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CMS will soon accept applications for a new value-based primary care model

November 27, 2019


CMS on Monday announced that health care providers next month will be able to start applying for the direct contracting pathways under the agency's new Primary Care First alternative payment model.

Anthem Blue Cross plans sue HHS for $100M in risk corridors payments

November 27, 2019


Anthem Blue Cross health plans last week filed a lawsuit against HHS seeking $100 million they claim they should have been paid under the Affordable Care Act's risk corridors program.

Hundreds of hospitals sue HHS for cutting Medicare reimbursements

November 25, 2019


Hundreds of hospitals last week filed lawsuits claiming HHS illegally reduced their Medicare reimbursements.

Trump just signed a bill to avert a government shutdown and delay Medicaid cuts. Here's what's inside.

November 22, 2019


President Trump late Thursday signed into law a stopgap bill that averts a government shutdown by funding the federal government, including various health programs, through Dec. 20 and delays $4 billion in planned cuts to Medicaid disproportionate-share hospital payments.

Why it's so hard to find in-network mental health care

November 22, 2019


In the United States, commercially insured patients are struggling to find in-network mental health providers, forcing many to seek out-of-network care at rates above those for other conditions—despite the federal mental health parity law, according to a report published by Milliman on Wednesday.

Colorado has a final state public option plan (but hospitals aren't on board)

November 21, 2019


Colorado officials on Friday released their final proposal for a state public health insurance option, but the Colorado Hospital Association is raising concerns.

House approves stopgap bill to fund federal government, delay Medicaid payment cuts

November 20, 2019


The House on Tuesday voted 231-192 to approve a stopgap spending bill that would fund the federal government through Dec. 20, extend funding for certain health care programs, and delay $4 billion in planned cuts to Medicaid disproportionate-share hospital payments.

How much does your 'free' flu shot actually cost?

November 20, 2019


While patients with health insurance receive the influenza shot at no cost to them, the common health care service serves as an example of how opaqueness in health care pricing can cost patients in the long run, according to a Kaiser Health News analysis.

Improper Medicare payments dip to 9-year low, HHS says

November 20, 2019


HHS on Monday announced the rate of improper Medicare fee-for-service payments in fiscal year (FY) 2019 was at the lowest point since FY 2010.

Trump admin just dropped 2 major price transparency rules. Here's what's inside.

November 15, 2019


The Trump administration on Friday released rules intended to increase price transparency among health care providers and insurers.

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