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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.

Why these diabetes patients are caravanning to Canada

June 19, 2019


U.S. residents increasingly are visiting Canada to purchase insulin, as costs for the diabetes treatment in the United States have spiked in recent years.

Are AMCs worth the price? 3 experts weigh in.

June 19, 2019


Despite some experts' calls to divert patients away from costly academic medical centers (AMCs), research demonstrates that AMCs might produce better patients outcomes—and might not cost as much as some policymakers fear, a trio of prominent health care experts argue.

Varma warned ACA changes could harm coverage for 1.1 million people. HHS moved forward with one anyway.

June 18, 2019


CMS Administrator Seema Verma in August 2018 warned HHS Secretary Alex Azar against three policy changes that she estimated would decrease Affordable Care Act exchange enrollment by 1.1 million and jeopardize the exchange market, according to an internal memo.

She thought her spine surgery was fully covered—then came a nearly $100K charge

June 18, 2019


Liv Cannon's fiancé thought it was a scam when Cannon received an explanation of benefits detailing a nearly $100,000 medical charge about a year after she underwent life-changing back surgery—but it turns out the charge was real.

Map: The healthiest (and unhealthiest) states, according to the Commonwealth Fund

June 17, 2019


The Commonwealth Fund on Wednesday released its 2019 Scorecard on State Health System Performance, which ranks all 50 states on key measures of health.

Drugmakers sue HHS over rule requiring prices in TV ads

June 17, 2019


Three pharmaceutical companies and the Association of National Advertisers on Friday filed a lawsuit challenging HHS' final rule to require drugmakers to disclose their products' list prices in consumer-directed television advertisements, claiming the final rule exceeds HHS' statutory authority and violates the First Amendment of the Constitution.

49 of the most popular drugs saw patient and insurer costs rise between 2012 and 2017, study finds

June 17, 2019


The median total costs insurers and patients paid for the 49 most popular prescription drugs in the United States, by sales, increased between 2012 and 2017, with many of those costs increasing more than twofold, according to a recent study.

The Trump admin just finalized changes for employer-sponsored health plans. Here's what you need to know.

June 14, 2019


The Trump administration on Thursday finalized a rule that will allow U.S. workers to use employer-funded health reimbursement arrangements to purchase private health coverage.

CMS OKs Washington's 'subscription' payment model for hepatitis C drugs

June 14, 2019


CMS on Wednesday approved Washington's plan to negotiate value-based drug agreements with the makers of hepatitis C treatments under a subscription-like model.

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