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FDA approves 1st fully disposable duodenoscope

December 17, 2019


FDA on Friday approved the first fully disposable duodenoscope, which is designed to eliminate the potential risk of infection that is tied to reusable scopes.

CMS might have overpaid MA plans by $6.7B in 2017, HHS' OIG says

December 17, 2019


CMS might have improperly paid Medicare Advantage plans an estimated $6.7 billion in 2017 after the plans added diagnoses to beneficiaries' files that in some instances were not supported by medical records, according to an HHS Office of Inspector General report released last week.

Moody's says nonprofit hospital market should improve in 2020

December 17, 2019


Moody's Investors Service in a recent report said nonprofit hospitals and health systems should see an increase in revenue in 2020, upgrading the sector to a stable outlook.

Legal THC products tied to vaping-linked lung illness

December 16, 2019


As the number of cases of a vaping-linked lung illness continues to grow, state and federal officials have found both legal and illegal tetrahydrocannabinol products are linked to a number of the cases, but CDC said the source of the illness remains unknown.

CMS will reimburse hospitals for 2019 site-neutral payment cuts—but will implement the cuts in 2020

December 16, 2019


CMS on Thursday announced plans to reimburse hospitals for site-neutral payment cuts the agency made to off-campus hospital facilities in 2019—but CMS separately said it still intends to implement site-neutral payment cuts in 2020.

Stephen Hahn, MD Anderson CMO, confirmed as FDA commissioner

December 13, 2019


The Senate on Thursday voted 72-18 to confirm President Trump's nomination of Stephen Hahn to serve as FDA commissioner.

CMS OKs Medicaid work requirements in another nonexpansion state

December 13, 2019


CMS on Thursday approved two separate Medicaid waiver requests from South Carolina, a state where officials have not expanded Medicaid under the Affordable Care Act, to impose work requirements on certain Medicaid beneficiaries and change eligibility limits for adults with minor children.

Are these 5 types of medical billing 'fraud by any other name'?

December 13, 2019


Elisabeth Rosenthal, a physician and editor-in-chief of Kaiser Health News, in a New York Times opinion piece recalls her husband's recent experience navigating the U.S. health care system and argues that "[m]uch of what we accept as legal in medical billing would be regarded as fraud in any other sector."

With just 3 days left in open enrollment, CMS data shows federal exchange signups are lagging

December 12, 2019


CMS on Wednesday released federal exchange plan signup figures for the sixth week of the Affordable Care Act's current open enrollment period, as well as data on the number of U.S. residents who were enrolled in federal and state exchange plans during the first six months of 2019.

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