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An appeals court just reinstated the controversial 2017 DSH payment rule (and it could cost some hospitals millions)

August 16, 2019


A federal appeals court on Tuesday reversed a lower court's ruling and reinstated a 2017 rule that changed how CMS calculates Medicaid disproportionate-share hospital payments to ensure providers are not doubly compensated for care costs covered by third-party insurers.

He was jailed as a 'fake doctor.' 20 years later, he's a real MD.

August 9, 2019


Adam Litwin has wanted to be a doctor since he was a child—so much so that, in 2000, he went to jail for impersonating one—and now, almost 20 years later, he has graduated from medical school.

Surescripts, claiming fraud, is calling the FBI into its battle with Amazon's PillPack

August 8, 2019


A dispute between Amazon's PillPack and Surescripts, the largest medical data and e-prescription company in the United States, escalated last week as Surescripts cut off PillPack's data vendor from accessing its patient prescription information, arguing the company gained the information "fraudulently."

How cities, counties, states, distributors are proposing to settle opioid cases

August 7, 2019


Cities and counties are proposing to form a negotiating bloc involving all 33,000 U.S. counties, cities, and towns, including those that have not filed lawsuits, to settle opioid cases brought by local governments, while sources say AmerisourceBergen, Cardinal Health, and McKesson are proposing to pay $10 billion to settle opioid cases brought by state governments.

Trump's short-term health plan expansion is back in court

August 6, 2019


Stakeholders have appealed a federal judge's decision to uphold the Trump administration's expansion of short-term health plans, which are not required to comply with certain Affordable Care Act requirements.

In the states: Arizona brings opioid case to US Supreme Court, California reaches largest 'pay-for-delay' settlements, and more

August 2, 2019


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

CMS looks to increase price transparency in latest Medicare payment rule

July 30, 2019


CMS on Monday released a proposed rule to update Medicare's Hospital Outpatient and Ambulatory Surgical Center Payment Systems for calendar year 2020 that would require hospitals to publicly disclose insurer-negotiated rates and maintains controversial 340B payment cuts.

Mapped: Where 76B opioid pills went in the US

July 29, 2019


The United States' largest drug companies distributed 76 billion opioid pain pills throughout the country from 2006 to 2012, and California received the most, according to an analysis by the Washington Post published this month.

Neil Armstrong's family received a $6M settlement from an Ohio hospital following his death, documents show

July 26, 2019


Mercy Health—Fairfield Hospital in 2014 reached a $6 million settlement with the family of astronaut Neil Armstrong, who died at the hospital following complications from cardiovascular surgery, according to previously undisclosed documents obtained by the New York Times and the Cincinnati Enquirer. The hospital in the documents did not admit to any wrongdoing.
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