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CMS finalizes Medicare payment updates for home health and kidney care

November 1, 2019


CMS on Thursday finalized two separate rules that will increase Medicare payments for home health agencies and end-stage renal disease care.

More than 1,500 hospitals will receive VBP bonuses in FY 2020

October 31, 2019


CMS on Tuesday announced that over 1,500 hospitals will receive bonuses in fiscal year 2020 under Medicare's Value-based Purchasing program.

House passes bills to increase transparency around PBM rebates

October 31, 2019


The House on Monday voted unanimously to approve two bills that would increase transparency of the discounts drugmakers offer pharmacy benefit managers.

New York's solution for 'surprise' medical bills is increasing health care costs, analysis finds

October 30, 2019


New York's arbitration process for addressing so-called "surprise" medical bills has resulted in higher payments to health care providers, and higher health care costs for state residents, according to an analysis released Thursday by the USC-Brookings Schaeffer Initiative for Health Policy.

The 5 keys to value-based care, according to Intermountain CEO Marc Harrison

October 28, 2019


As the health care industry moves toward value-based payment models, Intermountain Healthcare President and CEO Marc Harrison writing in Harvard Business Review offers his five principles to implementing a successful value-based care program.

Why a popular algorithm showed bias toward white patients (and how it can be fixed)

October 28, 2019


A widely used algorithm is more likely to classify white patients as needing follow-up care than comparably ill black patients, according to study in the journal Science—and the study's senior author said it is "inconceivable" that other common algorithms do not have similar flaws.

State AGs announce settlement framework that could resolve thousands of opioid lawsuits

October 22, 2019


Attorneys general from four states on Monday released a framework for a $48 billion agreement with three of the United States' largest drug distributors and other pharmaceutical companies that could settle thousands of lawsuits claiming the companies fueled the opioid epidemic.

Why some Native American tribes are breaking with Indian Health Service

October 22, 2019


A growing number of Native American tribes are taking control of troubled government-run hospitals in an effort to improve care for their communities, but some are finding the turnaround is both slow and costly.

Democratic candidates again debated 'Medicare for All,' but is that what voters want to hear?

October 16, 2019


Candidates seeking the 2020 Democratic nomination for president during Tuesday's primary debate touched on several health care topics, including abortion, the U.S. opioid epidemic, and so-called "Medicare-for-All" proposals—but a recent poll suggests the candidates did not discuss the health care issues voters most wanted to hear about.

Why Amazon is steering its employees to LA for cancer care

October 16, 2019


To reduce health spending, Amazon is now paying for employees with cancer to travel to Los Angeles to see leading specialists at City of Hope health system.

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