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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.

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.

What's behind the slowdown in US health spending? Declining demand, CMS finds.

December 7, 2018


CMS actuaries say U.S. health care spending increased by 3.9% to $3.5 trillion in 2017, down from a growth rate of 4.3% in 2016.

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.

This woman's viral letter shed a light on the cost barriers to organ transplants

December 6, 2018


Hedda Martin, a 60-year-old Michigan resident who needs a heart transplant, was denied the procedure and told to raise $10,000 before providers would consider the transplant—and her viral social media post has shed a light on how cost can be a barrier to patients in need of new organs.

Hospitals are suing to block Medicare's site-neutral payments

December 5, 2018


The American Hospital Association, the Association of American Medical College, and three independent health systems in a lawsuit argue that the Trump administration does not have the authority to implement a new site-neutral payment policy under Medicare.

Nearly 11,000 SNFs will receive Medicare penalties under new VBP program

December 5, 2018


CMS data show nearly 11,000 skilled nursing facilities will see their Medicare payments decrease in fiscal year 2019 as a result of poor performance under CMS' new Skilled Nursing Facility Value-based Purchasing Program.

How nearly 3,000 hospitals fared on VBP penalties, bonuses for FY 2019

December 4, 2018


CMS says more than 1,500 U.S. hospitals will receive bonus payments in fiscal year 2019 under Medicare's Value-Based Purchasing Program.

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