Government: Page 151
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Senate looking at Plan B if BCRA fails
Republican leadership is having a hard time deciding how it should proceed if the votes aren't there to pass their ACA replacement bill, which is increasingly the case.
By Shannon Muchmore • July 10, 2017 -
65% of healthcare partnerships lead to cost savings, study shows
More than half of respondents in a survey from the Partnership for Healthy Outcomes said their partnerships include care coordination support.
By Les Masterson • July 7, 2017 -
Report: BCRA would mean more than 900K healthcare jobs lost
New statistics released on Friday show 37,000 added healthcare jobs in June, up from 20,600 in May.
By Les Masterson • July 7, 2017 -
New FTC Bureau of Competition acting director has healthcare background
Markus H. Meier has led the Health Care division within the Bureau of Competition since 2006.
By Les Masterson • July 6, 2017 -
Deep Dive
Seeking greater flexibility, MACRA's MIPS could be more confusing for clinicians in 2018
“The point is to find a smart way to minimize the burden without undercutting the point of the whole effort,” says Numerof & Associates managing partner Michael Abrams of CMS’ 2018 Quality Payment Program proposed rule.
By Meg Bryant • July 6, 2017 -
UK watchdog: Google DeepMind, NHS out of step with patient privacy laws
DeepMind used patient records to test an app to monitor kidney disease.
By Meg Bryant • July 5, 2017 -
MedStar stumps to keep D.C. Medicaid contract
The D.C. Department of Health Care Finance didn't choose MedStar as one of three companies for its new five-year managed care Medicaid contracts.
By Les Masterson • July 5, 2017 -
CMS pulls Medicare Advantage data release
The agency said there were problems with the data's accuracy.
By Les Masterson • July 3, 2017 -
Centene will fill Missouri ACA exchange gaps
The payer will offer plans in 25 "bare counties" that would have no ACA exchanges options in 2018 after Blue Cross Blue Shield of Kansas City announced it is dropping out of those areas.
By Les Masterson • July 3, 2017 -
Hospital outpatient payments lower in states with fixed fees, study finds
Workers' compensation payouts in Alabama for common outpatient surgeries were as much as 527% higher than Medicare rates.
By Meg Bryant • June 30, 2017 -
CBO: Senate healthcare bill will reduce Medicaid spending 35% by 2036
Senate Majority Leader Mitch McConnell delayed a vote on the Better Care Reconciliation Act of 2017 before the July 4th recess after failing to garner enough Republican support for the bill.
By Les Masterson • June 30, 2017 -
Survey: Few clinicians prepared for Quality Payment Program
The American Medical Association found just 8% of physicians said they were “deeply knowledgeable” about QPP.
By Meg Bryant • June 29, 2017 -
No vote on Senate healthcare bill before July 4 holiday
After the CBO analysis of the bill was released Monday, it became clear that not enough Republican senators were satisfied with the bill and there wouldn't be enough time to change their minds.
By Shannon Muchmore • June 28, 2017 -
CBO reports show private insurers pay physicians, hospitals far more than Medicare
The agency found the average commercial payment rate for a hospital admission was $21,400 in 2013, compared to $11,400 for a Medicare FFS patient.
By Les Masterson • June 27, 2017 -
Insurance improves health outcomes, report shows
The authors found health insurance leads to greater access to preventive services, chronic illness treatment, medications and surgery.
By Les Masterson • June 27, 2017 -
CBO: Senate bill would mean 15M lose coverage next year
CBO concluded that if the bill passes, “few low income people would purchase any plan,” because of an actuarial benchmark change.
By Shannon Muchmore • June 26, 2017 -
Deep Dive
9 major takeaways from the 2018 MACRA proposed rule
In addition to allowing for more physician exemptions from the program next year, CMS is proposing to let physicians continue to use 2014 certified EHR technology for MIPS scoring.
By Jeff Byers • June 26, 2017 -
Deep Dive
5 highlights from the Senate's ACA replacement bill
The 142-page bill has many of the same provisions as the House version passed last month, but it comes with some key differences as well.
By Shannon Muchmore • June 23, 2017 -
UPDATE: Senate version of AHCA cuts Medicaid differently
AHA President Rick Pollack said of the bill, "Medicaid cuts of this magnitude are unsustainable and will increase costs to individuals with private insurance."
By Shannon Muchmore • June 22, 2017 -
Anthem pulls back on ACA exchanges while Oscar expands footprint
Many payers said they remain committed to the ACA exchanges. They could still change their minds before 2018, though, as Wednesday's deadline was not the final one.
By Les Masterson • June 22, 2017 -
Hospitals see dramatic increase in opioid-related ER, inpatient visits
Data released from the AHRQ showed emergency room visits for opioid-related issues increased 100% from 2005 to 2014.
By Shannon Muchmore • June 21, 2017 -
On exchange deadline day, states are hoping for commitments
A new report from Avalere found that residents in more than 40% of counties may have only one payer option in their 2018 ACA exchange market.
By Les Masterson • June 21, 2017 -
Ransomware attacks can fall below the radar via underreporting
HHS is warning hospitals of a new cyberthreat called Hidden Cobra that targets Microsoft products.
By Meg Bryant • June 20, 2017 -
MedPAC suggests MIPS overhaul, more site-neutral payments
The committee's June report calls for faster changes to the post-acute care settings prospective payment system, but the AHA doesn't support such a change.
By Shannon Muchmore • June 19, 2017 -
AHCA could mean 725K fewer healthcare jobs by 2026
The House version of the AHCA would result in the loss of 924,000 jobs over 10 years and spark economic downturns in every state, according to research from George Washington University and The Commonwealth Fund.
By Shannon Muchmore • June 15, 2017