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'Medicare for All' is roiling the health industry. Could Biden bring it to a halt?

April 26, 2019

There are a slew of so-called "Medicare-for-All" proposals and public option health plans floating around the 116th Congress. 

Biden has joined the 2020 presidential race. Here's where he stands on health care.

April 25, 2019

Former Vice President Joe Biden, who on Thursday announced he is seeking the Democratic nomination for president in 2020, has not endorsed a so-called "Medicare-for-All" proposal—but he also has not dismissed such a plan.

CMS just dropped its proposed rule for Medicare inpatient payments. Here's what's inside.

April 24, 2019

CMS on Tuesday issued its Inpatient Prospective Payment System proposed rule for fiscal year 2020, which would address payment disparities for rural and urban health facilities and increase add-on payments for emerging technology and therapies.

HHS just unveiled 5 new value-based payment models. Here's what you need to know.

April 23, 2019

HHS on Monday announced an initiative intended to shift primary care providers and other eligible professionals from fee-for-service payments to value-based payments using five new voluntary payment models.

We're just 7 years away from exhausting the Medicare trust fund

April 23, 2019

Medicare's Hospital Insurance Trust Fund likely will be depleted in 2026, according to the trustees' annual report released Monday—an estimate that has not changed since last year's report.

Drugmakers are posting their list prices online—but there's a catch

April 23, 2019

About a dozen drugmakers for the first time have posted their prescription drug prices online, but experts say the new information might not give patients a better understanding of their drug costs.

Moulton, a 'Medicare-for-All' critic, joins Democrats running for president

April 22, 2019

Rep. Seth Moulton (D-Mass.) on Monday announced he is seeking the 2020 Democratic nomination for president, but unlike most of his fellow contenders, Moulton has been critical of moving the United States toward a single-payer health system.

The 19 health care 'unicorns' worth at least $1B

April 22, 2019

So-called "unicorns"—startup companies valued at $1 billion or more—were rare when venture capital investor Aileen Lee coined the term in 2013, but now, CB Insights' database tracks 326 such companies, including 19 working in the U.S. health care industry.

CMS proposes payment increases for SNFs, hospice facilities for FY 2020

April 22, 2019

CMS on Friday released proposed rules that would increase fiscal year (FY) 2020 Medicare payments for skilled nursing facilities by 2.5%, or $887 million, and hospice facilities by 2.7%, or $540 million, when compared with FY 2019.

Teaching, rural hospitals faced reduced readmission penalties after CMS update, study shows

April 22, 2019

Teaching hospitals, rural hospitals, and others that serve a high proportion of dual-eligible patients faced lower penalties under Medicare's Hospital Readmissions Reduction Program in fiscal year 2019 after CMS updated how the program calculates penalties, according to a study published last week.

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