August 16, 2019
American Health Line rounds up the latest health care news in the states.
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.
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.
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.
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.
The number of U.S. patients who were billed for out-of-network care received at in-network hospitals rose between 2010 and 2016—and the costs of those bills increased, as well—according to a study published Monday in JAMA Internal Medicine.
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.
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.
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.
Advisory Board. All rights reserved.