Government: Page 166
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Humana outlines ACA market withdrawal in Q2 earnings report
The carrier stated it's pulling back individual market operations to "no more than 156 counties" in 11 states.
By Jeff Byers • Aug. 3, 2016 -
Appeals court: Maryland health co-op must make $24M risk adjustment payment
The co-op is optimistic it will be able to settle the balance.
By Ana Mulero • Aug. 2, 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 -
New insurance data analysis shows how large the opioid epidemic is
Fair Health's analysis of claims data spanning 105 million individuals found medical services on an insurance claim with an opioid dependence diagnosis rose 3,203% from 2007 to 2014.
By Jeff Byers • Aug. 1, 2016 -
FDA to keep regulatory hand out of low-risk wellness technologies
New agency guidance provides clarity for mobile health and fitness device developers.
By Heather Caspi • Aug. 1, 2016 -
Hospice, rehab, skilled-nursing facilities to face payment changes under 2017 Medicare rates
Payments will increase and new quality measures will be adopted once CMS' final rules become effective on October 1.
By Ana Mulero • Aug. 1, 2016 -
How to regulate insurance network adequacy?
Narrow health plan networks may offer consumers value, but they also pose risks.
By Meg Bryant • July 29, 2016 -
US, UK pledge to combat antibiotic resistance through new alliance
The partnership, called Carb-X, brings together government, academic, and industry-based experts to address "super bacteria."
By Nicole Wrona • July 29, 2016 -
Massachusetts expected to okay Beth Israel consolidation plans
The Health Policy Commission said the three proposals would offer a net benefit for the state’s healthcare market.
By Meg Bryant • July 29, 2016 -
CMS releases star ratings despite pressure for further delay
Critics continue to argue the methodology for the ratings is dangerously flawed.
By Heather Caspi • July 28, 2016 -
Paper calls on large employers to help transform healthcare
Employers needn't stand by as a new market evolves but can take an essential role in shaping it.
By Heather Caspi • July 28, 2016 -
11 states take FTC side against Advocate-NorthShore deal
The push and pull continues as the case awaits a turn before the U.S. Court of Appeals.
By Heather Caspi • July 28, 2016 -
Report: OCR slow to punish providers that rack up privacy law violations
ProPublica has created an online tool to help people check for HIPAA violations by provider.
By Meg Bryant • July 28, 2016 -
Yet another university will pay around $2.7M for HIPAA violations surrounding lost equipment
It would behoove providers to have proper HIPAA policies and procedures or it could cost them.
By Meg Bryant • July 27, 2016 -
FDA clarifies form and content of device UDIs
The guidance comes as makers and labelers of Class II medical devices are gearing up for a September UDI compliance deadline.
By Meg Bryant • July 27, 2016 -
You're cordially invited to submit comments on the controversial Open Payments
Policy around required payment disclosures are set to get a second look.
By Heather Caspi • July 26, 2016 -
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 -
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
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