Government: Page 155
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Cleveland Clinic's Cosgrove emerges as Trump's top pick for VA
Cosgrove is a cardiac surgeon who served as an Air Force surgeon in Vietnam and was vice chair of a federal commission that studied veterans' healthcare.
By Meg Bryant • Dec. 23, 2016 -
NY doc is latest charged in BLS kickback scheme
The case involves the largest number of physicians — 27 — ever prosecuted in a bribery scheme.
By Meg Bryant • Dec. 22, 2016 -
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 -
OIG: IT infrastructure cause for concern when it comes to Quality Payment Program
The Office of the Inspection General said CMS technical assistance programs “must quickly be ramped up to full-scale” to help ensure the success of providers.
By Luke Gale • Dec. 22, 2016 -
171K providers to face Meaningful Use penalties in 2017
Around one-third of providers facing Meaningful Use penalties were eligible for an exemption, but didn't apply.
By Luke Gale • Dec. 22, 2016 -
Deep Dive
2016 may be the end of the ACA blame game
Consumers have been facing greater price increases, as well as monopolies in the health insurance and medical fields.
By Ana Mulero • Dec. 22, 2016 -
Deep Dive
New CMS APMs finalize cardiac, orthopedic bundled payment models
The agency also finalized the Medicare ACO Track 1+ Model to encourage smaller practices to participate in performance-based risk.
By Ana Mulero • Dec. 20, 2016 -
OIG: Two-midnight rule can lead to inappropriate hospital billings
Hospitals have been billing less for short inpatient stays since the rule was implemented. However, there are still vulnerabilities in the policy that can lead to adverse billing consequences.
By Luke Gale • Dec. 20, 2016 -
Alex Wong via Getty Images
CMS aims at stabilizing risk pool with 2018 ACA exchange rule
The new risk adjustment model will incorporate prescription drug data, among other modifications.
By Ana Mulero • Dec. 19, 2016 -
CMS adds two more Advanced APMs in press to grow participation
CMS expects 25% of clinicians will participate in Advanced Alternative Payment Models by 2018.
By Meg Bryant and Ana Mulero • Dec. 16, 2016 -
Top 1% would see big tax cut with ACA repeal
Republican plans to dismantle Obamacare would end health insurance for millions of Americans — and do away with several taxes on high-income households.
By Meg Bryant • Dec. 16, 2016 -
First charges come in generic price-fixing probe
According to a report from Bloomberg, the investigation could extend to more than a dozen companies and cover over 20 products.
By Ned Pagliarulo • Dec. 15, 2016 -
Deep Dive
Uncertainty. Opportunity. It'll all be there for healthcare in 2017, PwC says
While industry eyes will be on the White House next year, trends toward value-based care will continue, Trine Tsouderos, PwC's Health Research Institute director, told Healthcare Dive.
By Jeff Byers • Dec. 15, 2016 -
Deep Dive
GOP repeal-and-delay plans spell uncertainty for insurers
“It’s hard for insurers to know how the market is going to change over the coming months and years,” said Ira Parghi, a San Francisco-based attorney for Ropes & Gray.
By Luke Gale • Dec. 14, 2016 -
Alex Wong via Getty Images
HHS takes stock of uninsured rates, quality of care under ACA
With the future of the ACA in question, HHS released new data stumping for the legislation’s effectiveness.
By Kathleen McGuire Gilbert • Dec. 14, 2016 -
CMS expands oversight on third-party provider payments to private plans
The agency issued new requirements for dialysis centers that make payments of premiums for individual market health plans.
By Luke Gale • Dec. 14, 2016 -
Deep Dive
Dr. Vindell Washington on health IT: Where should we go from here?
The National Coordinator for Health IT discussed in an interview with Healthcare Dive how the next administration can help keep the momentum going with current health IT priorities.
By Ana Mulero • Dec. 14, 2016 -
CDC: Drug overdose deaths hit new high in 2015
The epidemic persists despite efforts made by the federal government and other entities to reduce reliance on prescription opioids.
By Luke Gale • Dec. 12, 2016 -
Aetna/Humana-DOJ trial: Prosecutors battle over Medicare Advantage plans
Evidence that Molina Healthcare officials had said the health system was unprepared to take the insurance giants' assets has been introduced.
By Luke Gale • Dec. 12, 2016 -
Report: High-need patients need more help
The Commonwealth Fund made some suggestions for addressing the unique challenges these patients face.
By Luke Gale • Dec. 12, 2016 -
Evergreen dropped from Maryland's 2017 individual insurance market
The health insurance co-op has been trying to segue into a for-profit status after facing financial ruin earlier this year.
By Meg Bryant • Dec. 9, 2016 -
CMS aims to empower patients with new engagement models
Organizations can begin applying now.
By Ana Mulero • Dec. 9, 2016 -
Six former pharma execs arrested, charged with bribing doctors
Federal officials are accusing several former Insys employees of illegally promoting the off-label use of Subsys, a fentanyl-based painkiller.
By Luke Gale, Ned Pagliarulo, Lisa LaMotta & Jeff Byers • Dec. 8, 2016 -
AHIP: ACA repeal-and-replace can be done 'responsibly'
CEO and President Marilyn Tavenner believes the individual mandate is likely on the chopping block.
By Ana Mulero • Dec. 8, 2016 -
Medicaid in New York expands coverage for transgender youth
Some research suggests that requiring coverage for transition-related care in transgender teens can improve their health outcomes and more states are implementing policies to do just that.
By Luke Gale • Dec. 8, 2016 -
On-site HIPAA audits set to begin in 2017
HHS Office of Civil Rights intends to prevent future noncompliance.
By Luke Gale • Dec. 8, 2016
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