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CMS wants to replace Medicaid access reporting requirements—with stakeholders' help

July 12, 2019


CMS on Thursday issued a proposed rule that would eliminate existing requirements on how states assess access to care among fee-for-service (FFS) Medicaid beneficiaries and replace them with a more standardized approach that the agency hopes to develop with industry stakeholders.

HHS is looking for health care leaders to help evaluate its quality programs

July 12, 2019


HHS on Tuesday announced that the department is launching a Quality Summit that aims to bring together government officials and health care industry stakeholders to discuss how HHS quality programs should be evaluated, adapted, and streamlined to help promote value-based care and bolster patient outcomes.

Adam Boehler to step down as director of CMMI

July 12, 2019


Adam Boehler will step down as director and deputy administrator of CMS' Center for Medicare and Medicaid Innovation, after President Trump on Wednesday nominated Boehler to oversee the U.S. International Development Finance Corporation.

Trump just pulled his proposal to eliminate Rx drug rebates. Here's why.

July 11, 2019


The Trump administration has withdrawn its proposed rule to prohibit drugmakers from paying rebates to pharmacy benefit managers under federal health programs, a White House spokesperson confirmed Wednesday.

Inside Trump's plan to overhaul kidney care, donation process

July 11, 2019


President Trump on Wednesday issued an executive order that calls on HHS to overhaul the kidney care and donation allocation process, and HHS shortly after unveiled new payment models for Medicare providers who manage patients with kidney disease and end-stage renal disease.

Nearly 90% of hospices have been cited for care deficiencies, HHS' OIG finds

July 11, 2019


Health inspectors from 2012 through 2016 cited nearly 90% of hospices for at least one deficiency—and about 20% of hospices had deficiencies serious enough to put patients in danger, according to a pair of reports released Tuesday by the HHS' Office of the Inspector General.

How much do air ambulances charge private insurers? More than four times Medicare rates, study finds.

July 10, 2019


Charges for air ambulance services in 2016 were more than four times higher than the rate Medicare paid to transport patients via airplane or helicopter, according to a study recently published in Health Affairs.

Trump admin can't force drugmakers to reveal prices in TV ads, judge rules

July 9, 2019


A federal judge on Monday struck down HHS' final rule to require drugmakers to disclose their products' list prices in consumer-directed television advertisements, blocking the rule from taking effect on Tuesday.

FDA approved a record number of fast-tracked drugs in 2018. Is that good news for patients?

July 9, 2019


FDA approved a record high of 43 drugs through fast-track programs in 2018, representing 73% of new drugs approved by the agency last year and establishing a "new normal" that "is transforming medical decision-making for the seriously ill," according to the Wall Street Journal.

Pricing tools can save patients thousands of dollars. So why do so few providers use them?

July 9, 2019


While many health systems struggle to implement price transparency tools, Allina Health in Minnesota has successfully implemented a tool that gives physicians real-time information about how much patients' prescriptions will cost.

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