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In the states: AMA leaves group that opposes 'Medicare for All,' shots fired at an Illinois VA hospital, and more

August 16, 2019


American Health Line rounds up the latest health care news in the states.

This employer flew a patient to Cancun for surgery. (And they paid her $5,000 to do it.)

August 15, 2019


To meet U.S. residents' growing yet skeptical interest in medical tourism, a Denver-based for-profit organization is arranging for U.S. doctors to leave the states for quick trips to perform operations on U.S. patients—who might even get paid by their employers for having the procedure abroad.

CMS: Exchange plan enrollment is largely stable (except among non-subsidized buyers)

August 14, 2019


About 10.6 million U.S. residents enrolled in Affordable Care Act exchange plans by March 15 of this year, representing a less than 1% decrease when compared with enrollment numbers as of March 15, 2018, according to CMS data released Monday.

40% of patients faced 'surprise' out-of-network bills at in-network hospitals

August 14, 2019


The number of U.S. patients who were billed for out-of-network care received at in-network hospitals rose between 2010 and 2016and the costs of those bills increased, as wellaccording to a study published Monday in JAMA Internal Medicine.

Why an iron infusion could cost $412—or $4,316

August 12, 2019


Experts say the common brand-name products used for IV iron infusions in many cases are medically interchangeable—yet providers increasingly are administering the most costly products, leaving patients facing unexpectedly high bills.

Can 'authorized generics' actually raise Rx prices?

August 12, 2019


Drugmakers increasingly are creating generic versions of their own brand-name drugs, aiming in part to sustain revenue after patents expire, but some critics say these so-called "authorized generics" stifle competition and ultimately could increase prices.

Short-term health plans pay out 39% of premiums on care, report finds

August 9, 2019


The top five short-term health plan insurers in 2018 spent only about 39% of premium dollars on medical care, well below the Affordable Care Act's medical loss ratio threshold, according to the National Association of Insurance Commissioners' 2018 Accident and Health Policy Report published last week.

CMS releases national coverage policy for CAR T-cell therapies

August 8, 2019


CMS on Wednesday announced that Medicare will cover FDA-approved CAR T-cell therapies nationwide at health care facilities that meet certain requirements, but the agency did not change Medicare's payment rates for the treatments.

The best (and worst) states for health care, ranked

August 6, 2019


WalletHub on Monday released its latest list of the Best & Worst States for Health Care. See where your state ranks with American Health Line's interactive map.

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