Government: Page 138
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Advocacy groups slam Azar ahead of committee hearing next week
The groups argue HHS Secretary nominee Alex Azar’s stances on the ACA and prescription drug costs are incompatible with being a "credible advocate for patients." But the nominee still appears to be on track for full Senate consideration.
By David Lim • Jan. 4, 2018 -
Outcomes, costs vary for coronary procedures at VA and non-VA hospitals
The reasons for the cost differences are somewhat elusive, the JAMA Cardiology study concluded.
By Meg Bryant • Jan. 4, 2018 -
CMS to docs: Texting orders banned, with a clarification
The memo to state survey agencies maintains the ban on texting patient orders.
By Meg Bryant • Jan. 3, 2018 -
Colorado law requires hospitals post prices for common procedures
Beginning Jan. 1, state hospitals must provide self-pay pricing information for the 50 most used diagnosis-related group codes and 25 most-used procedural technology billing codes.
By Les Masterson • Jan. 3, 2018 -
Spark sets precedent with outcomes models, $850K gene therapy price tag
CMS to weigh plan to allow the company to offer payers the option to spread payments over multiple years in a payment-plan type model for Luxturna.
By Lisa LaMotta • Jan. 3, 2018 -
2.3% medical device tax resumes after 2-year hiatus
The controversial tax was among several levies as part of the Affordable Care Act.
By Meg Bryant • Jan. 3, 2018 -
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 -
CMS penalizes 751 hospitals over patient safety issues
More than half of hospitals were subject to Medicare cuts last year.
By Meg Bryant • Jan. 2, 2018 -
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 Jeff Byers , Shannon Muchmore , David Lim • Jan. 2, 2018 -
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 Meg Bryant • 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 -
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 Shannon Muchmore • 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 -
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 -
HHS falls short on cybersecurity, OIG says
OIG plans to audit HHS’ cybersecurity capabilities again in 2018.
By Meg Bryant • Dec. 21, 2017 -
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 Meg Bryant • 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 -
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 Meg Bryant • 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