Government: Page 81
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Trump admin unveils final mandatory kidney care payment model
Forced participation in the ESRD model, where CMS will identify providers in randomly selected regions to take part, drew industry ire when it was first proposed one year ago.
By Samantha Liss • Sept. 18, 2020 -
'We feel bullish': Payers look ahead to 2021
Top execs at the biggest commercial insurers outlined shifting strategic priorities and growth opportunities in light of the COVID-19 recession at Morgan Stanley's annual healthcare conference last week.
By Rebecca Pifer Parduhn • Sept. 17, 2020 -
Alex Wong via Getty Images
CMS innovation agency to launch risk-based model for dual eligibles
Along with the dual-eligible demonstration, CMMI head Brad Smith said Tuesday industry could expect some additional models to come out of the pipeline in the next few months.
By Rebecca Pifer Parduhn • Sept. 16, 2020 -
OCR settles with 5 more providers on HIPAA right of access violations
Three of the providers failed to give the patient medical records access until after a second complaint to the HHS Office of Civil Rights was submitted and validated.
By Shannon Muchmore • Sept. 16, 2020 -
Uninsured rate rose to 9.2% in US last year, pre-COVID-19 recession
The high cost of U.S. healthcare continues to stress the country's economic outlook overall. About 7.7 million more Americans would be considered low-income if their medical bills were factored in, the U.S. Census Bureau said.
By Rebecca Pifer Parduhn • Sept. 16, 2020 -
FTC urges Texas regulators to block merger under COPA
The agency was blistering in its comments, warning regulators the deal would result in serious competitive and consumer harm in the form of higher prices, lower quality and diminished access to care and innovation.
By Samantha Liss • Sept. 15, 2020 -
CMS to ax inpatient data in MA risk scoring by 2022
The proposed changes should be a net positive for Medicare Advantage players, resulting in a 0.25% rise in risk scores.
By Rebecca Pifer Parduhn • Sept. 15, 2020 -
Naomi Eide/Healthcare Dive
OSHA fines 3 hospital systems for PPE violations
Bergen New Bridge Medical Center said Monday afternoon it had not received the OSHA report but will "respond accordingly" when it does. The other two hospitals have not responded to requests for comment.
By Ron Shinkman • Updated Sept. 15, 2020 -
CMS kills controversial Medicaid fiscal accountability rule
The rule proposed last year would have increased federal oversight of how states fund their Medicaid programs and potentially resulted in funding cuts for the cash-strapped program. Providers strongly opposed it.
By Rebecca Pifer Parduhn • Sept. 14, 2020 -
Trump releases long-awaited drug pricing order, but its effects are likely far off
The White House disclosed details of an order to cut Medicare prices to international rates, but the proposed plan will be difficult to carry out and could take months to enact.
By Jonathan Gardner • Sept. 14, 2020 -
Courtesy of Fitbit
Fitbit receives FDA clearance for ECG app
The wearables giant has trailed rivals in product development and approval in the heart rhythm tracking arena. The nod brings it up to speed with Apple and Samsung.
By Rebecca Pifer Parduhn • Sept. 14, 2020 -
OIG says $2.6B paid out under MA risk adjustment with scant encounter data
The watchdog's analysis also found health risk assessments were taking place at a patient's home, and were often conducted by providers contracted by the health plan instead of their actual physician.
By Ron Shinkman • Sept. 11, 2020 -
Opinion
Hospice respite flexibility is recipe for more patient protection
The CEO of the National Hospice and Palliative Care Organization writes in support of a bill that would allow respite care to be provided outside of inpatient settings and hospice patients to receive up to 15 days of respite care.
By Edo Banach • Sept. 9, 2020 -
Hospitals urge HHS to step in on 340B fight with drug manufacturers
On Friday, more than 1,100 hospitals sent another letter to HHS urging it to take action against drug manufacturers limiting drug distribution to 340B facilities.
By Shannon Muchmore • Updated Sept. 11, 2020 -
Brian Tucker/Healthcare Dive
Medicaid enrollment has jumped 4.3M since February, could grow much more
By contrast, between February and August of last year, Medicaid enrollment averaged a decrease of 0.7% among all states, a report from Families USA found.
By Ron Shinkman • Sept. 8, 2020 -
Samantha Liss/Healthcare Dive
MedPAC commissioners hint at telehealth policies that may stick post-COVID-19
"Pandora's box is open," Commissioner Susan Thompson, interim CEO of UnityPoint Health, said Friday, urging the group to embrace the moment.
By Samantha Liss • Sept. 8, 2020 -
Doctors affiliated with health systems have much higher MIPS scores, JAMA study finds
A separate study found that physicians who had the highest proportion of patients dually eligible for Medicare and Medicaid also had significantly lower performance scores than other doctors.
By Shannon Muchmore • Sept. 8, 2020 -
HHS issues plan to improve rural health, leaning on telehealth
But the Trump administration's lengthy plan falls short of a complete overhaul, citing relatively small funding increases and a fair amount of initiatives already in place.
By Ron Shinkman • Sept. 4, 2020 -
The White House/Healthcare Dive, data from WhiteHouse.gov
Federal COVID-19 cash saved most hospitals from bleakest forecasts: MedPAC
But any new congressional relief is stalled in Congress, and an HCA official warned cost-cutting initiatives that helped operators aren't sustainable.
By Rebecca Pifer Parduhn • Sept. 4, 2020 -
CBO finds COVID-19 puts Medicare trust fund insolvency just 4 years away
The pandemic has shaved two years off the expected lifespan of the hospital insurance fund, leading Medicare experts to urge Congress to act as soon as possible to save the program.
By Rebecca Pifer Parduhn • Sept. 4, 2020 -
Brian Tucker/Healthcare Dive
Final inpatient payment rule confirms price transparency push
CMS is also adding 24 technologies to receive add-on payments and finalizing a diagnosis-related group for CAR-T cancer therapies.
By Hailey Mensik • Updated Sept. 3, 2020 -
CMS pitches coverage of breakthrough devices in tandem with FDA authorization
The proposal follows years of AdvaMed lobbying for products awarded the special FDA designation to gain Medicare reimbursement upon clearance or approval.
By Maria Rachal , Susan Kelly • Sept. 2, 2020 -
Abbott gets emergency authorization for rapid $5 COVID-19 antigen test
As the fourth company to get the FDA emergency nod, the medtech giant's scale makes it a "significant entry [that] could help democratize testing," said former agency head Scott Gottlieb.
By Nick Paul Taylor • Aug. 27, 2020 -
First platform in embattled VA-Cerner EHR project goes live
The $16 billion initiative has been dogged by delays, infrastructure problems and leadership turnover since 2018.
By Rebecca Pifer Parduhn • Aug. 26, 2020 -
Brian Tucker/Healthcare Dive
Hospitals slam 'disturbing' COVID-19 data reporting requirement threatening Medicare funding
The American Hospital Association quickly bashed the interim final rule, calling it "heavy-handed" and requesting it be reversed immediately.
By Shannon Muchmore • Aug. 26, 2020
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