April 2, 2019
CMS on Monday finalized payment and policy changes for Medicare Advantage and Medicare Part D plans for the 2020 coverage year.
April 1, 2019
Although value-based care models are optional for children's hospitals, Dayton Children's Hospital is choosing to take on value-based financial risk.
March 29, 2019
Centene this week announced that it will buy WellCare Health Plans for $15.3 billion—a move that will increase Centene's Medicare Advantage business and further solidify the insurer as the biggest insurer of Medicaid managed care plans.
March 28, 2019
CMS on Tuesday proposed a set of policies that would make it easier for providers to meet surgical volume requirements to launch a transcatheter aortic valve replacement program and receive Medicare and Medicaid reimbursement for the procedure.
A growing number of primary care doctors are replacing in-person specialist consults with electronic consultations—a practice that can "free up capacity in crowded health systems" and reduce wait times for other patients, according to health economist Austin Frakt.
March 27, 2019
House Democrats on Tuesday released a draft legislative package intended to strengthen the Affordable Care Act's exchange market by implementing a federal reinsurance program, scaling back short-term health plans, and more.
March 26, 2019
The Department of Justice in a legal filing Monday said a federal appeals court should strike down the entire Affordable Care Act as unconstitutional, changing its previous position that the court should only strike down parts of the law.
March 25, 2019
The number of clinicians who participated in MACRA's Quality Payment Program in 2017 exceeded CMS' initial goal, according to a report the agency released Wednesday.
March 22, 2019
CMS on Thursday announced that the number of hospitals and physician groups participating in Medicare’s new voluntary bundled-payment model declined by 16% over the program’s first five months.
HHS has received about 18,000 comments on its proposal to overhaul the U.S. drug rebate system—and many of the largest industry stakeholders have yet to weigh in.
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