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Dozens of physicians failed to disclose industry ties. Should that be considered misconduct?

December 19, 2018


Dozens of physicians in the past few years have failed to disclose their financial ties to the health care industry when they have published research in medical journals, according to a New York Times and ProPublica analysis—and some experts say those lapses warrant misconduct charges.

In the states: 4,000 mental health providers strike in California, Maine ordered to expand Medicaid in 2019, and more

December 14, 2018


American Health Line rounds up the latest health care news in the states.

SCOTUS declines to hear case on whether patients can sue states over Medicaid funding

December 11, 2018


The Supreme Court denied requests from Kansas and Louisiana to hear cases regarding whether patients can challenge how states choose to allocate Medicaid funds—a decision that leaves in place lower court rulings barring the states from terminating Medicaid contracts with Planned Parenthood.

Meet John O'Brien, Azar's new senior adviser on drug pricing

December 10, 2018


John O'Brien, a former executive at CareFirst Blue Cross Blue Shield, will oversee the Trump administration's implementation of a proposed Medicare Part B drug pricing model intended to bring provider reimbursements in line with prices paid in other countries.

CMS finalizes rule on 2018 risk-adjustment payments

December 10, 2018


CMS under a new rule will "adopt the risk adjustment methodology that HHS previously established for the 2018 benefit year," which bases such payments on statewide average premiums.

Despite 'glimmers of stability,' Moody's predicts worsening financial outlook for nonprofit hospitals

December 10, 2018


Nonprofit hospitals will continue to see expenses outpace revenue in 2019 because of a number of factors, including weak inpatient admissions and increases in bad debt, according to a new report from Moody's Investors Service.

Incoming Senate Finance Committee leaders unveil bill to address Medicaid drug costs

December 6, 2018


Sens. Chuck Grassley (R-Iowa) and Ron Wyden (D-Ore.), the incoming leaders of the Senate Finance Committee, released a draft bill that would provide HHS with the authority to penalize drugmakers participating in the Medicaid Drug Rebate Program for misclassifying their products.

The 10 signs of 'BS' in health care, according to Wharton economists

December 5, 2018


A special report by University of Pennsylvania health care economists suggests the health care industry suffers from an "acute" problem with "deceptive, misleading, unsubstantiated, and foolish statements"—otherwise known as health care "BS."

Hospitals are suing to block Medicare's site-neutral payments

December 5, 2018


The American Hospital Association, the Association of American Medical College, and three independent health systems in a lawsuit argue that the Trump administration does not have the authority to implement a new site-neutral payment policy under Medicare.

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