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The Trump admin's top 3 health care priorities

July 25, 2019


HHS Secretary Alex Azar on Tuesday laid out three of the Trump administration's top health care priorities heading into the 2020 election.

Inside the Senate Finance Committee's sweeping new proposal to lower Rx drug costs

July 24, 2019


Senate Finance Committee Chair Chuck Grassley (R-Iowa) and Sen. Ron Wyden (D-Ore.), the ranking member on the committee, on Tuesday introduced a sweeping bill aimed at lowering prescription drug costs by changing various Medicare and Medicaid policies, but the bill quickly drew criticism from congressional Republicans and the pharmaceutical industry.

Why lawmakers keep missing the biggest source of 'surprise' bills

July 24, 2019


At the state and federal levels, lawmakers are considering bills to address so-called "surprise" out-of-network medical bills, but their efforts largely ignore ground ambulances, which are one of the main sources of such bills.

How 'Dr. Dave' scammed insurers for $4M—without a medical license

July 23, 2019


For more than four years, a personal trainer who called himself "Dr. Dave" fraudulently billed major health insurers for about $25 million, collecting about $4 million in cash.

A physician's family couldn't find in-network care—and ended up with a $524K bill

July 23, 2019


When Sovereign Valentine learned he was in kidney failure and needed immediate dialysis, he and his wife, a physician at their local hospital, searched for an in-network facility to no avail. With no other options, Sovereign began dialysis at an out-of-network facility—and ended up with a $524,600.17 bill.

Verma calls public option proposals a single-payer 'Trojan horse'

July 23, 2019


CMS Administrator Seema Verma on Monday criticized proposals to implement a so-called "public option" health plan in the United States, calling such a plan a "Trojan horse with a single-payer hiding inside."

HHS won't penalize providers who try to comply with Title X abortion restrictions

July 23, 2019


HHS on Saturday informed health care providers and state governments that the department will not penalize providers who are making efforts to comply with a final rule that bars entities that receive Title X family planning grants from providing or referring patients for abortion care.

Hahnemann University Hospital is on the verge of closure. Here's what's happening inside the 200-year-old hospital.

July 23, 2019


Hahnemann University Hospital in Philadelphia is winding down after nearly two centuries of service, leaving clinical staff, patients, and medical students at Drexel University, the hospital's long-time partner, uncertain about their futures.

Medicare has overpaid MA insurers billions. Now, CMS wants the payments back.

July 22, 2019


CMS is preparing to move forward with a proposal to use audits to recoup millions of dollars in overpayments to Medicare Advantage insurers, after insurers overcharged Medicare by nearly $30 billion over the past three years.

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