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CMS OKs Louisiana's plan to get 'unlimited access' to hep C treatment

July 1, 2019


CMS last week signed off on Louisiana's plan to test a subscription-based payment model for hepatitis C drugs intended to increase medication access for its Medicaid and prison populations.

Senate HELP committee advances 'surprise' bill legislative package

June 27, 2019


The Senate Health, Education, Labor and Pensions Committee on Wednesday voted 20-3 to approve a bill intended address so-called "surprise" medical bills, reduce U.S. health care costs, and more, but senators have suggested the bill could undergo more changes before a floor debate next month.

SCOTUS to hear case over $12B in unpaid risk corridors funds

June 26, 2019


The Supreme Court on Monday agreed to hear a case that centers on whether the federal government owes insurers $12 billion in risk corridors payments under the Affordable Care Act.

It's official: Medicare will reimburse more hospitals for TAVR

June 26, 2019


CMS on Friday finalized requirements that relax the number of procedures required to receive Medicare and Medicaid reimbursement for transcatheter aortic valve replacements.

From 'secret' price disclosures to upfront out-of-pocket costs: Inside Trump's latest executive order on health care

June 25, 2019


President Trump on Monday signed an executive order aimed at increasing transparency of U.S. health care costs and quality that calls for requiring hospitals and physicians employed by hospitals to post their prices publicly, including the discounted prices they have negotiated with health insurers.

CMS announces an estimated $180M settlement of long-delayed Medicare claims

June 21, 2019


After two years of negotiations, CMS on Monday announced new voluntary options for Inpatient Rehabilitation Facilities to settle disputes over denied Medicare Part A claims.

Alexander, Murray just released updated legislation to address 'surprise' medical bills. Here's what made the cut.

June 20, 2019


Sens. Lamar Alexander (R-Tenn.) and Patty Murray (D-Wash.) on Wednesday formally introduced a wide-ranging bill to address so-called "surprise" medical bills that would establish a benchmark provider payment rate for out-of-network services, instead of the arbitration process favored by hospital industry groups.

Lawmakers still split on how to address 'surprise' medical bills

June 19, 2019


Lawmakers and stakeholders during a Senate Health, Education, Labor, and Pensions Committee hearing Tuesday agreed steps must be taken to address so-called "surprise" medical bills, but they were divided over the best way to do so.

This new coalition is spending millions of dollars to target 'surprise' medical bills

June 12, 2019


A newly formed coalition of employers, health insurers, and a physician group is calling on Congress to establish a benchmark payment rate and implement other strategies to address so-called "surprise" medical bills.

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