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Are big employers on board with ‘Medicare for All’?

August 15, 2019


A survey by the National Business Group on Health of 147 large employers that cover more than 15.6 million people revealed that employers are sharply divided on so-called “Medicare-for-All” proposals—and are planning to implement their own ideas to lower health care costs.

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.

HHS releases guidance for providers on new Title X requirements

August 13, 2019


HHS in guidance released Friday said it will not use rigid standards to determine whether providers who receive Title X family planning funds are complying with a final rule that bars such entities from providing or referring patients for abortion care.

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.

Medicaid DSH payments vary widely by state, GAO finds

August 9, 2019


In four states, Medicaid disproportionate-share hospital payments in 2014 exceeded hospitals' aggregate uncompensated care costs, according to a new Government Accountability Office report—but in 29 states, the payments covered less than half of such costs.

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