Government: Page 173
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GAO: Undercover testing claims CMS 'passive' on ACA enrollee fraud identification, prevention
Although thousands of consumers entitled to benefits under the ACA were left uninsured due to inconsistencies in the eligibility system, several fictitious applicants were approved during undercover testing.
By Ana Mulero • Feb. 24, 2016 -
CMS heightens fraudster screening of Medicare providers and suppliers
The agency has several strategies underway to help identify potentially fraudulent service providers.
By Heather Caspi • Feb. 23, 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 -
NIH study finds vaginal ring partially reduces risk of HIV infection
The dapivirine ring reduced the risk of HIV infection by 27% among all study participants.
By Ana Mulero • Feb. 23, 2016 -
Deep Dive
A quick primer on healthcare in the 2016 presidential election
Buckle up because it's election season.
By Ana Mulero • Feb. 23, 2016 -
HPV drops 64% in teenage girls after vaccine
Ten years after its introduction, a HPV vaccine has reduced the virus in teenage girls by 64%.
By Nina Flanagan • Feb. 23, 2016 -
Deep Dive
Study challenges Medicare payment differential for outpatient settings
Does it make sense for physician offices to get a different rate than off-campus hospital outpatient departments?
By Heather Caspi • Feb. 23, 2016 -
Anti-anxiety drugs eyed over role in prescription drug overdoses
Benzodiazepines were involved in 31% of prescription drug overdoses in 2013.
By Heather Caspi • Feb. 22, 2016 -
L.A. hospital's ransom payment raises controversy
The scheme, possibly the first of its kind against a medical institution, has California fighting back.
By Heather Caspi • Feb. 22, 2016 -
Eleventh Circuit decision upholds contraceptive accommodation
Despite the decision, the court recommends waiting for a Supreme Court verdict.
By Heather Caspi • Feb. 22, 2016 -
These governors are pressing to stop providers from prescribing opioids 'like candy'
The governors are championing a bipartisan effort to create treatment protocols aimed at reducing opioid painkiller misuse.
By Shalina Chatlani • Feb. 22, 2016 -
Califf's FDA director nomination up for crucial procedural vote today
If Dr. Robert Califf gets the 51 votes he needs this afternoon, the final vote will occur later this week.
By Ana Mulero • Feb. 22, 2016 -
51 hospitals reach $23M settlement as DOJ concludes cardiac device investigation
A whistleblower alleged the hospitals implanted cardiac devices in elderly patients in violation of Medicare coverage requirements.
By Meg Bryant • Feb. 19, 2016 -
Why Covered California could become first in the U.S. to set commissions for ACA signups
The exchange feels such rules are needed to ensure health plans don’t use commissions as a way of avoiding sicker, more costly consumers.
By Meg Bryant • Feb. 19, 2016 -
Deep Dive
It took CMS four years to finalize its 60-day overpayment rule. Here's how the industry is reacting.
CMS estimates the administrative costs of the final rule at more than $1.3 billion over the next 10 years.
By Nina Flanagan • Feb. 19, 2016 -
Up to 60% of Californians had data stolen last year, report says
California's attorney general, Kamala Harris, said up to three out of five residents may have had electronic records stolen in 2015.
By Nina Flanagan • Feb. 18, 2016 -
Policy change enables federal funding for needle exchanges
The update goes hand in hand with the battle against heroin and prescription opioid abuse.
By Heather Caspi • Feb. 18, 2016 -
Florida teen arrested for posing as physician, running illegal medical office
The teen had also set up a profile on Health Grades, which is no longer on the website.
By Nina Flanagan • Feb. 18, 2016 -
Federal task force questions routine autism screening justification
Insurers could be more reluctant to cover early autism screening after the release of a federal task force's findings.
By Meg Bryant • Feb. 17, 2016 -
Forthcoming federal rule could tie Medicare to hospitals' crisis preparedness
While still being finalized, some healthcare groups have complained the cost of such compliance would be too high.
By Meg Bryant • Feb. 17, 2016 -
WHO urges multi-pronged attack on Zika virus mosquito
Both conventional and new mosquito control techniques are needed to combat the virus.
By Meg Bryant • Feb. 17, 2016 -
Aetna/Humana secure another approval, but hurdles remain
Aetna/Humana has secured 10 of the 20 needed state approvals but Florida's approval comes with strings attached.
By Heather Caspi • Feb. 17, 2016 -
CMS to pay $7.7B for ACA reinsurance payouts
The money will certainly be needed for ACA plan carriers that took on a large number of high-cost members.
By Ana Mulero • Feb. 16, 2016 -
Deep Dive
Is it time to abandon BMI?
Much is at stake as employees risk being penalized for what many experts deem a worthless health measure.
By Heather Caspi • Feb. 15, 2016 -
CBO analyzes ACA impact on private insurance premiums
The report looks at why premiums for private health insurance are "high and rising."
By Heather Caspi • Feb. 15, 2016 -
WHO says Zika, microcephaly link 'more and more probable'
Research is bringing us closer to Zika answers on microcephaly, sexual transmission, and vaccines, WHO says.
By Heather Caspi • Feb. 15, 2016