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Another appeals court upholds CMS' controversial 2017 DSH payment rule

November 14, 2019


A second federal appeals court last week reversed a lower court's ruling and upheld a 2017 rule that changed how CMS calculates Medicaid disproportionate-share hospital payments to ensure providers are not doubly compensated for care costs covered by third-party insurers.

What Americans are stressed about, charted

November 13, 2019


Americans are citing health care, mass shootings, and the presidential election as significant sources of stress, according to the American Psychological Association's "Stress in America" survey released last week.

This patient's surgery was fully covered by his insurance. So how did he wind up with a $11,000 bill?

November 13, 2019


In 2018, 63-year-old Tom Saputo was transported via air ambulance to receive a life-saving double lung transplant, but while the operation was fully covered by Saputo's health insurance, the air ambulance ride was out of his health plan's network and left Saputo with an $11,524.79 bill.

Medicare Parts A, B premiums to rise in 2020, CMS says

November 12, 2019


CMS on Friday announced that premiums, deductibles, and coinsurance amounts will increase for Medicare Parts A and B for the 2020 coverage year.

Researchers now have access to new Medicaid, CHIP data

November 12, 2019


CMS on Thursday announced that the agency for the first time is releasing certain data on Medicaid and CHIP utilization and payments as part of an effort to improve health care research.

Will lawmakers again suspend the ACA's health insurance tax?

November 11, 2019


A group of 51 House lawmakers have signed a bipartisan letter calling for another suspension of the Affordable Care Act's health insurance tax, which is scheduled to take effect next year.

177K people signed up for federal exchange plans last week—but a glitch might have prevented more

November 7, 2019


CMS on Wednesday announced 177,082 individuals signed up for federal exchange plans during the first two days of the Affordable Care Act's current open enrollment period, and said technical glitches with HealthCare.gov might have hampered enrollment.

She lost her husband, father, and mother. Then she got a $20K hospital bill.

November 7, 2019


After Arline Feilen's husband, father, and mother died within a few years of each other, Feilen found herself so grief-stricken that a friend sent her to the hospital out of concern for her safety—and because Feilen's association health plan did not cover mental health services, she was left with a $21,634.55 bill.

What yesterday's elections mean for health care

November 6, 2019


The results are pouring in for Tuesday's gubernatorial and legislative elections held in Kentucky, Mississippi, and Virginia—and they suggest Medicaid changes could be coming in some of those states.

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