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Alexander, Murray just released updated legislation to address 'surprise' medical bills. Here's what made the cut.

June 20, 2019


Sens. Lamar Alexander (R-Tenn.) and Patty Murray (D-Wash.) on Wednesday formally introduced a wide-ranging bill to address so-called "surprise" medical bills that would establish a benchmark provider payment rate for out-of-network services, instead of the arbitration process favored by hospital industry groups.

How CMS wants to change Medicare Part D prior authorization requirements

June 20, 2019


CMS on Monday proposed a rule intended to streamline Medicare Part D's electronic prior authorization process by circumventing certain HIPAA requirements.

It's time to stop the 'administrative creep' in health care, this doctor contends

June 12, 2019


"The demands on medical professionals have escalated relentlessly in the past few decades," and rather than addressing this rise in demand with more resources, health care employers have "manipulated" medical professionals' ethics and commitment to their patients, which "is not just bad strategy" but "bad medicine," Danielle Ofri, a physician at Bellevue Hospital, writes in a New York Times opinion piece.

'Too far, too fast': What industry stakeholders are saying about HHS' proposed data sharing rules

June 6, 2019


In nearly 3,800 comments, key health care industry stakeholders and former policymakers say they support HHS' goal to give patients greater access to their electronic health information, but raised big concerns with the ways HHS has proposed accomplishing that goal.

How Penn Medicine 'nudges' clinicians towards better decisions

May 24, 2019


Penn Medicine in 2016 launched its so-called "nudge unit," a group focused on making it easier to implement subtle changes within a hospital to improve decision-making, and now, Sujatha Changolkar, clinical research coordinator for the Penn nudge unit, and colleagues are sharing how others can make nudges work at their organizations.

Inside Thrive Local—Kaiser's plan to add social services into the EHR

May 14, 2019


Kaiser Permanente last week announced it will launch Thrive Local, a social health network aimed at connecting health and social services providers.

CMS just dropped its proposed rule for Medicare inpatient payments. Here's what's inside.

April 24, 2019


CMS on Tuesday issued its Inpatient Prospective Payment System proposed rule for fiscal year 2020, which would address payment disparities for rural and urban health facilities and increase add-on payments for emerging technology and therapies.

How are hospitals actually using their EHRs? See the answer, charted.

April 23, 2019


The vast majority of U.S. hospitals use electronic health record (EHR) systems, but exactly how hospitals use their EHRs varies, according to a report released this month by the Office of the National Coordinator for Health IT.

CMS proposes payment increases for SNFs, hospice facilities for FY 2020

April 22, 2019


CMS on Friday released proposed rules that would increase fiscal year (FY) 2020 Medicare payments for skilled nursing facilities by 2.5%, or $887 million, and hospice facilities by 2.7%, or $540 million, when compared with FY 2019.

Should FDA regulate EHRs? Media investigation highlighting EHR-related patient harm raises the question.

March 26, 2019


Outgoing FDA Commissioner Scott Gottlieb on Wednesday called for greater scrutiny of electronic health record (EHR) systems, after an investigation by Kaiser Health News and Fortune identified thousands of patient injuries, including some deaths, tied to EHRs.
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