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CMS repeals Obama-era nursing home arbitration agreement ban, issues new rules

July 19, 2019


CMS this week finalized a rule that repeals a policy issued under former President Barack Obama that banned nursing homes from entering into pre-dispute binding arbitration agreements with residents, and instead prohibits long-term care facilities from forcing residents to sign them as a condition of residency.

Fewer ACOS joined MSSP in 2019—but more are taking on risk, data show

July 19, 2019


Fewer accountable care organizations (ACOs) joined the Medicare Shared Savings Program in 2019 than in 2018—but more ACOs are taking on financial risk than in previous years, CMS Administrator Seema Verma announced in a Health Affairs blog published Wednesday.

New York tells doctors how they must treat sepsis—and it's saving lives, a new study finds

July 19, 2019


New York adopted new regulations regarding sepsis treatment after 12-year-old Rory Staunton died of sepsis in 2012, and a study published Tuesday in JAMA found the regulations appear to be working.

Sanders to propose $20B fund aimed at stemming hospital closures

July 18, 2019


Sen. Bernie Sanders (I-Vt.), who is seeking the 2020 Democratic nomination for president, on Monday announced that he plans to introduce legislation to establish a federal fund to help local governments buy for-profit hospitals at risk of closing.

Senate's 'surprise billing' legislation would save $7.6B over 10 years, CBO predicts

July 18, 2019


The Senate Health, Education, Labor and Pensions Committee's legislative package to address out-of-network "surprise" medical bills would reduce average national provider payment rates by as much as 20%—with much of the effect due to a reduction in in-network payment rates, according to a Congressional Budget Office report released Tuesday.

Fortune's '40 under 40': The 19 health care trailblazers who made the list

July 17, 2019


Fortune last week released its "40 under 40" list of the most influential "entrepreneurs, leaders, and iconoclasts" under 40 years old, including 19 who are known for their contributions to the health care and wellness industries.

MACRA's Advanced APM track attracted more clinicians in 2018, CMS says

July 17, 2019


The number of clinicians who participated in MACRA's Advanced Alternative Payment Model track increased from 2017 to 2018, while the number of clinicians who participated in MACRA's Merit-based Incentive Payment System decreased, according to preliminary data CMS released Thursday.

Trump admin begins enforcing Title X family planning rule

July 17, 2019


The Trump administration on Monday announced that it will immediately start enforcing a final rule that bars health care providers and clinics that receive Title X family planning grants from providing or referring patients for abortion care.

How hospital 'secret shoppers' can have a major effect on care

July 17, 2019


Some hospitals are deploying so-called "secret shoppers" to get a better understanding of patient experience in their facilities—and sometimes the findings can be eye opening.

CMS wants to test acupuncture coverage for certain Medicare beneficiaries

July 17, 2019


CMS on Monday announced a proposal to cover acupuncture for Medicare beneficiaries with chronic low-back pain who are enrolled in NIH-sponsored or CMS-approved clinical trials that are evaluating acupuncture as an alternative treatment to opioids.

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