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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.

CMS releases national coverage policy for CAR T-cell therapies

August 8, 2019


CMS on Wednesday announced that Medicare will cover FDA-approved CAR T-cell therapies nationwide at health care facilities that meet certain requirements, but the agency did not change Medicare's payment rates for the treatments.

The best (and worst) states for health care, ranked

August 6, 2019


WalletHub on Monday released its latest list of the Best & Worst States for Health Care. See where your state ranks with American Health Line's interactive map.

Trump's short-term health plan expansion is back in court

August 6, 2019


Stakeholders have appealed a federal judge's decision to uphold the Trump administration's expansion of short-term health plans, which are not required to comply with certain Affordable Care Act requirements.

Trump signs bill providing $10B in compensation for 9/11 first responders

August 6, 2019


President Trump last week signed into law a bill that will extend aid to first responders of the Sept. 11, 2001, terrorist attacks through 2092.

What's inside CMS' 2,273-page IPPS final rule?

August 5, 2019


CMS on Friday issued its Inpatient Prospective Payment System final rule for fiscal year 2020, which aims to address payment disparities for rural and urban health facilities and increase add-on payments for emerging technologies and therapies.

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