Government: Page 194


  • Rehab facilities to get 1.7% Medicare rate increase

    The proposed increase will be dependent on the reporting of new quality measures.

    By Julie Henry • April 27, 2015
  • Consumers, health plans dispute new NY law targeting 'surprise' out-of-network bills

    Patients must now be warned in advance if they are to receive treatment from an out-of-network provider, but the debate over the policy isn't over yet. 

    By Heather Caspi • April 24, 2015
  • Olympus warned European hospitals, but not U.S. hospitals, of endoscope risks

    Although the FDA learned of the warnings, it chose not to pass along the information at that time.

    By Heather Caspi • April 24, 2015
  • 12 states weigh vaccine bills in light of measles resurgence

    Officials are cracking down now that the rate of opt-outs has impacted public health.

    By Heather Caspi • April 24, 2015
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    Feds use hospital funding to pressure Texas Medicaid expansion

    Some experts anticipated that the feds' actions in Florida might foreshadow pressure on other Medicaid expansion holdouts.

    By Heather Caspi • April 22, 2015
  • CMS intends to permanently boost state Medicaid enrollment funding

    The matching rate will no longer expire in 2015, according to a new proposed rule. 

    By Julie Henry • April 21, 2015
  • Deep Dive

    Five-star ratings: Why some hospitals performed better than others

    It's questionable whether or not the star ratings will have much of an effect on consumers' choice of hospitals.

    By Julie Henry • April 20, 2015
  • CMS proposes pay increase for hospitals, hints at 'two-midnight' changes

    Hospitals that do not participate in quality reporting programs "will be subject to a one-fourth reduction of the market basket update."

    By April 20, 2015
  • Telehealth funds cut from 21st Century Cures, sources say

    Another source suggested that the committee is simply trying to downplay industry expectations. 

    By April 17, 2015
  • CMS releases first star ratings; only 251 hospitals get five stars

    Are the five-star ratings a meaningful reflection of performance? Some stakeholders say no. 

    By Heather Caspi • April 17, 2015
  • Florida governor to sue feds over alleged Medicaid coercion

    The debate could set a precedent for whether the federal government will be able to put pressure on other states holding out against Medicaid expansion.  

    By Heather Caspi • April 17, 2015
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    CMS proposes 1.4% rate increase for skilled nursing facilities

    The increase matches the 2014 hike, but is a drop from the $750-million boost that SNFs received in 2015. 

    By April 16, 2015
  • Senate passes 'doc fix', repeals SGR

    The bill now goes to President Obama's desk, where it is expected that he will quickly sign it into law. 

    By April 15, 2015
  • New draft rule would shorten MU attestation period to 90 days

    The proposed rule would either reduce or eliminate other program requirements as well. 

    By April 13, 2015
  • Deep Dive

    CMS actuary says SGR bill is short-term fix

    On Friday, CMS' chief actuary released a report outlining some anticipated short-term and long-term financial effects.

    By Julie Henry • April 13, 2015
  • HIMSS15: Mostashari criticizes proposed relaxation of MU rules

    "For the first time I'm taking issue [with agency policy]," the former federal health IT coordinator said. 

    By April 13, 2015
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    Minnesota: State-created insurer can keep records private

    The court stated that the Minnesota Joint Underwriting Association "clearly and unambiguously is not a state agency."

    By Heather Caspi • April 10, 2015
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    Deep Dive

    Inside the controversial transition to a new Medicare Advantage risk-adjustment model

    According to one report, the new model will result in a 23% reduction in plan payments for people with chronic kidney disease.

    By Julie Henry • April 8, 2015
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    Study: Changing 'next of kin' definition creates challenges for providers

    If the next of kin is not recognized by state law, courts or ethics committees may have to become involved in life-or-death decisions. 

    By Julie Henry • April 8, 2015
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    CMS proposes rule to extend mental health parity to Medicaid, CHIP

    The proposed rule would affect more than 22 million people, but some say it isn't enough to overcome barriers to care for mental health patients. 

    By Julie Henry • April 8, 2015
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    FDA
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    AZ allows patients to order lab tests without physician order

    The legislation was signed in the midst of the ongoing controversy over Mark Cuban's claim that patients should get quarterly bloodwork to establish a "baseline." 

    By April 7, 2015
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    Medicare Advantage payments to rise in 2016

    According to CMS, insurers will likely see overall revenue increase by about 3.25%. 

    By April 6, 2015
  • Deep Dive

    Will the SGR fix impact medical malpractice?

    Proponents and critics of a key provision in the doc fix bill weigh in. 

    By Julie Henry • April 6, 2015
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    NJ insurers fight for change to out-of-network payment rules

    Health insurers say existing rules requiring them to pay for emergency care at full charge rates are imposing heavy costs.

    By April 2, 2015
  • CMS delays 'two midnight' rule enforcement for another 30 days

    The agency is giving Congress a chance to pass the "doc fix" bill before it takes action. 

    By April 2, 2015