Government: Page 144
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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 -
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
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