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How HHS wants to update anti-kickback rules to support value-based care

October 10, 2019


HHS on Wednesday issued long-anticipated proposed rules to update anti-kickback and physician-referral regulations so they do not interfere with physicians' ability to participate in value-based payment arrangements.

Jury orders J&J to pay patient $8B over antipsychotic Risperdal

October 10, 2019


A Philadelphia jury on Tuesday ordered New Jersey-based Johnson & Johnson (J&J) to pay $8 billion in punitive damages to a Maryland man who claimed J&J failed to properly warn patients and providers that its antipsychotic drug Risperdal could spur breast growth in boys.

The US 'wastes' nearly $1 trillion in health spending each year. Where does it all go?

October 9, 2019


About 25% of U.S. health care spending annually is wasteful, according to a study published Monday in JAMA. See where all the money goes on our interactive charts.

Map: See the 2,583 hospitals that face readmission penalties this year

October 8, 2019


Medicare last week began the latest payment adjustments to hospitals under the Hospital Readmissions Reduction Program, and more than 2,500 hospitals will face penalties for fiscal year 2020, according to a Kaiser Health News analysis.

Trump signs drug rebate bill expected to save Medicaid $3B

October 8, 2019


President Trump last month quietly signed into law a bill closing a loophole in Medicaid's drug rebate program that critics say allowed drugmakers to underpay rebates to state Medicaid programs.

Trump admin will deny visas to those without health insurance

October 7, 2019


President Trump on Friday issued a proclamation that could deny immigrants' visas if they cannot prove they can afford to cover their medical expenses or that they will be enrolled in health coverage.

Trump issues executive order to expand private Medicare plans

October 4, 2019


President Trump on Thursday issued an executive order that aims to expand private Medicare Advantage (MA) plans, more closely align Medicare fee-for-service payments with MA and commercial plans, and implement other Medicare reforms.

House committee chair proposes new fix for 'surprise' medical bills

October 3, 2019


House Ways and Means Committee Chair Richard Neal (D-Mass.) in a letter sent Friday to Democratic lawmakers proposed to address so-called "surprise" medical bills by allowing the Trump administration and stakeholder groups to form a committee to recommend regulations for out-of-network bills.

Hospitals question legality of CMS' price transparency proposal

October 1, 2019


CMS' public comment period for the 2020 Hospital Outpatient Perspective Payment System proposed rule ended last week, and the rule's more controversial proposals garnered hundreds of comments from hospital groups, insurers, and other industry stakeholders.

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