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Inside the first criminal trial alleging pharma execs played a role in the opioid epidemic

January 30, 2019

A federal prosecutor on Monday accused former Insys Therapeutics CEO John Kapoor and four of the company's other executives of contributing to the U.S. opioid epidemic by using illegal marketing tactics to drive up sales of the opioid drug Subsys—but Beth Wilkinson, a lawyer representing Kapoor, says the charges are "patently false."

How Saint Francis built a 'hospital within a hospital' for joint replacements (and cut readmissions below the national average)

January 28, 2019

To prepare for a projected rise in hip and knee replacements, Saint Francis Hospital and Medical Center in 2007 launched its own bundled-payment program and soon after saw readmission rates and lengths of stay for the procedures fall below the national average.

38 hospitals are suing HHS over site-neutral payments

January 24, 2019

Nearly 40 hospitals on Friday filed a lawsuit against HHS claiming that HHS Secretary Alex Azar overstepped his authority when he finalized a site-neutral payment policy that cuts Medicare payment rates for off-campus hospital facilities.

CMS unveils new Medicare Part D payment model, updates MA model

January 22, 2019

CMS on Friday announced new interventions that Medicare Advantage plans will be able to test under the value-based insurance design model, as well as a new model for Medicare Part D designed to make plans take on more financial risk.

This insurer teamed up with five health systems to launch a new value-based payment program

January 18, 2019

Blue Cross Blue Shield of North Carolina on Tuesday announced that it has reached an agreement with five health systems in the state to launch a value-based payment program similar to Medicare's Next Generation accountable care organization program.

SCOTUS hears oral arguments in a $4B Medicare payment case

January 17, 2019

The Supreme Court on Tuesday heard oral arguments in a case that challenges CMS' changes to Medicare's disproportionate-share hospital payment formula.

Why 'white coat marketing' is under legal fire

January 16, 2019

Drugmakers are facing a series of lawsuits alleging that their so-called "nurse educator" programs, which offer guidance to patients on how to use complicated medications, are inappropriate.

How this rural hospital became a 'unicorn'—reopening after a devastating closure

January 16, 2019

Timberlands Healthcare, a rural hospital in Crockett, Texas, in 2017 became one of the many rural hospitals in Texas to shut its doors, but with the help of two Austin-based physicians, the hospital reopened under a new name and a with new vision for the future.

Grassley lays out health care priorities—and starts with a bill to import drugs from Canada

January 10, 2019

New Senate Finance Committee Chair Chuck Grassley (R-Iowa) on Wednesday laid out his priorities regarding prescription drug prices and released draft legislation that would allow U.S. residents to import drugs from Canada.

How two Democratic governors and one mayor want to expand public health coverage

January 9, 2019

Democratic governors in California and Washington and New York City's mayor over the past few days have unveiled proposals to significantly expand public health programs, including some proposals that would offer residents universal coverage.

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