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Inside the 1,182-page Hospital Outpatient Prospective Payment System final rule

November 2, 2018

CMS has released a final rule to update Medicare's Hospital Outpatient and Ambulatory Surgical Center Payment Systems for calendar year 2019, which contains several policy updates to address payment differences between different sites of service.

It's coming: 340B rule delayed 5 times to take effect in January, HHS says

November 1, 2018

HHS says a long-delayed rule that would penalize drugmakers that deliberately overcharge providers for drugs purchased under Medicare's 340B Drug Discount Program will take effect Jan. 1, 2019.

How much does cancer cost? It could consume your life's assets, one study finds

November 1, 2018

Cancer is costly both emotionally and financially, and for many patients a cancer diagnosis can lead to the complete depletion of their entire life's assets within just two years, according to a recent study.

$500 and a trip to Mexico: How one insurer is tackling high Rx drug prices

October 31, 2018

Health insurer PEHP, which covers Utah's state employees and their families, is offering enrollees a $500 cash payout, as well as covered expenses, to travel to Mexico to purchase certain prescription drugs.

Medical fundraisers often support unproven, potentially dangerous treatments

October 29, 2018

Crowdfunding sites like GoFundMe often are used to help pay for medical treatments, but a study published in JAMA finds that many of those campaigns are for unproven and potentially dangerous treatments.

Trump's plan to cut drug spending: Let Medicare Part B pay the same prices as international buyers

October 26, 2018

The Trump administration is considering testing an International Pricing Index model that would pilot three new initiatives intended to lower the prices of drugs covered under Medicare Part B.

Medicaid enrollment dropped—but spending stayed the same, survey finds

October 26, 2018

Medicaid spending in 2018 rose at the same rate as 2017, despite the program experiencing its first enrollment decline since 2007, according to Kaiser Family Foundation's annual survey of state Medicaid directors.

How Maryland prevented 18,562 inpatient stays and saved $108M

October 26, 2018

Maryland’s Health Enterprise Zone Initiative aims to attract primary care providers to underserved communities and reduce emergency department visits, health care costs, and hospital admissions while improving health care access and promoting healthy behaviors.

Is the 'tide turning' on the opioid epidemic? Trump admin, rolling out new efforts, says yes.

October 25, 2018

The Trump administration this week announced new efforts to combat the U.S. opioid epidemic, as President Trump signed into law a sweeping, bipartisan bill to address opioid misuse.

Hospital-acquired conditions cost a lot money—and lives—in 2016, research finds

October 25, 2018

A research brief from IBM Watson Health shows 48,771 hospital-acquired conditions occurred in 2016, which resulted in billions of dollars in excess hospital costs and thousands of potentially avoidable deaths.

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