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Why is the US health care system such an outlier? Here's one hypothesis.

September 18, 2019


The U.S. health care system is unique, but some observers say what makes it truly distinct from other health care systems around the globe is the amount patients—including those who are insured—pay out of pocket for care.

A federal judge struck down Medicare's site-neutral payment rule

September 18, 2019


A federal judge on Tuesday vacated HHS' site-neutral payment policy that cuts Medicare payment rates for off-campus hospital facilities.

A monthly subscription to an air ambulance? Regulators say it might be too good to be true.

September 18, 2019


Some air ambulance companies are selling membership subscriptions that promise patients will pay no out-of-pocket costs if they use the transportation services, but state regulators—and some larger air ambulance companies—are skeptical of the memberships' no-cost guarantee.

12 lessons private health systems can learn from VA, according to David Shulkin

September 18, 2019


Former Veterans Affairs (VA) Secretary David Shulkin, who spent much of his career in the private sector, in a post on LinkedIn offers 12 tips the private health care sector can take from VA.

VA must pay for non-VA emergency care even if veterans have other insurance, court rules

September 13, 2019


A federal appeals court this week ruled Veterans Affairs (VA) must reimburse veterans for emergency medical care provided at non-VA facilities—a decision that plaintiff's lawyers estimate could cost VA billions of dollars.

First, she had a heart transplant. Then, a debt collector added her on LinkedIn.

September 10, 2019


Tens of millions of U.S. residents owe medical debt, and it is not uncommon for collections agencies to pursue aggressive tactics to recoup the balance.

How insurers are moving to cover multimillion-dollar gene therapies

September 9, 2019


Major insurers are eyeing and developing new strategies to help employers cover the cost of gene therapies priced at millions of dollars per treatment.

CMS finalizes rule bolstering its authority to combat fraud

September 9, 2019


CMS on Thursday finalized a rule that provides the agency with more authority to prevent fraud by rejecting or revoking a provider's or supplier's enrollment in CHIP, Medicare, and Medicaid if they are affiliated with organizations that have had their enrollment revoked because of fraud, waste, or abuse.

In the states: Judge approves deal to complete CVS-Aetna merger, North Carolina sues Juul for allegedly targeting children, and more

September 6, 2019


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

Medicare paid twice for about $161M in hospice drugs, report finds

September 5, 2019


Medicare Part D in 2016 unnecessarily spent an estimated $161 million on drugs that already were covered under Medicare Part A, according to an HHS Office of Inspector General report released last week.

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