Government: Page 195
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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 -
CT Senate passes bill to minimize competitive advantages
Proponents say that the Yale New Haven Health System is gaining too much power.
By Julie Henry • May 26, 2015 -
House committee unanimously passes 21st Century Cures FDA overhaul
The vote was 51-0—reportedly the first time in nearly three decades that a major bill passed the Energy and Commerce Committee without a single "no" vote.
By Sy Mukherjee • May 21, 2015 -
Beth Israel CIO Halamka slams MU stage 3 draft at CHIME forum
The new proposal—open for public comment until May 29—has drawn its fair share of criticism.
By Nina Flanagan • May 21, 2015 -
CMS soon to release new Medicaid managed care regulations
What should the industry expect to see in the proposal?
By Nina Flanagan • May 21, 2015 -
Deep Dive
How will the Cadillac tax change health plans?
"Creating plans with prices below the surtax threshold is likely to become harder for payers over time," says one healthcare economist.
By Heather Caspi • May 20, 2015 -
FL hospitals refuse Gov. Scott's revenue-sharing proposal
Scott wants to "tax" operating surpluses to sustain the state's LIP program.
By Julie Henry • May 20, 2015 -
RAC reform bill would eliminate financial rewards for denials
The legislation would curb practices hospitals say are costly, overly burdensome and abusive.
By Julie Henry • May 20, 2015 -
New bill would mandate 18-month transition period for ICD-10
CMS would have to accept dual coding of claims and conduct comprehensive end-to-end testing.
By Nina Flanagan • May 20, 2015 -
AMA head supports bill to skip ICD-10, wants to wait for ICD-11
The Cutting Costly Codes Act 2015 would prohibit HHS from adopting ICD-10 as a replacement for ICD-9. Is a longshot?
By Nina Flanagan • May 19, 2015 -
Interstate telehealth licensing compact passes key hurdle
Alabama just became the necessary seventh state required to make the measure a reality.
By Katie Bo Williams • May 18, 2015 -
Cleveland Clinic embroiled in drug trial scandal
The hospital released full trial data without permission that showed that the drug's benefits vanished completely over the longterm.
By Sy Mukherjee • May 14, 2015 -
Feds address birth control, transgender care following noncompliance reports
Insurers must comply with the newly-clarified regs within 60 days.
By Heather Caspi • May 13, 2015 -
White House targets two top ACA complaints
Some new regulations will target insurers, but AHIP is placing at least part of the blame on providers.
By Heather Caspi • May 12, 2015 -
DeSalvo nominated to HHS position, to leave ONC if confirmed
The move was expected in some quarters; DeSalvo is already serving as acting assistant secretary.
By Katie Bo Williams • May 7, 2015 -
CMS to expand controversial Pioneer ACO program because of 'robust' savings
...despite the fact that 13 of the original 32 organizations have dropped out of the program.
By Katie Bo Williams • May 5, 2015 -
21st Century Cures changes would loosen Sunshine Act's CME disclosure rules
There are concerns that current Sunshine Act interpretations of continuing medical education are compromising programming.
By Nicole Gray • May 4, 2015 -
Is Obamacare's controversial 'Cadillac tax' headed for the scrap yard?
The excise tax on high-cost health insurance plans is scheduled to go into effect in 2018 under the ACA.
By Tom Starner • May 4, 2015 -
FDA to study safety and effectiveness of hand sanitizers, other antiseptics
Commonly-used antiseptics are under scrutiny for possible hormonal changes, bacterial resistance and more.
By Julie Henry • May 4, 2015 -
Mount Sinai Beth Israel scrambles to find transgender surgery specialists
New York lifted the Medicaid ban, but the hospital's director for LGBT Services "had to break the news that we don't have a surgeon."
By Julie Henry • May 4, 2015 -
Deep Dive
The 10 brand name drugs that cost Medicare Part D the most money in 2013
Generics cost the insurance program for the elderly the most money overall. But among branded meds, Part D spent the most money on heartburn, COPD, and and cholesterol maintenance therapies.
By Sy Mukherjee • May 1, 2015 -
Kaiser report: Medicaid expansion bolstered Ascension significantly
Ascension saw a 40% drop in charity care costs in expansion states vs. only a 6% drop at hospitals in non-expansion states.
By Heather Caspi • May 1, 2015
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