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SCOTUS declines to hear case on whether patients can sue states over Medicaid funding

December 11, 2018


The Supreme Court denied requests from Kansas and Louisiana to hear cases regarding whether patients can challenge how states choose to allocate Medicaid funds—a decision that leaves in place lower court rulings barring the states from terminating Medicaid contracts with Planned Parenthood.

CMS finalizes rule on 2018 risk-adjustment payments

December 10, 2018


CMS under a new rule will "adopt the risk adjustment methodology that HHS previously established for the 2018 benefit year," which bases such payments on statewide average premiums.

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.

The top 5 reasons patients sue doctors

December 5, 2018


Lee Goldsmith, a physician and a malpractice attorney, shares the five most common reasons why patients sue doctors.

A Chinese scientist claims he created CRISPR-edited babies. Scientists (and ethicists) are 'scrambling' to find the truth.

November 27, 2018


The scientific community is reeling following a Chinese researcher's claim that he used the gene-editing technology CRISPR to create the world's first genetically modified human babies.

How providers want Medicare to ease its anti-kickback laws (and what it means for value-based care)

November 27, 2018


Earlier this year, the Trump administration asked for recommendations on ways to ease anti-kickback laws that limits where physicians can refer Medicare beneficiaries. Providers and lobbying groups responded in force—but some legal experts say any move to ease existing laws could increase fraud and abuse.

DOJ reaches proposed settlement with Atrium over anticompetitive insurer contracts

November 19, 2018


The Department of Justice says it has reached a proposed settlement with Atrium Health that would prohibit the health system from using anticompetitive clauses in its contracts with insurers.

In the states: California OKs CVS-Aetna merger, Michigan gets approval to negotiate Medicaid drug prices, and more

November 16, 2018


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

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