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US performs far more CT and MRI scans than other countries. There's 'virtually no evidence' that's helpful, researchers say.

January 29, 2019


Researchers from Stanford University and Mayo Clinic in a JAMA opinion piece raise alarms about the prevalence of "unnecessary diagnostic imaging" in the United States, writing that there is "virtually no evidence" that more MRIs and CT scans "improve... overall population health."

How Saint Francis built a 'hospital within a hospital' for joint replacements (and cut readmissions below the national average)

January 28, 2019


To prepare for a projected rise in hip and knee replacements, Saint Francis Hospital and Medical Center in 2007 launched its own bundled-payment program and soon after saw readmission rates and lengths of stay for the procedures fall below the national average.

Insulin costs per patient nearly doubled over 5 years, study reveals

January 25, 2019


Per-person spending on insulin for patients with Type 1 diabetes nearly doubled from 2012 to 2016, driven in large part by rising insulin prices, according to a recent Health Care Cost Institute report.

Is the 'gray market' for diabetes test strips savings patients' lives—or devastating manufacturers?

January 24, 2019


The multi-billion-dollar industry for diabetic test strips operates alongside a decades-old "gray market" in which insured patients sell their unused test strips to distributors who resell them for profit.

SCOTUS allows ban on some transgender troops to take effect while lawsuits advance

January 23, 2019


The Supreme Court on Tuesday ruled 5-4 to allow the Trump administration to ban many transgender individuals from serving in the U.S. military while lawsuits challenging the policy move through the courts.

CMS unveils new Medicare Part D payment model, updates MA model

January 22, 2019


CMS on Friday announced new interventions that Medicare Advantage plans will be able to test under the value-based insurance design model, as well as a new model for Medicare Part D designed to make plans take on more financial risk.

CMS just proposed changes for 2020 exchange plans. Here's what you need to know.

January 18, 2019


CMS on Thursday released proposed changes for Affordable Care Act exchange plans that the agency said are intended to lower premiums and reduce regulatory burdens, but some observers said the proposed changes could increase costs for exchange enrollees.

Why are Rx prices increasing? A House panel just launched an investigation to find out.

January 17, 2019


The House Oversight and Reform Committee on Monday launched an investigation into how prescription drug companies set prices for their products, focusing on drugs that comprise a large share of Medicare Part D spending and treatments that have experienced significant price increases.

Is the country's health care system in crisis? A majority of US residents think so, poll finds.

January 16, 2019


A recent Gallup poll shows a majority of U.S. residents believe the U.S. health care system is in a state of crisis or has major problems.

CMS wants to significantly overhaul Medicaid—without Congress, sources say

January 15, 2019


The Trump administration is working on a plan that would allow states to choose to receive block grants to fund their Medicaid programs, three administration sources told Politico.

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