Government: Page 175
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CMS official: adjustments possible on Medicare drug proposal
The administration is reviewing comments in the face of both Republican and Democratic resistance.
By Heather Caspi • June 30, 2016 -
HHS aims to streamline Medicare appeals process
The mounting backlog of more than 700,000 cases would take 11 years to clear under the current system.
By Heather Caspi • June 30, 2016 -
DOJ accuses Prime of driving up Medicare admissions
Staff members were allegedly pressured into accepting lenient admissions standards.
By Heather Caspi • June 30, 2016 -
Aetna/Humana merger inches closer to closing with Illinois approval
Illinois insurance chief Melissa Dowd concluded the deal won’t harm competition in the Medicare Advantage market.
By Meg Bryant • June 29, 2016 -
Federal panel casts doubt on benefit of pelvic exams for healthy women
The draft recommendation is a reminder of how medical procedures long considered best practice can turn out to have little scientific basis.
By Meg Bryant • June 29, 2016 -
Hacker posts 9.3M patient records for sale on dark net
In the face of growing ransomware attacks, HHS proposed steps healthcare entities can take to protect their databases.
By Meg Bryant • June 29, 2016 -
Supreme Court rejects home healthcare wage lawsuit
A rule requiring minimum wages and overtime pay for home health workers will stay in place. It only applies to workers who are employed by third parties like home healthcare agencies.
By Ana Mulero • June 28, 2016 -
Deep Dive
STDs are rising. What can providers do?
“We want doctors to discuss STDs and risk-reduction strategies with their patients,” says CDC epidemiologist Eloisa Llata.
By Meg Bryant • June 27, 2016 -
Health policy leaders to HHS: More bundled payment models, please
Cardiac procedures should be the focus of the next mandatory bundled payment demonstration, some health policy leaders say.
By Heather Caspi • June 27, 2016 -
SCOTUS dismisses Texas abortion law in 5-3 decision
Some have called the case the first major abortion case in about 10 years.
By Ana Mulero • June 27, 2016 -
Report: Rx drug monitoring programs reduce opioid overdose deaths
Missouri, the only state without a prescription drug monitoring program, outpaced the other 49 in deaths related to opioid misuse.
By Meg Bryant • June 24, 2016 -
Kentucky's Bevin reveals Medicaid expansion waiver plans
In his campaign, Bevin said he would "reverse" Medicaid expansion but has since changed his strategy.
By Meg Bryant • June 24, 2016 -
California insurance commissioner makes opposition to Aetna/Humana merger official
His plea comes three days after the California Department of Managed Health Care approved the merger.
By Ana Mulero • June 24, 2016 -
Amateria1121 [CC BY-SA 3.0 (https://creativecommons.org/licenses/by-sa/3.0)], from Wikimedia Commons
Oregon P4P efforts paying off, net $168M in incentives
A Oregon Health Authority report found a 33% decrease in adults who had a hospital stay and were readmitted for any reason within 30 days since 2011.
By Meg Bryant • June 24, 2016 -
Retrieved from Flickr.
Deep DiveMedicare fraudsters beware: The government is coming
Providers can update their compliance program to ensure no fraudulent, accidental or purposeful, billing occurs within their walls.
By Jeff Byers & Ana Mulero • June 23, 2016 -
Health IT Now calls for telehealth requirements, interoperability standards
The coalition has sent several letters to congressional leaders this week regarding the National Defense Authorization Act for 2017 and the Comprehensive Addiction and Recovery Act of 2016.
By Ana Mulero • June 23, 2016 -
After 6 years, an outline of a plan to repeal the ACA hits the streets
The paper states the ACA "has proven unaffordable, unworkable, and intrusive in Americans’ everyday lives."
By Jeff Byers • June 22, 2016 -
HHS to fund small practices to help meet quality measures
Funded organizations will help small practices navigate issues such as which quality measures or EHR best meet their specific needs.
By Meg Bryant • June 22, 2016 -
Public option poised to unite Democrats
Is it the ideal compromise, or just a mirage?
By Heather Caspi • June 21, 2016 -
CMS continues to shake up payer landscape, seeks adjustments to payment error rate measurements
A proposed rule could tighten up the programs that measure Medicaid improper payments and eligibility.
By Heather Caspi • June 21, 2016 -
DOJ: Dispense with 'junk science' in merger bids
Officials are taking a hard line against dubious data presentations.
By Heather Caspi • June 20, 2016 -
FTC presses on against Advocate-NorthShore merger
Advocate and NorthShore insist the merger won’t hurt health insurers or patients.
By Meg Bryant • June 17, 2016 -
Deep Dive
How should hospitals handle texting orders?
A 2015 report found $1 million could be saved annually per hospital by using text messaging for clinical communications.
By Ana Mulero • June 17, 2016 -
SCOTUS false claims decision sets up increased liability potential for providers
Two-thirds of all whistleblower lawsuits in the U.S. last year involved healthcare entities.
By Meg Bryant • June 17, 2016 -
Federal reports criticize FDA, provide ammunition for reform
Is the FDA failing to keep pace with advances in medical devices?
By Heather Caspi • June 16, 2016
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