Government: Page 155
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Kaiser Permanente fined $2.5M for failure to report required Medi-Cal data
The company's EMR systems, driven by quality and coordination of care, allegedly fell short on the reporting capabilities needed to support government compliance.
By Kathleen Gilbert • Jan. 30, 2017 -
Deep Dive
What Trump's executive order could mean for the ACA
On Thursday, the Trump administration announced it would cease advertising ACA coverage in the final days of the current open enrollment season.
By Meg Bryant • Jan. 27, 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 -
Anthem tries to play Aetna-Humana defeat to its advantage
In a court filing, Anthem argued the Aetna-Humana case confirms that "the procompetitive effects generated by the efficiencies should be weighed against any possible anticompetitive effects."
By Meg Bryant • Jan. 27, 2017 -
Pay-for-performance is underperforming, two health policy professors posit
It seems reasonable to believe that paying physicians to provide more quality care would deliver improved outcomes, but providers behave in mysterious ways.
By Luke Gale • Jan. 27, 2017 -
Rand Paul throws ACA replacement into the health reform ring
Paul's plan comes days after the Cassidy-Collins replacement plan was unveiled.
By Jeff Byers • Jan. 26, 2017 -
AMA-led coalition calls for reforming management tools
Fed up with the burden of utilization management tools like prior authorization, a group representing healthcare providers and patients has made it clear that they want to see big changes from payers.
By Kathleen Gilbert • Jan. 26, 2017 -
John Halamka offers health IT advice to Trump administration
Enabling IT infrastructure, reducing clinical burden and cybersecurity are among the major issues the new administration should focus on, the Beth Israel Deaconess Medical Center CIO says.
By Meg Bryant • Jan. 26, 2017 -
Deep Dive
5 takeaways on replacing the ACA from Tom Price's Senate hearing
President Trump's nominee for HHS Secretary offered assurances — but few specifics — on how the new administration would repeal-and-replace the Affordable Care Act.
By Ana Mulero • Jan. 25, 2017 -
After court block, Aetna and Humana consider next steps
The prospects for a successful appeal of Monday’s decision don’t look great, but the health insurance giants say they’re considering all possibilities.
By Kathleen Gilbert • Jan. 25, 2017 -
Minorities with a chronic condition lack coverage even under ACA
The authors of a new study published in the Annals of Internal Medicine suggest an ACA replacement plan most likely to provide both coverage and access to care for those with a chronic illness would be a “comprehensive Medicare-for-All” plan.
By Kathleen Gilbert • Jan. 25, 2017 -
Healthcare makes strong showing in Glassdoor's 50 best jobs in America
Pharmacy manager and dental hygienist were new to this year's list.
By Jeff Byers • Jan. 24, 2017 -
Cigna ordered to reverse its policies on autism coverage
Being forced to comply with mental health parity laws is bound to be expensive, adding to Cigna’s financial woes.
By Kathleen Gilbert • Jan. 23, 2017 -
Judge blocks Aetna-Humana merger
A federal judge stopped the proposed $37 billion merger between insurance giants Aetna and Humana over antitrust concerns. The news comes as another mega-merger between insurers — Cigna and Anthem — also faces scrutiny.
By Ana Mulero • Jan. 23, 2017 -
Judge blocks Aetna-Humana merger
A federal judge stopped the proposed $37 billion merger between insurance giants Aetna and Humana over antitrust concerns. The news comes as another mega-merger between insurers — Cigna and Anthem — also faces scrutiny.
By Ana Mulero • Jan. 23, 2017 -
Walgreens settles for $50M over fraud claims
The retail pharmacy allegedly offered discounts and other monetary incentives to government beneficiaries in an attempt to induce them into utilizing its pharmacies.
By Luke Gale • Jan. 23, 2017 -
JAMA: Providers stumbling when it comes to sepsis readmissions
The common, deadly condition cost the healthcare system more than $23 billion in 2013, and preventing it has become a public health priority, according to the CDC.
By Luke Gale • Jan. 23, 2017 -
$54B Anthem-Cigna deal could be blocked
Anthem is extending the deadline for completion of its merger agreement with Cigna, which is considering its options.
By Kathleen Gilbert • Jan. 23, 2017 -
On Day One, Trump starts unwinding ACA
In an executive order issued on Friday, federal healthcare agencies are instructed to "waive, defer, grant exemptions from or delay implementation of any provision or requirement" that imposes a burden on individuals, payers, healthcare providers, among others.
By Ana Mulero • Jan. 23, 2017 -
NIH Director Francis Collins to remain, but for how long?
Francis Collins is positioned to lead NIH into an exciting era of improved funding and research, but Trump has yet to officially offer him the post.
By Kathleen Gilbert • Jan. 23, 2017 -
US recovered $3.3B in fraudulent healthcare claims in 2016
One of the year’s biggest settlements was with Tenet Healthcare for $390 million.
By Meg Bryant • Jan. 20, 2017 -
CMS reins in pass-through payments
Safety-net hospitals, clinics and physicians will be looking for new income streams to replace billions in payments that are being phased out.
By Kathleen Gilbert • Jan. 19, 2017 -
CMS' new Office of Clinician Engagement aims to reduce regulatory burden
The formation of the new office could stem from a provision in the 21st Century Cures Act.
By Luke Gale • Jan. 19, 2017 -
Preventable hospitalizations on the decline
Quality measures helped reduce preventable hospitalizations by 31% among consumers eligible for both Medicare and Medicaid.
By Luke Gale • Jan. 19, 2017 -
McKesson settles alleged CSA violations for record $150M
The Fortune 500 healthcare services and IT company must hire an independent monitor to assess compliance with controlled substances regulations as part of the settlement.
By Meg Bryant • Jan. 19, 2017 -
We may be able to avoid casualties in the ACA battle, according to one proposed replacement plan
A new set of ideas offers more detail than we’ve seen before but will require buy-in from employers.
By Kathleen Gilbert • Jan. 19, 2017
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