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The spike in families' health care spending, charted

August 19, 2019


Families with employer-sponsored health plans have seen average health care spending rise twice as fast as wages over the past decade, according to a research brief from the Peterson Center on Healthcare and Kaiser Family Foundation.

PBMs pass on nearly 100% of rebates to Medicare Part D plans, GAO finds

August 19, 2019


Pharmacy benefit managers in 2016 passed on nearly all of the rebates they negotiated with pharmaceutical companies for Medicare Part D drugs to insurers sponsoring Part D plans, resulting in lower premiums for such plans, according to a Government Accountability Office report released Wednesday.

Planned Parenthood will exit Title X family planning program unless court intervenes

August 16, 2019


Planned Parenthood on Wednesday announced it will formally withdraw from the Title X federal family planning program by Aug. 19 unless a federal court blocks a Trump administration rule that bars clinics that receive Title X funding from abortions providing or referring patients to non-emergency abortion care.

In the states: AMA leaves group that opposes 'Medicare for All,' shots fired at an Illinois VA hospital, and more

August 16, 2019


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

An appeals court just reinstated the controversial 2017 DSH payment rule (and it could cost some hospitals millions)

August 16, 2019


A federal appeals court on Tuesday reversed a lower court's ruling and reinstated a 2017 rule that changed how CMS calculates Medicaid disproportionate-share hospital payments to ensure providers are not doubly compensated for care costs covered by third-party insurers.

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.

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