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HHS might require providers to disclose 'secret' prices negotiated with insurers

March 8, 2019


HHS under a proposed rule published Monday is seeking public comments on whether it should require health care providers to disclose the now-secret prices they negotiate with health insurers.

HHS wants to fix kidney care system that 'pays for sickness rather than health,' Azar says

March 6, 2019


HHS Secretary Alex Azar on Monday said CMS' Center for Medicare and Medicaid Innovation is looking to change how Medicare pays for dialysis treatments and to increase the number of kidneys that are available for transplant.

Senate Finance Committee chair relaunches probe into nonprofit hospitals' tax exemptions

March 5, 2019


Senate Finance Committee Chair Chuck Grassley (R-Iowa) last month renewed his investigation into whether nonprofit hospitals are meeting uncompensated care and other requirements for tax exemptions.

Why have insulin prices spiked? These senators are demanding to know.

March 1, 2019


Leaders on the Senate Finance Committee last week launched a bipartisan investigation into rising insulin prices in the United States, noting concerns about patients' access to the life-saving drug.

How pharma execs are proposing to lower Rx drug costs. (Hint: It's not by lowering their prices.)

February 27, 2019


Pharmaceutical company executives during a Senate Finance Committee hearing on Tuesday offered some ideas for lowering prescription drug prices insurers and consumers pay, though they did not commit to lowering the list prices of their products.

US will spend $6T on health care by 2027, CMS says. Here's what will drive that growth.

February 21, 2019


CMS' Office of Actuaries predicts average national spending growth in the United States will increase by 5.5% annually from 2018 to 2027, outpacing growth in the country's gross domestic product and reaching a total of nearly $6 trillion by 2027.

5 ways to keep high-cost patients out of the ED, according to the patients themselves

February 21, 2019


High-need patients make up just 5% of U.S. patients but account for almost half of health care spending—and researchers from Weill Cornell Medicine and University of Florida recently reached out to such patients to found out they want and expect from providers.

Idaho health officials move ahead with voter-approved Medicaid expansion

February 20, 2019


The Idaho Department of Health and Welfare on Friday announced it has submitted a proposal to CMS to implement a voter-approved Medicaid expansion in the state that does not include work requirements or other restrictions recently proposed by state lawmakers.

Medicare wants to revamp ambulance payments, aiming to prevent avoidable ED visits

February 15, 2019


HHS on Thursday announced the launch of a new voluntary payment model for emergency ambulance services—called the Emergency Triage, Treat, and Transport (ET3) model—that would allow Medicare to reimburse first responders for care delivered on-site or via telemedicine, even if patients are not taken to a hospital.

Spending in employer-sponsored plans reached an all-time high in 2017. Here's how employers are fighting back.

February 15, 2019


Spending in employer-sponsored health plans reached a record high in 2017, and the major cause was higher prices—not higher utilization, according to the Health Care Cost Institute's annual Health Care Cost and Utilization Report released Tuesday.

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