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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.

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.

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.

Congress passes two-year budget deal, averting automatic spending cuts

August 2, 2019


The Senate on Thursday voted 67-28 to approve a two-year budget deal that raises the U.S. debt ceiling, sets new federal spending levels, averts $125 billion in automatic spending cuts, and opens the door for negotiations on individual appropriations measures for next fiscal year.

How Harris' 'Medicare-for-All' plan differs from the rest

August 2, 2019


Sen. Kamala Harris (D-Calif.), who is seeking the 2020 Democratic nomination for president, on Monday unveiled a so-called "Medicare-for-All" proposal that would allow private health insurers to offer Americans coverage modeled after Medicare Advantage plans.

How a first-of-its-kind bipartisan bill would address social determinants

July 29, 2019


A bipartisan group of House lawmakers on Thursday introduced a bill that would create a multi-agency council, as well as a $25 million federal fund, to address the social determinants of health.

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