Government: Page
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Deep Dive
Here are the challenges providers can expect with CPC+
To expand the initiative, CMS will need to offer incentives that attract payers and providers in other parts of the country, particularly in areas where there are large at-risk populations, one expert says.
By Meg Bryant • Aug. 22, 2016 -
On patient steering from Medicare/Medicaid to marketplace plans, CMS wants answers
Regulatory changes could be coming to stop providers seeking higher reimbursement rates.
By Heather Caspi • Aug. 22, 2016 -
Explore the Trendline➔
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TrendlineSurprise Billing
Federal legislation banning surprise bills has hit a barrage of roadblocks, complicating efforts to protect consumers from unexpected out-of-network charges.
By Healthcare Dive staff -
CMS supports modular approach to Medicaid IT improvements
The aim is to increase state’s ability to upgrade Medicaid Management Information Systems and speed access to enhanced federal financial support.
By Meg Bryant • Aug. 18, 2016 -
FTC issues final order in privacy complaint against Practice Fusion
Practice Fusion was accused of not informing patients physician reviews would be publicly posted. Many responses contained sensitive health information.
By Luke Gale • Aug. 17, 2016 -
Deep Dive
Timeline: Aetna's pending $37B acquisition of Humana
Aetna and Humana say they are prepared to “vigorously defend their pending transaction” against an antitrust lawsuit in a court trial set to begin on December 5.
By Ana Mulero • Aug. 16, 2016 -
Former HHS official touts patient consent for improved health data privacy
The comments come in response to an ONC report which found key privacy gaps in HIPAA's ability to protect personal information generated by wearables and other mobile apps.
By Ana Mulero • Aug. 16, 2016 -
Organ org seeks fairer liver transplant network
The Organ Procurement and Transplantation Network is seeking comments on a policy proposal that would change the geographic distribution system for liver transplants.
By Jeff Byers • Aug. 15, 2016 -
Math gaffe could cost Massachusetts hospitals $110M in Medicare funds
Rhode Island hospitals stand to lose $7 million, thanks to Massachusetts’ mistake.
By Meg Bryant • Aug. 12, 2016 -
Nursing home star ratings get new quality measures
Five new measures will be gradually phased in through January 2017.
By Heather Caspi • Aug. 11, 2016 -
Swedish equity firm to acquire healthcare analytics firm Press Ganey for $2.3B
The deal marks the first time EQT has invested in North America.
By Ana Mulero • Aug. 9, 2016 -
FDA lays out when device modifications require regulatory clearance
Changes that could alter a device’s clinical performance would require the FDA’s greenlight.
By Meg Bryant • Aug. 9, 2016 -
Harken Health withdraws from ACA expansion plans into South Florida
While reasons behind the reversal are currently unknown, Harken Health will instead plan to expand the number of its primary care clinics in Atlanta and Georgia.
By Ana Mulero • Aug. 8, 2016 -
Medicaid expansion leads to better healthcare outcomes, study finds
Adopting expansion was associated with an increase of access to primary care by 12.1 percentage points.
By Ana Mulero • Aug. 8, 2016 -
NY's MVP Health Care seeks bigger footprint in Medicaid market
Managed care has been at the forefront of New York’s Medicaid population growth since the state expanded eligibility under the ACA.
By Meg Bryant • Aug. 5, 2016 -
Deep Dive
Mobile apps and privacy: A pressing conundrum
“We are dealing with uncharted waters because the technology is so young,” says HIPAA consultant Waseem Sheikh.
By Meg Bryant • Aug. 4, 2016 -
FCC releases mapping tool to increase broadband/health connectivity
Commissioner Mignon Clyburn said broadband access “is increasingly becoming a super-determinant of health.”
By Meg Bryant • Aug. 3, 2016 -
Deep Dive
What the new mandatory bundled payments for cardiac care could mean for the industry
One expert believes the industry can expect to see similar models on the horizon for oncology and maternity care.
By Julie Henry • Aug. 3, 2016 -
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 -
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
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