Government: Page 157
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CMS announces more money for inpatient hospitals, changes to EHR reporting
The CMS also seeks to alter uncompensated care reimbursements for safety net hospitals.
By Les Masterson • April 17, 2017 -
Deep Dive
Why (even red) states are expanding Medicaid and what that means for health systems
Major health reform may be all but dead at the federal level, but many states still have big decisions to make.
By Shannon Muchmore • April 17, 2017 -
Final ACA regulations tighten enrollment window, loosen coverage requirements
The changes to the ACA regulations come after Republicans failed to push through a law repealing the measure.
By Shannon Muchmore • April 17, 2017 -
Report: More competition will contain healthcare costs, improve quality
A "dearth of competition" has created a dysfunctional healthcare system, according to a new paper from the Center for Health Policy at Brookings and Carnegie Mellon University’s Heinz College.
By Les Masterson • April 14, 2017 -
Deep Dive
Why the threatened AHRQ is vital to the hospital industry
The Agency for Healthcare Research and Quality’s budget is less than 1% of everything spent on health research and just 0.016% of all spending on healthcare. But Trump's proposed budget would do away with it.
By Meg Bryant • April 13, 2017 -
Hospitals participating in value-based programs have lower readmission rates
A study published in JAMA Internal Medicine looked at hospital records for heart attack, heart failure and pneumonia patients.
By Meg Bryant • April 12, 2017 -
Major healthcare lobbying groups urge Trump, Congress to fund ACA subsidies
"The most critical action to help stabilize the individual market for 2017 and 2018 is to remove uncertainty about continued funding for cost sharing reductions," eight influential groups wrote to the administration.
By Jeff Byers • April 12, 2017 -
Hospital-based physicians provide more unnecessary services
Community-based primary care providers were less likely to order imaging exams and specialty referrals, according to a study of 31,000 appointments.
By Luke Gale • April 12, 2017 -
Alex Wong via Getty Images
Continuation of cost-sharing subsidies won't ease insurers' uncertainty
Health insurance companies are still wondering about the long-term policy to cover the cost of insuring 7 million low-income Americans.
By Les Masterson • April 11, 2017 -
Gallup: Uninsured rate ticks up to 11.3% at the start of 2017
The uninsured rate reached a record low of 10.9% in the last two quarters of 2016, but it is unclear whether the recent uptick is temporary or a sign of things to come.
By Luke Gale • April 11, 2017 -
Survey: Most docs recommend breast cancer screenings for women in their 40s
The U.S. Preventive Services Task Force's breast cancer screening guidelines, which were updated last year, say mammograms should be optional for women in their 40s.
By Ana Mulero , Luke Gale • April 10, 2017 -
Deep Dive
Healthcare 2020: 8 healthcare questions you need to be prepared to answer
The next decade of employer-sponsored care looks challenging, but promising, according to experts at Business Health Agenda 2017.
By Ryan Golden • April 10, 2017 -
Healthcare added 14,000 new jobs last month
Job growth in healthcare has slowed slightly in the first few months of 2017 compared with last year.
By Luke Gale • April 10, 2017 -
ACA individual insurance market not in 'death spiral,' showed progress in 2016
Standard & Poor's Global Ratings give a positive outlook for the individual market, but it still needs time to mature.
By Les Masterson • April 8, 2017 -
AHCA amendment seeks $15B for high-risk pools
The move doesn't really change expectations for the bill as Congress heads for a two-week spring break.
By Les Masterson • April 7, 2017 -
AHIP spokesperson says MA rate increase 'doesn't move the needle'
The Medicare Advantage market is growing and payers are taking notice, but not just because of a recent rate increase from CMS.
By Luke Gale • April 7, 2017 -
RAND: Medicare spending under MACRA depends on APM participation
If MACRA works as intended, it means hospitals and physicians will be missing out on billions in reimbursement.
By Luke Gale • April 6, 2017 -
Deep Dive
Cleveland Clinic CEO warns against consequences of ACA replacement
Toby Cosgrove said hospital consolidation is an important step in the transition toward promoting value over volume.
By Shannon Muchmore • April 6, 2017 -
Deep Dive
Scott Gottlieb commits to defend FDA's 'gold standard' for drug reviews
Trump's nominee to head the FDA seemed to have the support of many senators at a committee hearing, but his ties to industry and potential conflicts of interest continue to draw scrutiny.
By Ned Pagliarulo • April 5, 2017 -
Deep Dive
GOP eyes medical tort reform
The Protecting Access to Care Act would cap damages for noneconomic damages in malpractice lawsuits at $250,000.
By Meg Bryant • April 5, 2017 -
Medscape report shows multiple factors play into physician salaries
The average annual salary for a physician increased by about 43% from 2011 to this year, but pay gaps persist along gender and racial lines and many physicians report frustration with administrative tasks.
By Luke Gale • April 5, 2017 -
UnitedHealth can sue CMS over Medicare Advantage overpayment rule
The rule allows the CMS to treat overpayments like False Claims Act violations.
By Meg Bryant • April 4, 2017 -
Deep Dive
What payers want to know before they commit to exchanges
Payers would like answers on premium subsidies, risk corridor payments and the individual mandate before they can make decisions on insurance exchanges for the 2018 coverage year.
By Luke Gale • April 1, 2017 -
Bill would balance payments to ambulatory surgery centers
Under the measure, payment rates for ambulatory surgery centers would be updated using the same measure as hospital outpatient departments.
By Meg Bryant • March 31, 2017 -
Alex Wong via Getty Images
Former Siemens exec to serve as ONC head
"Do good work, call on the health IT community, we will support you," Aledade CEO and former ONC head Farzad Mostashari tweeted to Donald Rucker in reaction to his new appointment.
By Ana Mulero • March 31, 2017
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