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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.

Trump's expanded association health plans are reaching the market. Here's an inside look.

November 15, 2018

It has been more than two months since the Trump administration's expanded association health plans hit the market—and coverage, at least in Nebraska, is more comprehensive than state officials and industry analysts initially feared.

Jury orders Aetna to pay $25.5M over 'reckless' coverage denial for cancer treatment

November 13, 2018

An Oklahoma jury has decided that Aetna acted recklessly when it declined to cover proton beam therapy for a now-deceased enrollee with a rare cancer, but Aetna says it is considering appealing the verdict.

HHS exempts more employers from ACA's contraceptive coverage rules

November 8, 2018

The Trump administration's final rules will allow more employers to qualify for exemptions from the Affordable Care Act's (ACA) contraceptive coverage rules on moral or religious grounds, drawing sharply mixed reactions from stakeholders.

Appeals court denies insurers' request to rehear cases over ACA risk corridor payments

November 8, 2018

A full panel of judges for the U.S. Court of Appeals for the Federal Circuit has denied a request from four health insurers to rehear their cases claiming the federal government owes millions of dollars in risk corridors payments, and at least two of the insurers intend to appeal the case to the Supreme Court.

Hospital groups will sue to stop Medicare's latest site-neutral payment change

November 5, 2018

Several health care industry groups are pushing back on CMS' plan to implement site-neutral payments in its 2019 Hospital Outpatient Prospective Payment System final rule, and the American Hospital Association and its member hospitals are planning to challenge the change in court.

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