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In the states: AMA leaves group that opposes 'Medicare for All,' shots fired at an Illinois VA hospital, and more

August 16, 2019


American Health Line rounds up the latest health care news in the states.

Are big employers on board with ‘Medicare for All’?

August 15, 2019


A survey by the National Business Group on Health of 147 large employers that cover more than 15.6 million people revealed that employers are sharply divided on so-called “Medicare-for-All” proposals—and are planning to implement their own ideas to lower health care costs.

This employer flew a patient to Cancun for surgery. (And they paid her $5,000 to do it.)

August 15, 2019


To meet U.S. residents' growing yet skeptical interest in medical tourism, a Denver-based for-profit organization is arranging for U.S. doctors to leave the states for quick trips to perform operations on U.S. patients—who might even get paid by their employers for having the procedure abroad.

Why an iron infusion could cost $412—or $4,316

August 12, 2019


Experts say the common brand-name products used for IV iron infusions in many cases are medically interchangeable—yet providers increasingly are administering the most costly products, leaving patients facing unexpectedly high bills.

CMS releases national coverage policy for CAR T-cell therapies

August 8, 2019


CMS on Wednesday announced that Medicare will cover FDA-approved CAR T-cell therapies nationwide at health care facilities that meet certain requirements, but the agency did not change Medicare's payment rates for the treatments.

MA enrollment is growing—and insurers are expanding their MA businesses to keep up

August 7, 2019


As enrollment in Medicare Advantage (MA) plans continues to grow, data suggest more health insurance companies are expected to expand their MA business segments—at rates faster than their traditional Medicare business lines, according to a recent HealthEdge report.

What's inside CMS' 2,273-page IPPS final rule?

August 5, 2019


CMS on Friday issued its Inpatient Prospective Payment System final rule for fiscal year 2020, which aims to address payment disparities for rural and urban health facilities and increase add-on payments for emerging technologies and therapies.

Medicare Part D premiums will drop for 3rd consecutive year, CMS projects

August 5, 2019


CMS on Tuesday announced the average basic premium for Medicare Part D plans is projected to decline in 2020 for the third year in a row, falling from $32.50 this year to $30 next year.

CMS finalizes 2020 payment rules for SNFs, hospices, inpatient rehab, psych facilities

August 5, 2019


CMS last week released rules finalizing Medicare payment adjustments for skilled nursing facilities, hospices, and inpatient rehabilitation and psychiatric facilities for fiscal year 2020.

How Medicare wants to help doctors fill in the gaps in patients' medical histories

August 5, 2019


CMS on Tuesday unveiled a new pilot program intended to help providers fill gaps in Medicare beneficiaries' medical histories by giving providers access to Medicare claims data that contain a beneficiary's previous diagnoses, procedures, and more.

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