Government: Page 92
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CMS renews focus on catching fraudsters before they re-offend
The agency is beefing up its efforts to catch those that attempt to "reinvent" themselves after being banned from billing government programs.
By Ron Shinkman • Sept. 6, 2019 -
Hospitals should be in peer groups for CMS star ratings, study suggests
Provider groups have attacked the agency's ranking system since it debuted in 2005, saying the approach to measuring quality is overly simplistic and the presentation of the data is difficult for consumers to interpret.
By Linda Wilson • Sept. 5, 2019 -
Trendline
Labor
Hospitals are navigating persistent labor shortages with the need to cut costs — a source of contention that could leave patients caught in the middle.
By Healthcare Dive staff -
AHA, Intel urge FCC to broaden rural telehealth pilot participation
Stakeholders from the healthcare, technology and communications sectors weighed in on the program aimed at increasing access to health services in rural areas.
By Dana Elfin • Sept. 4, 2019 -
Policies reducing price variations may produce savings, study suggests
Payers in Massachusetts could have saved a significant amount of money by steering patients to low-cost providers or setting a price ceiling, according to the research in Health Affairs.
By Linda Wilson • Sept. 4, 2019 -
Thousands who die awaiting kidney transplants rejected multiple organ offers: study
Although the quality of the organ was the primary reason for rejecting an offer, the study suggests the declined organs were suitable for the purpose of sustaining another human being.
By Ron Shinkman • Sept. 3, 2019 -
Deep Dive
Amyloid's last hope? Prevention studies next big test for Alzheimer's research
The DIAN-TU trial, studying patients genetically predisposed to Alzheimer's, could help decide the fate of what's been the dominant hypothesis of the disease's cause.
By Jonathan Gardner • Aug. 29, 2019 -
Medicare paying hospices twice for drugs, OIG says
CMS should develop an oversight program with controls to identify and stop duplicate payments, the inspector general said.
By Linda Wilson • Aug. 29, 2019 -
Kendall Davis/Healthcare Dive
Unblinded: Rebekah Gee's drug pricing experiment
Louisiana's health secretary negotiated a new payment model with Gilead for one of the poorest states in the country. Could it spread nationwide?
By Andrew Dunn • Aug. 28, 2019 -
Dozens of Select Medical LTCHs sue HHS over dual-eligible bad debt
The Provider Reimbursement Review Board refused to reimburse plaintiff hospitals' dual eligible bad debts involving 21 state Medicaid programs.
By Dana Elfin • Aug. 28, 2019 -
CMS updates Medicare Plan Finder following stakeholder pressure
The first iteration has been criticized by myriad stakeholder groups, including the Government Accountability Office, since its 1998 launch.
By Rebecca Pifer • Aug. 27, 2019 -
Trump admin: Immigrant sponsors' income a factor in Medicaid eligibility
Despite vocal opposition to the public charge rule, industry players like the AHA and AHIP have not taken public positions yet on the eligibility requirements for immigrants.
By Samantha Liss • Aug. 26, 2019 -
HHS proposes to nix 'onerous' patient record rule
Relaxing existing privacy protections "will only prevent people who need SUD treatment from entering care out of fear that their private health information would be used against them," one patient advocacy coalition said.
By Samantha Liss • Updated Aug. 26, 2019 -
Q&A
Q&A: ONC chief Don Rucker on bringing the app economy into healthcare
"Most of our health data is actually not in the medical record or in HIPAA or even generated by providers. Most of the available inference on health is sitting in things like the GPS of our phone," the health IT chief told Healthcare Dive.
By Rebecca Pifer • Aug. 22, 2019 -
Elizabeth Regan/Healthcare Dive
Trump administration not giving up on plan to require prices in TV drug ads
Amgen, Merck and Eli Lilly successfully blocked the rule from taking effect in July, winning a district court decision that HHS is now appealing.
By Ned Pagliarulo • Aug. 21, 2019 -
Wyoming seeks to regulate air ambulances like a public utility
Federal regulations have stymied state efforts to regulate air ambulances. Wyoming is trying a new approach, but first it needs CMS on board.
By Samantha Liss • Aug. 21, 2019 -
ONC in talks with Congress, White House on third-party health app privacy
Potential solutions the government is debating include forcing apps to explicitly disclose to the patient every single entity that will receive their secondary information, or having patients give the apps explicit consent to do so.
By Rebecca Pifer • Aug. 21, 2019 -
US task force expands recommended BRCA test population
The Preventive Services Task Force's update potentially boosts business for Myriad Genetics and other BRCA test makers.
By Nick Paul Taylor • Aug. 21, 2019 -
Obamacare exchange consumers stick around longer. Does that mean they're sicker?
The churn expected within the ACA exchanges did occur, though not as fiercely as expected. Now the tide is shifting.
By Samantha Liss • Aug. 20, 2019 -
Kidney transplants jump under Medicaid expansion
A study of more than 15,000 adults with advanced kidney disease showed rates rose after the Affordable Care Act's broadening of coverage, allowing patients access to the pricey procedure.
By Samantha Liss • Aug. 20, 2019 -
CMS to update hospital star ratings early next year despite blowback
"Republishing the flawed ratings in 2020 will not advance the goal of providing the public with accurate, purposeful information about quality," the American Hospital Association's SVP of policy said.
By Rebecca Pifer • Updated Aug. 19, 2019 -
Medicare Advantage is booming but not producing savings, report finds
At the same time, the Medicare Shared Savings Program is cutting costs, but punitive aspects of the program make it less alluring for providers.
By Samantha Liss • Aug. 19, 2019 -
CMS chief unable to provide details on Trump healthcare plan
But Seema Verma did confirm the healthcare agency is "actively engaged in conversations" around the long-awaited plan.
By Rebecca Pifer • Aug. 16, 2019 -
CMS brings controversial star ratings system to ACA plans
Insurance lobby AHIP is not opposed to the rankings, telling Healthcare Dive they're a "positive step" for plan shopping.
By Samantha Liss • Aug. 16, 2019 -
Nation's uninsured rose 700K in Trump's first year
States that refused to expand income eligibility for Medicaid saw the highest increase in uninsured rates.
By Ron Shinkman • Aug. 16, 2019 -
Most providers not fully compliant with HIPAA access requirements, research shows
The most common problem was providers not sending health records via email when patients requested them. About a quarter of providers were also potentially noncompliant with the health privacy law's fee limitations.
By Shannon Muchmore • Aug. 15, 2019
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