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A shift in primary care: More adults seeing NPs, PAs than physicians, analysis finds

November 16, 2018

A new analysis shows U.S. adults with employer-sponsored health plans are making fewer trips to their primary care physicians, while office visits to nurse practitioners and physician assistants have increased.

When hospitals merge, prices can increase by more than 50%, according to a new analysis

November 16, 2018

Hospitals often argue that consolidation will lower prices, but an analysis from the Nicholas C. Petris Center at the University of California-Berkeley finds that consolidation actually leads to higher prices.

North Carolina wants to save $300M a year by pegging reimbursement to Medicare rates—but hospitals are pushing back

November 15, 2018

Hospitals in North Carolina are pushing back against a plan to tie what the state pays for workers' health care to Medicare's reimbursement rate—a move that hospitals say could jeopardize access to care.

The case for treating antibiotic resistance as a national security problem

November 14, 2018

Many of the antibiotics people use today could become ineffective within three decades, and experts predict there will be few replacements unless major changes are made to the research and development process.

Mandatory payment models are making a comeback, Azar says

November 9, 2018

HHS Secretary Alex Azar says CMS' Center for Medicare & Medicaid Innovation plans to test a mandatory Medicare payment model for radiation oncology and new versions of two previously canceled payment models for cardiac care.

Appeals court denies insurers' request to rehear cases over ACA risk corridor payments

November 8, 2018

A full panel of judges for the U.S. Court of Appeals for the Federal Circuit has denied a request from four health insurers to rehear their cases claiming the federal government owes millions of dollars in risk corridors payments, and at least two of the insurers intend to appeal the case to the Supreme Court.

Congress, divided: What Tuesday's election results mean for health care

November 7, 2018

In Tuesday's midterm elections, Republicans expanded their Senate majority but lost control of the House—likely meaning the GOP effort to repeal the Affordable Care Act is dead, and giving Democrats new leverage to scrutinize President Trump's health policy choices.

Medicaid expansion, marijuana legalization, and more: See how states voted on our interactive map

November 7, 2018

Massachusetts voters rejected a controversial measure that would have allowed the state to set patient limits for nurses and voters, but three states voted to expand Medicaid. Explore these and other key initiatives on our interactive map.

Hospital groups will sue to stop Medicare's latest site-neutral payment change

November 5, 2018

Several health care industry groups are pushing back on CMS' plan to implement site-neutral payments in its 2019 Hospital Outpatient Prospective Payment System final rule, and the American Hospital Association and its member hospitals are planning to challenge the change in court.

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.

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