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How these Democratic presidential hopefuls want to address high Rx costs

July 16, 2019


Sens. Kirsten Gillibrand (D-N.Y.), Kamala Harris (D-Calif.), and Amy Klobuchar (D-Minn.), who each are seeking the 2020 Democratic nomination for president, have announced separate plans to address high prescription drug costs in the United States.

Biden just released his health reform plan. Here's what's inside.

July 15, 2019


Former Vice President Joe Biden, who is seeking the 2020 Democratic nomination for president, today unveiled a health reform plan that aims to build on and protect the Affordable Care Act by providing Americans with the option to enroll in a public health plan and expanding eligibility for subsidies to purchase exchange plans.

Inside the 346-page Home Health Prospective Payment System proposed rule

July 15, 2019


CMS on Thursday released a proposed rule to update certain Medicare payment regulations under the Home Health Prospective Payment System and increase payments for home health agencies by 1.3%.

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The Trump administration has withdrawn its proposed rule to prohibit drugmakers from paying rebates to pharmacy benefit managers under federal health programs, a White House spokesperson confirmed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

Inside Trump's plan to overhaul kidney care, donation process

July 11, 2019


President Trump on Wednesday issued an executive order that calls on HHS to overhaul the kidney care and donation allocation process, and HHS shortly after unveiled new payment models for Medicare providers who manage patients with kidney disease and end-stage renal disease.

Nearly 90% of hospices have been cited for care deficiencies, HHS' OIG finds

July 11, 2019


Health inspectors from 2012 through 2016 cited nearly 90% of hospices for at least one deficiency—and about 20% of hospices had deficiencies serious enough to put patients in danger, according to a pair of reports released Tuesday by the HHS' Office of the Inspector General.

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.

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.

Harris attempts to clarify stance on health insurance reform (again)

July 1, 2019


Sen. Kamala Harris (D-Calif.), who is seeking the 2020 Democratic nomination for president, on Friday walked back her position on nixing private coverage after raising her hand in support of replacing such coverage with a government-run "Medicare-for-All" plan during Thursday's primary debate.

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