Government: Page 192
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NJ bill would give hospitals exclusive EMS rights
Cooper University Hospital argues that it could improve local EMS if allowed to operate both paramedic and ambulance services.
By Heather Caspi • June 17, 2015 -
The 3 states with approval to create exchanges post-King
State-based marketplaces may be the only way to preserve subsidies if SCOTUS disallows them, but some states are refusing to go along.
By Katie Bo Williams • June 16, 2015 -
Hospital spending drives 7.2% growth in Q1 healthcare spending
Year-over-year hospital spending grew 9.2%—the biggest quarterly increase since data collection began in 2004.
By Heather Caspi • June 15, 2015 -
What you need to know from the new PwC report predicting a healthcare spending slowdown
How is the industry holding down costs—and where is it failing?
By Nina Flanagan • June 12, 2015 -
Elizabeth Holmes to AHIP meeting: DTC testing is key to health reform
Critics still doubt both the accuracy of Theranos tests and the wisdom of direct-to-consumer testing.
By Nina Flanagan • June 11, 2015 -
Deep Dive
How the final MSSP rule impacts health IT
The new rules do not mandate the adoption of specific technologies—but that doesn't mean there aren't significant implications for IT departments.
By Heather Caspi • June 11, 2015 -
OIG puts scrutiny on individual physicians with new alert
Most fraud settlements are handled in civil court, but the alert warns docs that if the feds can prove criminal intent, cases could be treated accordingly.
By Nina Flanagan • June 11, 2015 -
New bill would create 2-year grace period for ICD-10 coding
AHIMA says a grace period would lead to "inaccurate coding, improper payments and potential medical billing fraud."
By Nina Flanagan • June 10, 2015 -
AMA gets new president, president-elect
Newly-inaugurated Steven Stack, MD is the youngest AMA president in the past 160 years.
By Julie Henry • June 10, 2015 -
CO Supreme Court upholds state opt-out of nurse supervision rule
With some state hospital associations on board, will more states follow suit in response to physician shortages?
By Julie Henry • June 9, 2015 -
Senate bill would let VA NPs practice independently
If the bill passes, nurse practitioners could prescribe some drugs and treat patients without physician oversight, regardless of individual state laws.
By Katie Bo Williams • June 4, 2015 -
Deep Dive
Inside three major hospitals' decision to limit low-volume surgeries
Not everyone thinks Dartmouth-Hitchcock, Johns Hopkins and the University of Michigan have the right idea.
By Nina Flanagan • June 4, 2015 -
UPDATED: Final MSSP rule offers flexibility and high-risk third track
How drastically does the final rule differ from the proposal—and will it keep most ACOs from dropping out?
By Katie Bo Williams • June 4, 2015 -
Almost 90% of ICD-10 test claims accepted, CMS says
The second round of ICD-10 testing has shown good results, but industry wrangling over the adoption of the new codeset still hasn't slowed.
By Nina Flanagan • June 3, 2015 -
Will CA become the first state to offer health coverage to illegal immigrants?
The California Senate has cleared a bill that would provide state-subsidized healthcare to illegal immigrants. It heads to the Assembly next.
By Julie Henry • June 3, 2015 -
Deep Dive
The uncertain future of the 10.2M paid marketplace enrollees
What do the latest enrollment figures—released yesterday—mean if the Supreme Court rules to doom subsidies in King v. Burwell?
By Julie Henry • June 3, 2015 -
GAO report faults use of doctors to set Medicare rates
Are physician groups biased in their recommendations?
By Heather Caspi • June 2, 2015 -
CMS set to issue final ACO rules
New regulations could affect provider willingness to participate in the program.
By Julie Henry • June 1, 2015 -
Deep Dive
Mixed reactions to new managed care 'uber rule': What changes are needed?
At least one provider group says the controversial MLR requirement may be too limiting for patients that require auxiliary services like transportation.
By Nina Flanagan • June 1, 2015 -
Single payer in New York? Not likely
The state Assembly overwhelmingly passed a bill that would eliminate insurance companies in the state of New York.
By Heather Caspi • May 29, 2015 -
Deep Dive
Will other states follow the California Medical Association's lead in the assisted suicide debate?
The CMA is the first state medical society to formally drop its opposition to "death with dignity."
By Julie Henry • May 29, 2015 -
Aetna's $4.5M fine included penalty for covering abortions
It's unusual to see an insurer penalized for providing payment.
By Heather Caspi • May 29, 2015 -
New bill would ease telehealth restrictions for VA providers
Current law dictates that the VA can waive the state license requirement only if both patient and physician are in a federally-owned facility.
By Nina Flanagan • May 28, 2015 -
Open Payments analysis links top Medicare prescribers to pharma fees
Dr. Steven Nissen, cardiovascular chair at the Cleveland Clinic, described it as "an enormous problem."
By Nina Flanagan • May 28, 2015 -
Sweeping Medicaid managed care rule sets MLR at 85%
The long-awaited "uber rule" has already drawn criticism from health plans.
By Katie Bo Williams • May 27, 2015
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