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More than 200 providers have withdrawn from BPCI model—but experts aren't worried

March 22, 2019

CMS on Thursday announced that the number of hospitals and physician groups participating in Medicare’s new voluntary bundled-payment model declined by 16% over the program’s first five months.

HHS' drug rebate proposal already has drawn 18,000 comments—but there's a catch

March 22, 2019

HHS has received about 18,000 comments on its proposal to overhaul the U.S. drug rebate system—and many of the largest industry stakeholders have yet to weigh in.

This woman's $101,000 'surprise' medical bill inspired a groundbreaking law. (But she still had to pay up.)

March 21, 2019

Claudi Knafo’s 2012 story inspired a groundbreaking New York law to prevent "surprise" medical bills, but the law would not have protected Knafo from her unexpected, six-figure bill.

Are doctors 'seriously overpaid?'

March 21, 2019

The average doctor in the United States has an income of about $300,000 per year, roughly twice as much as physicians in other wealthy countries, but it is unclear whether U.S. physicians are being "seriously overpaid," as one economist argues—or fairly compensated for being high-skilled, highly trained workers.

TAVR could be expanded to 20K+ new patients each year in light of new research

March 19, 2019

Two new studies suggest transcatheter aortic valve replacement is more effective than open heart surgery for low-risk patients—and that evidence might soon make its way to FDA .

Insurers have ideas on how to address surprise medical bills—but providers are pushing back

March 19, 2019

America's Health Insurance Plans and other large groups representing insurers on Monday urged congressional leaders to address so-called "surprise" medical bills by establishing set payment rates for care, but the American Hospital Association and Federation of American Hospitals quickly raised concerns about the proposal.

Hospitals are spending big on CAR T-cell therapy. The problem? 'We have not been paid.'

March 18, 2019

Hospitals across the country are investing in CAR T-cell therapy, an innovative cancer treatment that utilizes a patient's own cells to fight their cancer—but many are finding it difficult to get reimbursed by insurers for the treatment.

440 rural nursing homes closed in the past decade. What happened to all their patients?

March 18, 2019

More than 440 rural nursing homes have closed over the past decade due to shifting payment policies and low Medicaid reimbursements—sometimes forcing patients to move hundreds of miles away on short notice to find care.

Medicaid reforms, Medicare cuts, and more: Inside Trump's FY 2020 budget

March 12, 2019

The White House on Monday released President Trump's fiscal year 2020 budget proposal, which includes steep cuts to federal Medicaid funding, a national Medicaid work requirement, and a proposal to cut $854 billion in federal Medicare spending over 10 years.

Do conflicts of interest lead accreditors to 'go easy' on some hospitals? CMS wants to find out.

March 11, 2019

CMS has received more than 120 comments on its effort to reduce financial conflicts of interest in the hospital accreditation market, and while some health care care organizations expressed support for the proposal, others said proposed regulations are unnecessary.

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