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Hospitals question legality of CMS' price transparency proposal

October 1, 2019


CMS' public comment period for the 2020 Hospital Outpatient Perspective Payment System proposed rule ended last week, and the rule's more controversial proposals garnered hundreds of comments from hospital groups, insurers, and other industry stakeholders.

Hospitals will see $4B DSH payment cut in 2020 under CMS rule

September 25, 2019


CMS this week finalized a rule outlining how it will calculate annual Medicaid disproportionate share hospital payment cuts from fiscal year (FY) 2020 through FY 2025.

Where do voters stand on 'Medicare for All'?

September 24, 2019


More voters favor health care proposals to allow everyone to enroll in Medicare than proposals to replace private insurance with a so-called "Medicare-for-All" plan, according to a Wall Street Journal/NBC News poll.

Why is the US health care system such an outlier? Here's one hypothesis.

September 18, 2019


The U.S. health care system is unique, but some observers say what makes it truly distinct from other health care systems around the globe is the amount patients—including those who are insured—pay out of pocket for care.

A monthly subscription to an air ambulance? Regulators say it might be too good to be true.

September 18, 2019


Some air ambulance companies are selling membership subscriptions that promise patients will pay no out-of-pocket costs if they use the transportation services, but state regulators—and some larger air ambulance companies—are skeptical of the memberships' no-cost guarantee.

Democratic debate round 3: Leading candidates still at odds over 'Medicare for All'

September 13, 2019


Democratic candidates vying for the 2020 presidential nomination sparred over health care in Thursday's primary debate, but did voters learn anything new?

VA must pay for non-VA emergency care even if veterans have other insurance, court rules

September 13, 2019


A federal appeals court this week ruled Veterans Affairs (VA) must reimburse veterans for emergency medical care provided at non-VA facilities—a decision that plaintiff's lawyers estimate could cost VA billions of dollars.

In the states: Florida provider pays $85K to settle alleged HIPAA violation, New York to require warnings in vape stores, and more

September 13, 2019


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

Insurers to pay a record $1.3B in rebates to consumers, employers under ACA

September 12, 2019


Health insurance companies this month are expected to begin paying an estimated $1.3 billion in rebates across the individual, small group, and large group insurance markets under the Affordable Care Act's medical loss ratio requirement, according to a Kaiser Family Foundation analysis published Tuesday.

The uninsured rate is up for the first time in nearly a decade, Census data shows

September 11, 2019


New data from the U.S. Census Bureau show the country's uninsured rate increased from 7.9% in 2017 to 8.5% in 2018, marking the first year-to-year increase reflected in Census data since 2008 to 2009, when the United States was at the highest point of the Great Recession.

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