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House committee chair proposes new fix for 'surprise' medical bills

October 3, 2019


House Ways and Means Committee Chair Richard Neal (D-Mass.) in a letter sent Friday to Democratic lawmakers proposed to address so-called "surprise" medical bills by allowing the Trump administration and stakeholder groups to form a committee to recommend regulations for out-of-network bills.

What hospital ombudsmen really do (and why some patients hire their own advocates instead)

October 3, 2019


To navigate an increasingly complex and at times overwhelming health care system, patients are turning to hospital ombudsmen and private patient advocates to navigate their care.

J&J reaches $20.4M settlement in 'bellwether' opioid lawsuit

October 2, 2019


Johnson & Johnson on Tuesday announced that it has reached an agreement with two Ohio counties to settle claims, with no admission of liability, that the drugmaker contributed to the U.S. opioid epidemic.

CMS wants states to experiment with wellness programs

October 2, 2019


CMS this week invited states to participate in a demonstration project that will allow them to implement wellness programs that require patients to meet specific health outcomes to receive rewards in their individual health insurance markets.

MSSP ACOs saved $739M in 2018, new CMS data shows

October 2, 2019


CMS Administrator Seema Verma in a blog post published Monday in Health Affairs announced that accountable care organizations participating in the Medicare Shared Savings Program generated $739.4 million in net savings in 2018.

HHS reallocates Planned Parenthood funding to other Title X participants

October 2, 2019


The Trump administration has reallocated federal funding totaling $34 million that became available when Planned Parenthood and other providers exited the Title X program because of new restrictions regarding abortion.

Hospitals question legality of CMS' price transparency proposal

October 1, 2019


CMS' public comment period for the 2020 Hospital Outpatient Perspective Payment System proposed rule ended last week, and the rule's more controversial proposals garnered hundreds of comments from hospital groups, insurers, and other industry stakeholders.

CMS' 2020 MPFS proposed rule draws more than 40,000 comments

October 1, 2019


CMS' public comment period for the 2020 Medicare Physician Fee Schedule proposed rule ended last week, and the agency received more than 40,000 comments from hospital groups, insurers, and other industry stakeholders.

Do value-based payment programs work?

October 1, 2019


Medicare has increasingly emphasized value-based payment programs since the Affordable Care Act's enactment, but nearly a decade later, experts are still weighing whether these value-based initiatives work, health economist Austin Frakt writes for the New York Times' "The Upshot."

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