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Ky. gets first OK to implement Medicaid work requirements—but opponents eye legal challenges

January 16, 2018

Kentucky Gov. Matt Bevin (R) says the state's Medicaid program under the waiver will serve as a "model for the nation," though same stakeholders say they plan to sue Kentucky over the waiver's requirements.

Renewing CHIP for a decade would save the government $6B, CBO finds

January 12, 2018

The Congressional Budget Office's latest estimates on CHIP reauthorization come as lawmakers—who are expected to vote on CHIP reauthorization legislation next week —debate how long the reauthorization should last.

The ACA pushed hospitals to increase their community benefit spending. That hasn't happened, study finds.

January 12, 2018

Gary Young, director of the Center for Health Policy and Healthcare Research at Northeastern University and the study's lead author, says many nonprofit hospitals lack the infrastructure, "the personnel, or the knowledge to develop [broad community-based] strategies."

Feds lack authority to adequately oversee 340B program, House committee report finds

January 12, 2018

The House Energy and Commerce Committee report, which is based on a two-year investigation led by GOP lawmakers, calls on Congress to amend laws governing Medicare's 340B drug discount program to improve transparency and bolster government oversight.

Inside Maryland's proposal for a state-level individual mandate

January 11, 2018

The state lawmakers are looking to create a financial penalty for certain Maryland residents that remain uninsured and allow individuals who pay the penalty to use those dollars as a so-called "down payment" on an exchange plan.

How kids cleared for discharge end up trapped in the hospital for months

January 11, 2018

Although Medicaid provides coverage for home nursing care for eligible children with medically complex conditions, families often face long waits for such care in the face of home nursing shortages and poor program oversight, experts say.

Should US residents take more personal responsibility for their health?

January 11, 2018

Dhruv Khullar, a physician and researcher, reflects on the role of "personal responsibility" in health care in the United States, contending that "[e]fforts to inject more personal responsibility into health care ... have not consistently been shown to lower costs, improve outcomes, or save lives."

HHS secretary nominee signals potential shift on mandatory payment models

January 10, 2018

Alex Azar, President Trump's nominee for HHS Secretary, tells lawmakers on the Senate Finance Committee his top four priorities if confirmed will include using Medicare to help transition the U.S. health system from a fee-for-service to a value-based payment system and addressing rising prescription drug prices.

It's more dangerous to be born in US than other wealthy nations, study finds

January 10, 2018

The study's authors say "poor health outcomes" among children in the United States "stem from adverse socioeconomic conditions, risky health behaviors, and a fragmented health system, all in the context of a weak social safety net that fails to buffer vulnerable populations from the impacts of these circumstances on health."

For the first time in 25 years, CMS signals intent to update clinical lab rules

January 10, 2018

Rodney Rohde, chair and professor of clinical laboratory science at Texas State University, says clinical laboratory "regulations have not been meaningfully updated for about a quarter of a century."

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