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DOJ charges 35 individuals in $2B Medicare scam

October 1, 2019


The Department of Justice last week announced that it has brought charges against 35 individuals, including 10 medical professionals, for their alleged role in a Medicare scam involving dozens of telemedicine companies and genetic testing laboratories.

NYT op-ed: In the spending debate, hospitals get an undue pass

October 1, 2019


While politicians often blame drugmakers and insurers for high U.S. health care prices, "hospitals are by far the biggest cost in our $3.5 trillion health care system," Elizabeth Rosenthal, a physician and editor-in-chief of Kaiser Health News, writes in a New York Times opinion piece.

Premiums, deductibles, and more: How employer-sponsored coverage changed in 2019

September 27, 2019


Annual premiums and deductibles for employer-sponsored health coverage increased faster than both wages and inflation in 2019, according to Kaiser Family Foundation's annual Employer Health Benefits Survey.

In the states: Patrick Conway resigns as Blue Cross North Carolina CEO, Massachusetts bans sales of all vaping products, and more

September 27, 2019


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

Lafayette General, Ochsner Health announce plans to merge to form largest health system in Gulf South

September 26, 2019


Lafayette General Health and Ochsner Health System yesterday announced their intention to merge, which would form the largest health system in the Gulf South.

Hospitals will see $4B DSH payment cut in 2020 under CMS rule

September 25, 2019


CMS this week finalized a rule outlining how it will calculate annual Medicaid disproportionate share hospital payment cuts from fiscal year (FY) 2020 through FY 2025.

The 25 'Highest Paying Jobs' (Hint: 6 are in health care)

September 24, 2019


Glassdoor last week released its 2019 list of the 25 "Highest Paying Jobs" in the United States, and five of the top 10 are in health care.

The House’s 'surprise bill' fix could cut provider payments by up to 20%, CBO finds

September 24, 2019


The House Energy and Commerce Committee's bill to address so-called "surprise" medical bills would reduce in-network provider payment rates and premiums in some markets and generate $21.9 billion in federal savings over a decade, according to a Congressional Budget Office report released last week.

Pelosi unveils bill to lower Rx drug prices. But will it pass Congress?

September 20, 2019


House Speaker Nancy Pelosi (D-Calif.) on Thursday unveiled a highly anticipated bill that aims to reduce prescription drug prices in the United States by giving the HHS secretary the authority to negotiate Medicare payments for certain drugs and establishing a drug price ceiling for the negotiations based on the prices paid for the drugs in other countries.

Inside Buttigieg's 'Medicare for All Who Want It' plan

September 19, 2019


South Bend, Indiana, Mayor Pete Buttigieg (D), who is seeking the 2020 Democratic nomination for president, on Thursday released his so-called "Medicare for All Who Want It" plan, which would create a public health plan that Americans could choose to opt in to.

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