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In the states: AMA leaves group that opposes 'Medicare for All,' shots fired at an Illinois VA hospital, and more

August 16, 2019


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

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.

This employer flew a patient to Cancun for surgery. (And they paid her $5,000 to do it.)

August 15, 2019


To meet U.S. residents' growing yet skeptical interest in medical tourism, a Denver-based for-profit organization is arranging for U.S. doctors to leave the states for quick trips to perform operations on U.S. patients—who might even get paid by their employers for having the procedure abroad.

CMS: Exchange plan enrollment is largely stable (except among non-subsidized buyers)

August 14, 2019


About 10.6 million U.S. residents enrolled in Affordable Care Act exchange plans by March 15 of this year, representing a less than 1% decrease when compared with enrollment numbers as of March 15, 2018, according to CMS data released Monday.

USPSTF for the first time proposes that providers screen all adults for illicit drug use

August 14, 2019


The U.S. Preventive Services Task Force on Tuesday issued a draft recommendation that providers screen all adult patients for illicit drug use, marking the first time the task force has proposed such a recommendation.

40% of patients faced 'surprise' out-of-network bills at in-network hospitals

August 14, 2019


The number of U.S. patients who were billed for out-of-network care received at in-network hospitals rose between 2010 and 2016and the costs of those bills increased, as wellaccording to a study published Monday in JAMA Internal Medicine.

Are Republicans eyeing another ACA repeal push?

August 12, 2019


Sen. Lindsey Graham (R-S.C.) last week said Republican lawmakers would again seek to repeal the Affordable Care Act if they gain control of the House and President Trump is re-elected in 2020.

Why an iron infusion could cost $412—or $4,316

August 12, 2019


Experts say the common brand-name products used for IV iron infusions in many cases are medically interchangeable—yet providers increasingly are administering the most costly products, leaving patients facing unexpectedly high bills.

Short-term health plans pay out 39% of premiums on care, report finds

August 9, 2019


The top five short-term health plan insurers in 2018 spent only about 39% of premium dollars on medical care, well below the Affordable Care Act's medical loss ratio threshold, according to the National Association of Insurance Commissioners' 2018 Accident and Health Policy Report published last week.

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