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MACRA's Advanced APM track attracted more clinicians in 2018, CMS says

July 17, 2019


The number of clinicians who participated in MACRA's Advanced Alternative Payment Model track increased from 2017 to 2018, while the number of clinicians who participated in MACRA's Merit-based Incentive Payment System decreased, according to preliminary data CMS released Thursday.

Why GOP lawmakers (again) are weighing ACA replacement plans

July 16, 2019


Republican lawmakers largely had dropped their push to craft a plan to replace the Affordable Care Act (ACA) after various ACA replacement plans failed to gain traction in 2017 and 2018. But now, faced with the threat of the ACA being struck down in court—some GOP lawmakers again are taking up the task.

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.

House panel advances bill to address 'surprise' medical bills—but will it go any further?

July 15, 2019


The House Energy and Commerce Health Subcommittee on Thursday advanced a bill to address so-called "surprise" medical bills by setting a benchmark payment rate for out-of-network services.

Trump just pulled his proposal to eliminate Rx drug rebates. Here's why.

July 11, 2019


The Trump administration has withdrawn its proposed rule to prohibit drugmakers from paying rebates to pharmacy benefit managers under federal health programs, a White House spokesperson confirmed Wednesday.

Judges appear likely to strike down ACA's individual mandate. Will they nix the ACA, too?

July 10, 2019


A three-judge panel of the U.S. Court of Appeals for the Fifth Circuit on Tuesday heard oral arguments in a lawsuit challenging the Affordable Care Act's constitutionality, and appeared likely to strike down the law's individual mandate.

Billionaire Tom Steyer is the latest Democrat to announce a presidential run. Here's where he stands on health care.

July 10, 2019


Tom Steyer, a billionaire and environmentalist, on Tuesday announced that he is seeking the 2020 Democratic nomination for president, and has said his campaign will call for achieving universal health coverage in the United States.

How much do air ambulances charge private insurers? More than four times Medicare rates, study finds.

July 10, 2019


Charges for air ambulance services in 2016 were more than four times higher than the rate Medicare paid to transport patients via airplane or helicopter, according to a study recently published in Health Affairs.

New Hampshire is giving Medicaid beneficiaries more time to comply with work requirements

July 10, 2019


New Hampshire Gov. Chris Sununu (R) on Monday announced the state is extending its deadline for Medicaid beneficiaries to comply with the program's new work requirements, citing low compliance among beneficiaries subject to the requirements.

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