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

Michigan to require patient consent for telehealth services

The bill had the backing of the ERISA Industry Committee and the U.S. Department of Justice.

By Meg Bryant • Dec. 8, 2016

What a Trump administration may mean for digital health

Trump will likely focus on cutting employers’ healthcare costs, which could bode well for digital apps and other technologies that can help keep people healthy.

By Meg Bryant • Dec. 8, 2016

21st Century Cures bill passes Senate

After a 94-5 vote to pass the the legislation, the sweeping regulatory package heads to President Obama's desk.

By Jeff Byers • Dec. 7, 2016

21st Century Cures Act: 4 health industry impacts summarized

You've been hearing about it, but what exactly is the Cures bill?

By Jeff Byers • Dec. 7, 2016

Study: Docs take stock of low value care interventions

Certain interventions such as antibiotics for respiratory infections and opioids for chronic pain are frequently prescribed even though their costs and ability to cause harm can outweigh the potential benefits.

By Luke Gale • Dec. 7, 2016

Court grants delay of GOP Obamacare lawsuit

The court ruling will allow the case to proceed under a more favorable Trump administration.

By Meg Bryant • Dec. 6, 2016

Hospital groups: ACA repeal may cost billions, jobs

The American Hospital Association and the Federation of American Hospitals released two reports on how repealing the ACA could impact U.S. hospitals and patients. It isn't pretty.

By Ana Mulero • Dec. 6, 2016

ACA repeal would come with political consequences

More than 9 million people could lose their premium subsidies if the ACA is repealed, according to new data from the Kaiser Family Foundation.

By Luke Gale • Dec. 6, 2016

Slavitt optimistic about value-based care moving forward

The acting CMS administrator addressed a conference last week on past health reform efforts in the Affordable Care Act as well as future efforts included in the Quality Payment Program.

By Luke Gale • Dec. 5, 2016

21st Century Cures Act heads to the Senate today

The bill includes a total of $6.3 billion in funding for a variety of healthcare efforts.

By Luke Gale • Dec. 5, 2016

Senate Republicans shy away from early Medicare reform

Taking on Medicare reform in early in 2017 would be “biting off more than we can chew,” Sen. Lamar Alexander (R-TN) told Politico. 

By Luke Gale • Dec. 5, 2016

Fortune picks healthcare stock winners for a Trump White House

Pharma companies stand to gain from the 21st Century Cures Act, which has a number of provisions aimed at speeding up drug approvals.

By Meg Bryant • Dec. 2, 2016

'Repeal and delay' could be a 'fiasco' for the ACA insurance market

The Hill reported Republicans are in talks with payers to prevent a market collapse once an Obamacare repeal bill is passed.

By Luke Gale & Jeff Byers • Dec. 2, 2016

One group that isn't too happy over Price's HHS nomination: Physicians

The American Medical Association and other medical trade groups have come out in favor of Rep. Tom Price as HHS Secretary. However, many physicians are upset by the selection. 

By Luke Gale • Dec. 2, 2016

Fewer people struggling to pay medical bills since ACA

An uptick in healthcare financial stability may or may not be here to last, depending on future healthcare policy.

By Heather Caspi • Dec. 1, 2016

City stress levels connected to hospital star ratings

New research adds to debate around the fairness of CMS' controversial hospital star ratings.

By Heather Caspi • Dec. 1, 2016

GWU researchers tout why tax exempt hospitals need IRS policy expansion

A new study found the top health challenges facing most U.S. hospitals are obesity, mental health and diabetes.

By Ana Mulero • Dec. 1, 2016

White House highlight advancements in mental healthcare

Under the direction of the Obama administration, several federal agencies including the CDC and the FDA have taken action to address substance misuse disorders and mental health conditions. 

By Luke Gale • Dec. 1, 2016

Why American Heart Association wants a fitness test to be part of a routine checkup

Fitness levels have an effect on risk for numerous health conditions, but risk classification systems don't account for this. The AHA hopes to change that. 

By Luke Gale • Dec. 1, 2016