Government: Page 164
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Slavitt details MACRA commentators' 5 priority areas
The CMS acting administrator touted record engagement in the policywriting process.
By Heather Caspi • July 25, 2016 -
How the DOJ used data to net $1B healthcare fraud case
In what officials call the "largest single healthcare fraud" case ever, providers allegedly conspired to bill Medicare and Medicaid for unneeded drugs, procedures, and equipment.
By Heather Caspi • July 25, 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 -
Megamerger stocks ride out U.S. antitrust challenge
The American Medical Association praised the U.S. effort to block the megamergers.
By Meg Bryant • July 22, 2016 -
CMS teases latest star ratings with 102 hospitals netting 5 stars
Teaching hospitals had lower overall star ratings than non-teaching hospitals.
By Meg Bryant • July 22, 2016 -
CMS announces savings of $42B from program integrity efforts
Spending to reduce medicare fraud and waste is paying off, big time.
By Heather Caspi • July 21, 2016 -
DOJ prepping insurance megamergers suits, sources say
News that the agency may challenge the mergers sent shares of Humana, Aetna, Cigna and Anthem tumbling Tuesday.
By Meg Bryant • July 20, 2016 -
Deep Dive
What providers can expect from California's new aid-in-dying legislation
A look at California's End of Life Option Act based on Oregon's own legislation shows negligible costs to insurers and state medical plans can be expected.
By Shalina Chatlani • July 20, 2016 -
Report: Mobile health apps not keeping pace with privacy protections
The ONC will seek stakeholder input on ways to address the privacy gap in the coming weeks.
By Meg Bryant • July 20, 2016 -
Aetna-Humana fall closure predictions circle around potential MA assets sale
The approval might require Aetna to pare down its Medicare Advantage plans to reduce antitrust concerns.
By Ana Mulero • July 18, 2016 -
MedPAC: Unified post-acute payment system is 'within reach'
The report projects 2016 Medicare Advantage payments will be 102% of fee-for-service spending.
By Heather Caspi • July 18, 2016 -
Slavitt floats possible MACRA delay
Medicare payment reform would be hardest on small practices if pushed through as quickly as planned.
By Heather Caspi • July 14, 2016 -
Deep Dive
AMA guidelines offer roadmap for ethical use of telemedicine
Teladoc called the AMA guidelines a “significant step forward” in the use of telemedicine to advance patient care.
By Meg Bryant • July 14, 2016 -
CMS projects hospital spending to grow 5.8% annually over 2015-2025
Overall, national health expenditures are estimated to have reached $3.2 trillion in 2015.
By Jeff Byers • July 13, 2016 -
Newly passed House mental health reform bill would clarify HIPAA privacy issues
Legislators got the measure to the 422-2 vote by dropping and separating it from gun issues.
By Heather Caspi • July 11, 2016 -
CMS' updated Physician Fee Schedule proposal sweeps across the continuum
The agency is updating a host of payments including some related to mental health services, diabetes prevention and care coordination.
By Meg Bryant • July 8, 2016 -
Alabama ends enhanced payments for some doctors
The payment cuts are in response to an $85 million budget gap in Medicaid funding.
By Meg Bryant • July 8, 2016 -
HHS plan would uncouple hospital payments, pain management surveys
Additional efforts to combat the opioid epidemic HHS announced yesterday range from expanding treatment access to tougher prescription drug monitoring.
By Heather Caspi • July 7, 2016 -
CMS proposes site-neutral outpatient payment rates, flexibility in EHR program
The American Hospital Association is not happy with the decision over the proposed rule.
By Heather Caspi • July 7, 2016 -
Freestanding EDs raise confusion in Colorado
Patients don't know what to make of the dozens of new facilities around the state, advocates say.
By Heather Caspi • July 7, 2016 -
Abbott nets FDA approval for premier fully-dissolving biodegradable stent
The medical device maker plans to roll out the tool at interventional cardiology centers that participated in the ABSORB clinical trial before expanding to more hospitals nationwide.
By Meg Bryant • July 6, 2016 -
ONC's new MACRA-required interoperability metrics look to mitigate reporting fatigue
Many of the comments received were related to four topics: burden, scope, outcomes, and complexity.
By Ana Mulero • July 6, 2016 -
CMS expands claims data access for Qualified Entity Program
The change opens the door for for-profit and third-party entities to use federal claims data.
By Heather Caspi • July 5, 2016 -
Open Payments data reveal docs received $7.52B industry payments in 2015
The American Medical Association chided CMS for “continued data errors and registration challenges” in its program.
By Meg Bryant • July 1, 2016 -
False claims penalties set to double
The sharp increase in FCA penalties could raise constitutional concerns, one lawyer says.
By Meg Bryant • July 1, 2016 -
Is DOJ ready to scuttle the Anthem-Cigna merger?
If the deal falls though, Cigna may attempt to acquire smaller market players who specialize in government-funded plans.
By Meg Bryant • July 1, 2016