Government: Page 151
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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 -
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 -
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
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