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CMS wants ACOs to take on more risk. Here's how.

August 13, 2018


CMS is proposing replacing the current Medicare Shared Savings Program tracks with two options that accelerate the pathway for accountable care organizations to transition to two-sided risk models.

CMS will allow MA plans to implement step-therapy requirements for Part B drugs

August 13, 2018


Under a new CMS policy, Medicare Advantage plans beginning Jan. 1, 2019, will be able to implement step-therapy requirements for prescription drugs administered to beneficiaries at physician offices or hospitals—and President Trump says his administration soon will announce more policies intended to lower prescription drug prices.

Zika-infected babies born without birth defects might still develop health conditions, CDC says

August 13, 2018


CDC's latest Vital Signs report shows an estimated one in seven infants who were exposed to the Zika virus while they were fetuses developed one or more health conditions that might have been caused by the virus by the time they were one year old.

The 'Hot Water Challenge': Inside the latest internet trend that has kids drinking boiling water

August 13, 2018


Hospitals across the country are treating burn patients who have consumed or had boiling water poured onto them as part of the so-called "Hot Water Challenge."

HHS announces recipients of Title X family planning grants

August 13, 2018


HHS says that it will award about $290 million in Title X family planning grants to all current grantees and 12 new organizations—including groups that are suing HHS over its new criteria for organizations seeking the grants.

Payment bumps and price transparency requirements: Inside CMS' 2,610-page IPPS final rule

August 3, 2018


CMS' final rule for the Inpatient Prospective Payment System and Long-Term Acute Care Hospital (LTCH) Payment System for fiscal year 2019, which overhauls the meaningful use program and aims to improve hospital price transparency, will affect about 3,300 acute care facilities and about 420 LTCH facilities.

Can AI replace a doctor's intuition? This study says no.

August 3, 2018


A new study from the Massachusetts Institute of Technology suggests artificial intelligence cannot replace a human doctor's intuition.

This doctor wants to offer MRIs for as low as $500—but a state law is stopping him

August 3, 2018


After discovering an MRI would cost $1,200, Gajendra Singh, a gastroenterologist, decided to open his own imaging center in Winston-Salem, North Carolina, with MRI prices as low as $500—but a state law is proving to be a major obstacle.

Why medical students should study literature instead of ethical case studies

August 3, 2018


Ethical case studies used to teach students how to handle ethical dilemmas often "miss the point"—and future doctors should instead read fiction, a recent paper suggests.

CMS finalizes payments bump for post-acute care, hospice providers

August 2, 2018


CMS' final rules for skilled nursing facilities, inpatient rehabilitation facilities, and inpatient psychiatric facilities will increase payments to the facilities by a total of $975 million for fiscal year (FY) 2019, while a separate final rule will increase Medicare payments for hospices by a total of $350 million for FY 2019.

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