Government: Page 151
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Deep Dive
What the last nail in the Anthem-Cigna coffin means for the healthcare industry
The end of the Anthem-Cigna merger gives other large payers "a chance to see how the Trump administration redefines the rules of the game,” Michael Abrams, managing partner at Numerof & Associates, told Healthcare Dive.
By Ana Mulero • May 15, 2017 -
ONC announces new deputy health IT coordinator
Genevieve Morris has worked in the health IT field for more than 10 years.
By Les Masterson • May 14, 2017 -
More than 800K physicians get MACRA reporting reprieve for 2017
The change came after the CMS used an updated formula to estimate providers' Medicare revenue.
By Les Masterson • May 14, 2017 -
Cigna could soon end proposed $54B Anthem merger after latest court ruling
"We look forward to closing this final chapter,” a Cigna representative said. A Delaware court on Thursday denied Anthem's request to block Cigna from terminating the merger.
By Ana Mulero • May 11, 2017 -
Deep Dive
MACRA: Why cloud-based solutions could be the answer for small practices
Most (80%) of the medical practices with 15 physicians or fewer that were recently surveyed by Healthcare Informatics said they were not ready for MACRA or needed help.
By Meg Bryant • May 11, 2017 -
Feds would need to modify risk adjustment program if changes are made to ACA exchanges
The American Academy of Actuaries said some of the changes could include “major structural modifications.”
By Les Masterson • May 11, 2017 -
Senate confirms Scott Gottlieb as FDA chief
Gottlieb will have to strike a balance between the Trump administration's push to deregulate and defending the FDA's "gold standard" for reviewing the safety and efficacy of new drugs.
By Ned Pagliarulo • May 10, 2017 -
BCBS of TN steps forward to fill ACA exchange gap
The insurer said it will participate in ACA exchanges covering 16 eastern Tennessee counties that currently have no payer in place for next year.
By Les Masterson • May 9, 2017 -
With 'long-shot' appeal pending, Anthem seeks extension of restraining order on Cigna
An Anthem attorney argued the company could come to an agreement with the presidential administration after its officials are confirmed to have its $54 billion transaction go through.
By Ana Mulero • May 9, 2017 -
Deep Dive
Why the Senate is slowing down the GOP's push to replace the ACA
The AHCA has numerous roadblocks ahead in Congress — and could become a very different bill in the Senate's hands. Here's what to expect.
By Shannon Muchmore • May 9, 2017 -
Justice Department appeals Moda Health risk corridor decision
The CMS has not paid insurers the full amount owed through the risk corridor program, instead paying a proportional allocation.
By Les Masterson • May 9, 2017 -
AHCA backers want to use payer unease over exchanges, rates to their advantage
Payers still don't know if they will continue to receive cost-sharing reduction payments, but they face deadlines for setting 2018 rates and deciding whether to participate in ACA exchanges.
By Les Masterson • May 8, 2017 -
AHA president calls on Senate to 'reset' ACA repeal discussion
The House passed the AHCA last week despite heavy opposition from top lobbying organizations in the healthcare industry.
By Ana Mulero • May 8, 2017 -
CDC updates guidelines on surgical site infection prevention
The guidelines had not been updated since 1999.
By Meg Bryant • May 5, 2017 -
Anthem takes proposed Cigna merger to Supreme Court
Anthem was expected to call off the merger after failing to demonstrate that the claimed efficiencies would offset any potential harm on competition in the health insurance market.
By Ana Mulero • May 5, 2017 -
House passes AHCA, Senate to draft its own ACA repeal bill
The measure dismantles key ACA provisions such as essential health benefits and pre-existing condition protections.
By Jeff Byers , Shannon Muchmore • May 4, 2017 -
GOP leaders say they can pass AHCA today
The bill that repeals the ACA is still opposed by nearly every major group in the healthcare industry. They are concerned that the bill could mean 24 million without coverage over the next 10 years.
By Shannon Muchmore • May 4, 2017 -
Deep Dive
Why Anthem and Cigna can't convince judges they should merge
The $54 billion deal to create the largest health insurance company in the country is still on because, although Cigna has been at best a reluctant participant for months, Anthem won’t give up.
By Ana Mulero • May 2, 2017 -
Industry groups slam AHCA amendment, backers delay vote again
Of particular concern is how the bill would affect older and sicker patients as well as those with preexisting conditions.
By Meg Bryant • April 28, 2017 -
New report trumpets Medicaid enrollees' access to healthcare
The Commonwealth Fund found that Medicaid enrollees have nearly the same access to healthcare as those with private insurance.
By Les Masterson • April 28, 2017 -
Kaiser Permanente, other heavy hitters call for value-based healthcare model
Several key health leaders announced pilot programs beginning with a value-based plan to treat heart failure in the Atlanta area.
By Les Masterson • April 27, 2017 -
Deep Dive
How patient portals can improve patient engagement
“There are a lot of workflow challenges, and the low bar within Meaningful Use hasn’t motivated a lot of practices to try and promote [portal] adoption and use,” says Chilmark Research’s Brian Eastwood.
By Meg Bryant • April 27, 2017 -
Price at Health Datapalooza: 'Rules of the road' are needed for 'true interoperability'
“True interoperability has always been the goal,” HHS Secretary Tom Price said at the conference.
By Ana Mulero • April 27, 2017 -
Hospitals could lose $250B from MACRA, study finds
“If successful APMs are not available to physicians, there could be unintended consequences for patients," authors of a study published in Health Affairs wrote.
By Les Masterson • April 25, 2017 -
Deep Dive
How hospitals can prepare for an influenza pandemic
A pandemic could put a strain on the healthcare system, sicken hospital staff and stretch hospital resources to their limits.
By Les Masterson • April 24, 2017
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