Government: Page 143
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BlueCross BlueShield of NC dropping grandfathered health plans
The move will affect about 50,000 members, who will be shifted to plans on the state's ACA exchange.
By Les Masterson • Aug. 22, 2017 -
Provider groups mostly approve of latest MACRA proposals
The proposed rule in question exempts more small providers from the Merit-Based Incentive Payment System, allows hospital-based physicians to report at a facility level and introduces virtual reporting groups.
By Shannon Muchmore • Aug. 22, 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 -
Iowa, Oklahoma seek to create reinsurance programs with ACA waivers
With HHS promoting state innovation, more and more states are asking to waive certain ACA provisions and try their own programs.
By Les Masterson • Aug. 21, 2017 -
HHS proposes another 340B penalty rule delay
Implementation of the rule has already been delayed several times, and HHS is now proposing a start date in July 2018.
By Shannon Muchmore • Aug. 21, 2017 -
UMass Memorial drops out of Medicaid ACO program
The central Massachusetts health system will not be joining 17 other organizations participating in the state's Medicaid overhaul.
By Les Masterson • Aug. 21, 2017 -
AHRQ plans broad review of mobile diabetes management tools
At the current rate, one in three U.S. adults will have diabetes by 2050, according to the Centers for Disease Control and Prevention.
By Meg Bryant • Aug. 17, 2017 -
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CMS will start more targeted approach to Medicare fraud auditing
Medicare Administrative Contractors will be instructed to focus on providers with high claim error rates or unusual billing practices when compared to similar providers.
By Shannon Muchmore • Aug. 17, 2017 -
CMS launches Hospice Compare site
The site allows people to compare hospice providers based on certain quality metrics, such as the percentage of patients who were screened for pain or difficult or uncomfortable breathing, or whether patients’ preferences are being met.
By Les Masterson • Aug. 16, 2017 -
IRS revokes hospital nonprofit status for the first time
The agency reportedly stripped an unidentified hospital of its status due to failure to comply with 501(r) requirements.
By Jeff Byers • Aug. 16, 2017 -
CMS proposes to cancel, pare back bundled payment models
A proposed rule would cancel two cardiac programs and reduce mandatory participation for the joint model.
By Shannon Muchmore • Aug. 16, 2017 -
DC hospital curtails obstetrics services amid safety concerns
United Medical Center officials reportedly refused to discuss the issue, citing patient privacy concerns.
By Meg Bryant • Aug. 16, 2017 -
Primary care clinician shortage expected in California by 2030
The report predicted nearly half of the state’s full-time equivalent primary care clinicians will be nurse practitioners and physician assistants by 2030.
By Les Masterson • Aug. 16, 2017 -
CMS threatens to end NH Medicaid expansion funding
New Hampshire has until the end of fiscal 2018 to change the way the state funds its portion of Medicaid expansion.
By Les Masterson • Aug. 15, 2017 -
Survey: Most Americans not comparing prices for healthcare
Though out-of-pocket healthcare costs have skyrocketed, few Americans are searching for the data on those costs before getting care.
By Les Masterson • Aug. 15, 2017 -
CBO: With no CSRs, premiums increase 20%
A report predicts ending the payments would also mean a $194 billion increase to the federal deficit in the next 10 years, largely because of increased subsidies the higher premiums would require.
By Shannon Muchmore • Aug. 15, 2017 -
Deep Dive
Why ACA market upheaval still looms large despite failure to repeal the law
Whether lawmakers are done with efforts to repeal the ACA or not, some important changes for healthcare could be on the horizon.
By Shannon Muchmore • Aug. 14, 2017 -
Bundled payment proposals include canceled, scaled-back programs
The proposal reduces the number of mandatory geographic areas for the joint bundled payment program and cancels the cardiac bundled payment program model.
By Shannon Muchmore • Aug. 14, 2017 -
Trump says he will declare opioid crisis a national emergency
Details have not been released, but the order would likely free up funding for fighting the epidemic and give relevant federal and state agencies more leeway and resources.
By Shannon Muchmore • Aug. 11, 2017 -
Uncertainty influences early premium rate filings for ACA exchange plans
The CMS announced on Thursday it is extending the deadline for insurers to file their rates to Sept. 5. Payers no longer have to decide next week.
By Shannon Muchmore • Aug. 10, 2017 -
Survey: Group practices find MIPS too complex, burdensome
More than 70% of the practices MGMA surveyed said MIPS “does not support our practice’s clinical quality priorities."
By Shannon Muchmore • Aug. 10, 2017 -
Study shows meaningful use spurred hospital EHR adoption
Researchers looked at national hospital data before and after the program’s implementation and found annual gains in EHR use at eligible hospitals went from 3.2% before to 14.2% after.
By Meg Bryant • Aug. 9, 2017 -
CVS expanding MinuteClinic chronic disease programs
The company is enlarging its diabetes care management program and wants to add programs to manage asthma, hypertension, high cholesterol and depression over the next two years.
By Les Masterson • Aug. 9, 2017 -
Medicare competitive bidding program could save $25.7B over 10 years
The CMS, however, is temporarily delaying the next steps of the program.
By Les Masterson • Aug. 9, 2017 -
Residents protesting Mayo plan to consolidate 2 hospitals
Public officials and residents in the communities affected say they were blindsided by the health system’s announcement in June.
By Shannon Muchmore • Aug. 9, 2017 -
JAMA: Ignoring 'social risk' can underpay doctors for at-risk populations
The study looked at the Massachusetts Medicaid program's social determinants of health payment model.
By Les Masterson • Aug. 8, 2017
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