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The latest conservative plan to replace the ACA is out. (But it's not going anywhere yet.)

June 20, 2018


The plan would redirect Affordable Care Act (ACA) funding to states through block grants, repeal many of the ACA's consumer protections, expand the use of health savings accounts, and allow insurers to give discounts to consumers who are young or maintain continuous coverage.

MedPAC proposes cuts to freestanding EDs, imaging payments

June 20, 2018


Among other things, the Medicare Payment Advisory Commission's annual June report to Congress includes proposals "to ensure appropriate access to and use of hospital" emergency department services.

Report: HHS made $90.1B in improper Medicare, Medicaid payments last year

June 19, 2018


The Government Accountability Office in the report recommends the Office of Management and Budget develop guidance and a risk-based methodology to help HHS and other federal departments and agencies identify improper payments.

The government doesn't have to make the ACA's full risk corridor payments, appeals court rules

June 15, 2018


A federal court acknowledges that Section 1342 of the Affordable Care Act (ACA) requires the federal government to pay exchange insurers the full amount of funds they are owed under the law's risk corridors provision, but the judges in a split ruling also say Congress each year after the ACA was enacted had approved appropriations riders requiring the program to be budget-neutral.

The air ambulance industry is skyrocketing (and so are the bills)

June 14, 2018


The air ambulance industry is booming due to medical advances, hospital closures, and loose regulations, but the sometimes-lifesaving flights can carry five-figure charges that can often lead to protracted billing disputes for privately insured patients.

Treating patients in low-cost settings saves money. But does it risk lives?

June 14, 2018


Care delivery is shifting away from high-intensity settings and toward low-intensity settings, but experts moving patients toward the lowest-intensity setting might put them at risk in some instances.

How states can use federal Medicaid funds to combat the opioid epidemic, according to CMS

June 13, 2018


Two new CMS documents detail ways states can access federal Medicaid resources to help address the opioid epidemic.

'If you can't beat 'em, join 'em?' Why hospitals and FQHCs, once rivals, are now working together

June 11, 2018


Federally qualified health centers and hospitals are competing for the same patients—and some see it as an opportunity for collaboration.

Medicare trust fund will vanish in less than 10 years, trustees predict

June 6, 2018


HHS Secretary Alex Azar, one of Medicare's trustees, says "current trajectories in health spending are both unsustainable and unmatched by increases in quality."

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