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Payment bumps and price transparency requirements: Inside CMS' 2,610-page IPPS final rule

August 3, 2018


CMS' final rule for the Inpatient Prospective Payment System and Long-Term Acute Care Hospital (LTCH) Payment System for fiscal year 2019, which overhauls the meaningful use program and aims to improve hospital price transparency, will affect about 3,300 acute care facilities and about 420 LTCH facilities.

Sanders' 'Medicare for All' bill would cost $32.6T—and change who is footing the bill

July 31, 2018


An analysis from the Mercatus Center at George Mason University estimates that Sen. Bernie Sanders' (I-Vt.) so-called "Medicare for All" proposal would cost about $32.6 trillion in new spending over the first decade—which observers say is slightly lower than what the United States is projected to spend on health care over the next ten years under its current health care system, though the proposal would shift who pays for the costs.

The ACA 'bumped' Medicaid payments for two years. But doctors were no more likely to take Medicaid patients, studies find.

July 24, 2018


Two studies find that a temporary increase in Medicaid payments for primary care physicians (PCPS) that was implemented under the Affordable Care Act did not result in more PCPS participating in Medicaid.

In the states: Idaho residents will vote on Medicaid expansion, court upholds Philadelphia's soda tax, and more

July 20, 2018


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

Why is US health care spending so high? Research suggests the answer is complex.

July 19, 2018


It has been well documented that U.S. health care spending outpaces other countries, but experts say the reason why could be attributed to the U.S. health system's complexity and resulting administrative costs.

Verma: CMS will keep advancing Medicaid work requirements—despite Kentucky ruling

July 19, 2018


CMS Administrator Seema Verma says the Trump administration "want[s] to be respectful of" a court ruling blocking Kentucky from implementing Medicaid work requirements, but the administration also "want[s] to push ahead with our policy initiatives and our goals."

7K+ Arkansas Medicaid beneficiaries did not comply with state's new work requirements, officials say

July 18, 2018


Arkansas officials say 7,464 Medicaid beneficiaries who are subject to the state's new work requirements did not report whether they met the requirements, meaning they were not in compliance with the new policy.

'War on poverty is largely over' and the time is right for Medicaid work requirements, White House report concludes

July 16, 2018


The White House Council of Economic Advisers in a report argues that a large share of Medicaid beneficiaries are non-disabled and of working age, but critics note that the time period covered in the report predates the Affordable Care Act's Medicaid expansion and features a much weaker job market than exists today.

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