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Meet John O'Brien, Azar's new senior adviser on drug pricing

December 10, 2018


John O'Brien, a former executive at CareFirst Blue Cross Blue Shield, will oversee the Trump administration's implementation of a proposed Medicare Part B drug pricing model intended to bring provider reimbursements in line with prices paid in other countries.

The lag in federal exchange signups, charted

December 10, 2018


CMS data show about 3.2 million U.S. residents selected federal exchange plans from Nov. 1, the first day of the Affordable Care Act's current open enrollment period, through Dec. 1.

CMS finalizes rule on 2018 risk-adjustment payments

December 10, 2018


CMS under a new rule will "adopt the risk adjustment methodology that HHS previously established for the 2018 benefit year," which bases such payments on statewide average premiums.

Chickenpox parties are making a comeback. That's a terrible idea, doctors say.

December 10, 2018


Chickenpox parties for unvaccinated children are making a comeback, leading health care providers to reiterate the risks of exposing children to the full-strength chickenpox virus.

Despite 'glimmers of stability,' Moody's predicts worsening financial outlook for nonprofit hospitals

December 10, 2018


Nonprofit hospitals will continue to see expenses outpace revenue in 2019 because of a number of factors, including weak inpatient admissions and increases in bad debt, according to a new report from Moody's Investors Service.

Many Medicare Advantage provider directories are still inaccurate, federal audit finds

December 7, 2018


Nearly 50% of Medicare Advantage directories that beneficiaries use to find a provider contained at least one inaccuracy, according to a federal audit released last week.

How the Trump admin wants to make health care more competitive

December 6, 2018


HHS, the Department of Labor, and the Department of the Treasury in a 119-page report recommend reforms across the U.S. health care market to promote choice and competition.

Incoming Senate Finance Committee leaders unveil bill to address Medicaid drug costs

December 6, 2018


Sens. Chuck Grassley (R-Iowa) and Ron Wyden (D-Ore.), the incoming leaders of the Senate Finance Committee, released a draft bill that would provide HHS with the authority to penalize drugmakers participating in the Medicaid Drug Rebate Program for misclassifying their products.

Nearly 1,700 hospitals violated 'the Golden Rule of emergency care,' according to a new investigation

December 5, 2018


About a third of U.S. hospitals over the past decade violated federal standards for providing emergency department care, according to an investigation by WebMD and Georgia Health News.
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