Government: Page 142
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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 -
CMS finalizes 340B drug program cut
In a final rule, the agency also removed total knee arthroplasty from the inpatient only list.
By Shannon Muchmore • Nov. 2, 2017 -
New guidance for MACRA reporting: Attestation against information blocking
Under the 21st Century Cures Act, providers and EHR vendors are barred from blocking information.
By Meg Bryant • Oct. 31, 2017 -
AMA survey shows how Medicaid expansion affected patient mix
The average share of Medicaid patients among all physicians was 16.9% last year.
By Meg Bryant • Oct. 31, 2017 -
Proposed rule would let states decide essential health benefits
The administration’s latest attempt to chip away at the ACA would also allow states to determine medical loss ratio requirements.
By Les Masterson • Oct. 31, 2017 -
CMS approves Iowa Medicaid waiver ending retroactive coverage
Hospitals in the state have opposed the proposal, which they said will hurt them financially by increasing charity care costs.
By Les Masterson • Oct. 31, 2017 -
More healthcare spending going to alternative payment models
CMS Administrator Seema Verma on Monday announced an initiative focused on quality, a new direction for the Innovation Center and the need to cut regulations for providers.
By Les Masterson • Oct. 31, 2017 -
HHS clarifies HIPAA rules in cases of overdose
The announcement came soon after President Donald Trump declared the opioid crisis a national public health emergency.
By Shannon Muchmore • Oct. 30, 2017 -
Report: Hospitals suffering from regulatory overload
An average-sized community hospital spends about $7.6 million a year complying with regulatory requirements, according to the American Hospital Association.
By Meg Bryant • Oct. 27, 2017 -
Report: Paving the way for a new salary threshold, DOL will appeal overtime injunction
Various media reports say that DOL will appeal the order enjoining the Obama-era regs this week.
By Kathryn Moody • Oct. 27, 2017 -
Specialist groups oppose MedPAC recommendation to end MIPS
The Alliance of Specialty Medicine represents more than 100,000 specialty physicians from 13 specialty and subspecialty societies.
By Les Masterson • Oct. 27, 2017 -
Trump declares opioids public health emergency but doesn't add funding
Industry groups and public health officials generally praised the declaration as a step in the right direction, but acknowledged that opioid misuse is a massive problem for the country that will require significant efforts — and resources — to overcome.
By Shannon Muchmore • Oct. 27, 2017 -
CVS reportedly in talks to buy Aetna
The Wall Street Journal reported a $66 billion deal is being discussed as CVS looks to bolster itself in preparation for Amazon's potential entry into the drug distribution business.
By Shannon Muchmore • Oct. 27, 2017 -
FDA
FDA clarifies when to submit 510(k) for a software change
The aim is to increase innovation by reducing unnecessary submissions.
By Meg Bryant • Oct. 26, 2017 -
Judge declines to force continued payment of CSRs
As the legal battle over the cost-sharing reduction payments continues, a report from Avalere found premiums for silver level plans will increase by an average of 34% next year.
By Shannon Muchmore • Oct. 26, 2017 -
Choosing Wisely campaign not resonating with physicians
The ABIM Foundation created the program, which provides recommendations about low-value healthcare services to discuss with patients, in 2012.
By Les Masterson • Oct. 25, 2017 -
Few providers meet 2015 EHR certification, survey finds
Most healthcare execs reported an increase in patients seeking access to their personal information.
By Meg Bryant • Oct. 24, 2017 -
New payers eye Medicare Advantage market
Devoted Health plans to start selling plans in 2019; Oscar Health Insurance is also showing interest in launching plans.
By Les Masterson • Oct. 24, 2017 -
AMA: Nearly 70% of payer markets 'highly concentrated'
The annual report found that 90% of markets have at least one insurer with a 30% or greater market share.
By Les Masterson • Oct. 24, 2017 -
States struggling to maintain CHIP without federal dollars
Lawmakers have still not reauthorized the program, and officials from six states and the District of Columbia fear they’ll run out of CHIP money by the end of the year.
By Les Masterson • Oct. 24, 2017
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