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Grassley lays out health care priorities—and starts with a bill to import drugs from Canada

January 10, 2019

New Senate Finance Committee Chair Chuck Grassley (R-Iowa) on Wednesday laid out his priorities regarding prescription drug prices and released draft legislation that would allow U.S. residents to import drugs from Canada.

Do mandatory bundled payments lower health spending? A new study suggests yes—but only slightly.

January 8, 2019

A new study suggests Medicare's Comprehensive Care for Joint Replacement program led to a modest reduction in spending on hip and knee replacement surgeries over a two-year period.

How CMS plans to change MA's risk adjustment model in 2020

January 3, 2019

CMS in an advance notice details how the agency in 2020 plans to change the way it calculates risk scores used to determine payments for Medicare Advantage plans.

CMS cracked down on hospital readmissions. But did that policy cause more harm than good?

January 3, 2019

While the reduction in Medicare readmissions under the Hospital Readmissions Reduction Program (HRRP) initially might have "seemed like the win-win that policymakers had" sought, "a deeper look at [HRRP] reveals a few troubling trends," a group of cardiologists and health policy researchers write in a New York Times opinion piece.

How much do breast implants cost? The answer is surprisingly complicated.

January 3, 2019

When Kim S. had breast reconstruction after a double mastectomy, her insurance fully covered the procedure, including the $7,000 combined price for two Mentor MemoryGel implants, but patients undergoing a cosmetic augmentation procedure often can expect to pay far less for the implants.

Warren is gearing up for a presidential run. Here's where she stands on health care.

January 2, 2019

Sen. Elizabeth Warren (D-Mass.) says she is getting ready to run for president in 2020, and health care is expected to be a key part of her presidential campaign.

CMS finalizes rule to make ACOs take on more risk

January 2, 2019

CMS has finalized a rule to overhaul the Medicare Shared Savings Program and accelerate the pathway for accountable care organizations to transition to two-sided risk models.

A judge just ruled that 340B cuts are illegal (but the rule hasn't been vacated yet)

January 2, 2019

A federal district court judge last week ruled HHS unlawfully cut Medicare Part B reimbursements for drugs purchased via Medicare's 340B program, siding with the American Hospital Association and other hospital groups.

Weekly Line: Are Trump administration officials steering US residents to private health plans?

December 14, 2018

The Affordable Care Act's (ACA) federal open enrollment period ends Saturday, and so far total signups are lagging behind last year's total.

The healthiest (and least healthy) states, mapped

December 13, 2018

Hawaii is the healthiest U.S. state, according to the United Health Foundation's latest rankings, which considers 38 measures related to clinical care, policies, health outcomes, and more.

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