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The national suicide prevention-hotline is closer to getting a 3-digit dialing code

December 17, 2019


The Federal Communications Commission on Thursday voted to approve a proposal to create a three-digit dialing code for the United States' suicide-prevention hotline.

FDA approves 1st fully disposable duodenoscope

December 17, 2019


FDA on Friday approved the first fully disposable duodenoscope, which is designed to eliminate the potential risk of infection that is tied to reusable scopes.

CMS might have overpaid MA plans by $6.7B in 2017, HHS' OIG says

December 17, 2019


CMS might have improperly paid Medicare Advantage plans an estimated $6.7 billion in 2017 after the plans added diagnoses to beneficiaries' files that in some instances were not supported by medical records, according to an HHS Office of Inspector General report released last week.

Moody's says nonprofit hospital market should improve in 2020

December 17, 2019


Moody's Investors Service in a recent report said nonprofit hospitals and health systems should see an increase in revenue in 2020, upgrading the sector to a stable outlook.

How 10 former NFL players allegedly committed $3.9M in health care fraud

December 16, 2019


The Department of Justice on Thursday announced that it has charged 10 former NFL players with fraud for allegedly submitting false claims for medical equipment totaling $3.9 million to a health benefits program for former players.

CMS will reimburse hospitals for 2019 site-neutral payment cuts—but will implement the cuts in 2020

December 16, 2019


CMS on Thursday announced plans to reimburse hospitals for site-neutral payment cuts the agency made to off-campus hospital facilities in 2019—but CMS separately said it still intends to implement site-neutral payment cuts in 2020.

House approves Pelosi's Rx pricing bill, rejects GOP alternative

December 13, 2019


The House on Thursday voted 230-291 to pass House Speaker Nancy Pelosi's (D-Calif.) bill intended to lower prescription drug prices in the United States, and voted 201-223 to reject a bill introduced by House Republicans that was intended to serve as an alternative to Pelosi's measure.

SCOTUS declines to hear Arizona opioid case against Sackler family

December 13, 2019


The U.S. Supreme Court on Monday declined to hear a rare case brought by Arizona accusing members of the Sackler family, which owns Purdue Pharma, of funneling out billions of dollars from the company before filing for bankruptcy as part of a settlement over its alleged role in the opioid epidemic.

Are these 5 types of medical billing 'fraud by any other name'?

December 13, 2019


Elisabeth Rosenthal, a physician and editor-in-chief of Kaiser Health News, in a New York Times opinion piece recalls her husband's recent experience navigating the U.S. health care system and argues that "[m]uch of what we accept as legal in medical billing would be regarded as fraud in any other sector."

With just 3 days left in open enrollment, CMS data shows federal exchange signups are lagging

December 12, 2019


CMS on Wednesday released federal exchange plan signup figures for the sixth week of the Affordable Care Act's current open enrollment period, as well as data on the number of U.S. residents who were enrolled in federal and state exchange plans during the first six months of 2019.

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