns about access and case complexity.
By Meg Bryant • Nov. 3, 2017 -
CHIP reauthorization passes House but not likely to get through Senate
As many as 11 states could run out of CHIP funding by the end of the year after Congress failed to reauthorize the program by the Sept. 30 deadline.
By Les Masterson • Nov. 3, 2017 -
Experts say bundled models can have major success, but participation is key
There is not at the moment much interest from Congress in promoting alternative payment models, however.
By Shannon Muchmore • Nov. 3, 2017 -
CMS finalizes low-volume exemptions in MACRA final rule
The agency went ahead with a reduction in rates for hospital-owned, off-campus outpatient facilities, but the rate will be higher than originally proposed.
By Jeff Byers , Shannon Muchmore • Nov. 3, 2017 -
Bipartisan bill looks to change physician anti-kickback law
Advocates say the legislation to change the Stark Law is needed to help clear hurdles for value-based care.
By Les Masterson • Nov. 2, 2017 -
Providers added staff, upgraded facilities after ACA increased rate of insured
An Urban Institute survey found there are still significant unmet healthcare needs for behavioral health, adult dental and specialty services.
By Les Masterson • Nov. 2, 2017
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