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CMS proposes mandatory bundled payment model for radiation oncology

July 12, 2019


CMS on Wednesday issued a proposed rule to implement a mandatory bundled payment model intended to replace Medicare's current fee-for-service payment model for radiation oncology in certain geographic regions.

Trump just pulled his proposal to eliminate Rx drug rebates. Here's why.

July 11, 2019


The Trump administration has withdrawn its proposed rule to prohibit drugmakers from paying rebates to pharmacy benefit managers under federal health programs, a White House spokesperson confirmed Wednesday.

In a first, California opens Medicaid to undocumented young adults

July 11, 2019


California Gov. Gavin Newsom (D) on Tuesday signed into law a state budget bill that will make California the first state in the country to open Medicaid eligibility in full to undocumented immigrants up through age 25.

How much do air ambulances charge private insurers? More than four times Medicare rates, study finds.

July 10, 2019


Charges for air ambulance services in 2016 were more than four times higher than the rate Medicare paid to transport patients via airplane or helicopter, according to a study recently published in Health Affairs.

Trump admin can't force drugmakers to reveal prices in TV ads, judge rules

July 9, 2019


A federal judge on Monday struck down HHS' final rule to require drugmakers to disclose their products' list prices in consumer-directed television advertisements, blocking the rule from taking effect on Tuesday.

FDA approved a record number of fast-tracked drugs in 2018. Is that good news for patients?

July 9, 2019


FDA approved a record high of 43 drugs through fast-track programs in 2018, representing 73% of new drugs approved by the agency last year and establishing a "new normal" that "is transforming medical decision-making for the seriously ill," according to the Wall Street Journal.

Hospitals saved nearly $1K per patient with joint replacement bundles

July 9, 2019


Hospitals that participated in CMS' Comprehensive Care for Joint Replacement Model saved $997 more per care episode in their first two performance years when compared with control groups, according to a new analysis.

Pricing tools can save patients thousands of dollars. So why do so few providers use them?

July 9, 2019


While many health systems struggle to implement price transparency tools, Allina Health in Minnesota has successfully implemented a tool that gives physicians real-time information about how much patients' prescriptions will cost.

Cancer patients keep winding up in the ED. Should they have their own urgent care centers instead?

July 8, 2019


Urgent care centers specifically designed for patients with cancer might reduce patients' emergency department utilization in the first six months of diagnosis, helping them avoid the risks associated with a hospital visit and lowering the overall cost of care, according to a new study.

What New Hampshire has learned from requiring hospitals to publish their prices

July 2, 2019


President Trump last week signed a controversial executive order directing HHS to require hospitals across the country to disclose the negotiated payment rates they set with health insurers, but New Hampshire's experience with a price transparency site suggests the practice might not lead to major savings.

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