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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.

The lag in federal exchange signups, charted

December 10, 2018


CMS data show about 3.2 million U.S. residents selected federal exchange plans from Nov. 1, the first day of the Affordable Care Act's current open enrollment period, through Dec. 1.

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.

What's behind the slowdown in US health spending? Declining demand, CMS finds.

December 7, 2018


CMS actuaries say U.S. health care spending increased by 3.9% to $3.5 trillion in 2017, down from a growth rate of 4.3% in 2016.

How the Trump admin wants to make health care more competitive

December 6, 2018


HHS, the Department of Labor, and the Department of the Treasury in a 119-page report recommend reforms across the U.S. health care market to promote choice and competition.

New Hampshire gets CMS' OK to implement Medicaid work requirements

December 4, 2018


As early as April 2019, New Hampshire will require certain beneficiaries enrolled in the state's Medicaid expansion to work or participate in other activities for at least 100 hours a month to qualify for coverage.

Four ways the Trump admin will allow states to circumvent ACA requirements

November 30, 2018


CMS Administrator Seema Verma detailed four ways states could use revamped federal waivers to skirt requirements under the Affordable Care Act, drawing criticism from Democrats and some policy experts who say the recommendations could violate the law.

Why the uninsured rate among US children rose for the first time in nearly a decade

November 30, 2018


A new report from Georgetown University shows the number of U.S. children without health insurance increased in 2017 for the first time since 2008.

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