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How 'Dr. Dave' scammed insurers for $4M—without a medical license

July 23, 2019


For more than four years, a personal trainer who called himself "Dr. Dave" fraudulently billed major health insurers for about $25 million, collecting about $4 million in cash.

HHS won't penalize providers who try to comply with Title X abortion restrictions

July 23, 2019


HHS on Saturday informed health care providers and state governments that the department will not penalize providers who are making efforts to comply with a final rule that bars entities that receive Title X family planning grants from providing or referring patients for abortion care.

New York tells doctors how they must treat sepsis—and it's saving lives, a new study finds

July 19, 2019


New York adopted new regulations regarding sepsis treatment after 12-year-old Rory Staunton died of sepsis in 2012, and a study published Tuesday in JAMA found the regulations appear to be working.

Sanders to propose $20B fund aimed at stemming hospital closures

July 18, 2019


Sen. Bernie Sanders (I-Vt.), who is seeking the 2020 Democratic nomination for president, on Monday announced that he plans to introduce legislation to establish a federal fund to help local governments buy for-profit hospitals at risk of closing.

As CMS tries to expand ACA waivers, Democrats look to scale them back

July 18, 2019


CMS on Monday released new resources for states seeking certain Affordable Care Act waivers, but Democrats have vowed to introduce legislation to roll back the Trump administration's criteria for the waivers after the Government Accountability Office determined Congress has the authority to overturn the guidance.

Trump admin begins enforcing Title X family planning rule

July 17, 2019


The Trump administration on Monday announced that it will immediately start enforcing a final rule that bars health care providers and clinics that receive Title X family planning grants from providing or referring patients for abortion care.

How these Democratic presidential hopefuls want to address high Rx costs

July 16, 2019


Sens. Kirsten Gillibrand (D-N.Y.), Kamala Harris (D-Calif.), and Amy Klobuchar (D-Minn.), who each are seeking the 2020 Democratic nomination for president, have announced separate plans to address high prescription drug costs in the United States.

Biden just released his health reform plan. Here's what's inside.

July 15, 2019


Former Vice President Joe Biden, who is seeking the 2020 Democratic nomination for president, today unveiled a health reform plan that aims to build on and protect the Affordable Care Act by providing Americans with the option to enroll in a public health plan and expanding eligibility for subsidies to purchase exchange plans.

CMS wants to replace Medicaid access reporting requirements—with stakeholders' help

July 12, 2019


CMS on Thursday issued a proposed rule that would eliminate existing requirements on how states assess access to care among fee-for-service (FFS) Medicaid beneficiaries and replace them with a more standardized approach that the agency hopes to develop with industry stakeholders.

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