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It's official: Medicare will reimburse more hospitals for TAVR

June 26, 2019


CMS on Friday finalized requirements that relax the number of procedures required to receive Medicare and Medicaid reimbursement for transcatheter aortic valve replacements.

From 'secret' price disclosures to upfront out-of-pocket costs: Inside Trump's latest executive order on health care

June 25, 2019


President Trump on Monday signed an executive order aimed at increasing transparency of U.S. health care costs and quality that calls for requiring hospitals and physicians employed by hospitals to post their prices publicly, including the discounted prices they have negotiated with health insurers.

Centene, WellCare merger just cleared a 'big milestone'

June 25, 2019


Centene and Wellcare on Monday received their shareholder's approval to merge, but the companies still need regulatory approval for the proposed merger, which would form a combined entity with revenue of about $97 billion in 2019 on a pro forma basis and 22 million members nationwide.

What it's like to go to the doctor when you're transgender

June 25, 2019


Transgender patients "still struggle to find competent basic care, much less trans-specific care," and a recent proposed rule from the Trump administration would return the transgender community to a health care environment that can deny them care, Katelyn Burns, a freelance journalist who is transgender, writes in a first-person essay for Vox.

Appeals court allows Trump admin’s Title X rule to take effect

June 24, 2019


A federal appeals court on Thursday ruled that the Trump administration is allowed to enforce a final rule that bars providers and clinics that receive Title X family planning grants from providing or referring patients for abortion care in the same location as their family planning services.

Medicaid work requirements don't boost employment, new study suggests

June 21, 2019


After Arkansas implemented Medicaid work requirements, thousands of adults lost their health insurance and unemployment among Medicaid-eligible adults rose, according to a study published Wednesday.

FDA wants to change the way it evaluates opioids. Here's how.

June 21, 2019


FDA on Thursday released draft guidance aimed at strengthening the agency's framework for reviewing new opioid drugs by comparing the safety and effectiveness of proposed products to existing products and assessing whether new products would reduce the risk of opioid misuse.

CMS announces an estimated $180M settlement of long-delayed Medicare claims

June 21, 2019


After two years of negotiations, CMS on Monday announced new voluntary options for Inpatient Rehabilitation Facilities to settle disputes over denied Medicare Part A claims.

Alexander, Murray just released updated legislation to address 'surprise' medical bills. Here's what made the cut.

June 20, 2019


Sens. Lamar Alexander (R-Tenn.) and Patty Murray (D-Wash.) on Wednesday formally introduced a wide-ranging bill to address so-called "surprise" medical bills that would establish a benchmark provider payment rate for out-of-network services, instead of the arbitration process favored by hospital industry groups.

What happens when a hospital gets 4,500 scam calls in just 2 hours?

June 20, 2019


Tufts Medical Center in April 2018 received almost 5,000 scam phone calls in two hours, bringing communications at the hospital to a standstill—and it is not the only health care provider to be hit with such calls.

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