Government: Page 144
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Appeals court rules against former Medi-Cal payment cuts
The court ruled the federal government shouldn't have approved the 10% cut in 2008 without evidence it wouldn't affect access to care for members of the state Medicaid program.
By Les Masterson • Aug. 8, 2017 -
Healthcare leaders challenging Anthem's ED policy in Missouri
The payer recently announced it will no longer cover what it views to be unnecessary ED services in Missouri.
By Les Masterson • Aug. 8, 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 -
Maine Medicaid waiver application includes work requirements, asset testing
The document states Maine is trying to “preserve limited financial resources,” but the proposal has many detractors among policy experts.
By Shannon Muchmore • Aug. 7, 2017 -
HHS general counsel candidate vows to uphold ACA
Robert Charrow said he is a firm believer in applying the law as written. "And if an action is inconsistent with the law, I will not approve it,” he said.
By Les Masterson • Aug. 7, 2017 -
VA expands telehealth programs into video, online scheduling nationwide
Changes include a new regulation that will allow VA providers to serve veterans across the country using telehealth technologies.
By Les Masterson • Aug. 7, 2017 -
Deep Dive
Why hospitals should pursue diversity beyond the hiring process
Experts say managers must know how to recognize and deal with diversity-related conflicts, while executive ranks should reflect the demographics in their communities.
By Shannon Muchmore • Aug. 7, 2017 -
Florida Medicaid managed care demonstration gets 5-year extension
The state's uncompensated care pool will receive about $1.5 billion annually, based on the most current data on hospitals’ charity care costs.
By Meg Bryant • Aug. 4, 2017 -
Evergreen Health goes into receivership
The court order follows the collapse of a plan to switch the insurance co-op to for-profit status
By Meg Bryant • Aug. 4, 2017 -
Accreditors won't have to share hospital error reports, CMS rules
The agency said it wants to review and refine the proposal to ensure it’s in line with federal law.
By Meg Bryant • Aug. 4, 2017 -
Alex Wong via Getty Images
CMS hospital payments to increase by $2.4B
The agency is moving forward with a controversial new formula for calculating uncompensated care payments that uses Medicare Cost Reports.
By Shannon Muchmore • Aug. 3, 2017 -
Molina posts $230M loss in Q2, eliminating 1.5K jobs
The company also announced it is pulling out of ACA exchanges in Utah and Wisconsin and scaling back participation in Washington state.
By Jeff Byers , Shannon Muchmore • Aug. 2, 2017 -
Premiums in California ACA plans expected to increase 12.5%
About 10% of people who get coverage through Covered California will need to find a new insurance company because of Anthem pulling back on ACA plans.
By Les Masterson • Aug. 1, 2017 -
CMS gives SNFs, inpatient rehab facilities payment boost
A new rule also removed certain claims data requirements for rehab facilities.
By Les Masterson • Aug. 1, 2017 -
Deep Dive
Trump's approach to opioid crisis worries experts
“There’s no question that the Medicaid cutbacks would be devastating” for the opioid crisis, Johns Hopkins’ Joshua Sharfstein says.
By Meg Bryant • July 31, 2017 -
CSR payments still in question after ACA repeal failures
With the deadline for adjusting individual market rates a little more than two weeks away, insurance companies are pleading with the White House and Congress to make the payments.
By Shannon Muchmore • July 31, 2017 -
Evergreen Health in tailspin after purchase group backs out
Just last month, Maryland’s insurance regulator gave the co-op the green light to move to for-profit status.
By Meg Bryant • July 28, 2017 -
Uncompensated care funding cuts set to begin next year
The CMS issued a proposed rule on Thursday that would enact ACA-mandated reductions to state Medicaid disproportionate share hospital payments.
By Jeff Byers • July 28, 2017 -
ACA repeal dealt major blow with failed early morning vote
Efforts to repeal the ACA aren't officially dead, but the latest setback raises further questions as to how or whether Republicans plan to proceed.
By Shannon Muchmore • July 28, 2017 -
FDA unveils digital health pilot program to speed up certification process
The agency also published its Digital Health Innovation Action Plan, which provides detail and timelines related to digital health and the 21st Century Cures Act.
By Jeff Byers • July 27, 2017 -
Deep Dive
Don't let the name fool you, ACA 'skinny' repeal has major consequences
A scaled-down version of ACA repeal is the latest GOP healthcare proposal, but it may just be a vehicle for returning to earlier, more conservative legislation.
By Shannon Muchmore • July 27, 2017 -
Failed BCRA vote shows tough road ahead for ACA repeal, replace
A procedural vote to continue discussion of Republican healthcare legislation passed on Tuesday afternoon.
By Shannon Muchmore • July 25, 2017 -
Appalachian health systems seek merger that avoids FTC oversight
The two health systems are using a legal avenue called a Certificate of Public Agreement in an attempt to sidestep federal review.
By Les Masterson • July 24, 2017 -
Parliamentarian review makes passing BCRA even harder
Provisions that cannot be passed through the budget reconciliation process include removing essential health benefits for state Medicaid plans and the defunding of Planned Parenthood.
By Shannon Muchmore • July 24, 2017 -
CMS wants more oversight over Medicare Advantage provider networks
The CMS found in January that 45% of MA provider directories had incorrect information.
By Les Masterson • July 21, 2017 -
CBO: Out-of-pocket health costs would skyrocket under revised BCRA
The newest CBO score doesn't change much of the political discussion currently, but it has some drastic illustrations of how high deductibles and general out-of-pocket spending could get.
By Shannon Muchmore • July 21, 2017
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