Government: Page 163
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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 -
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 -
Deep Dive
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 -
Deep Dive
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
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