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House panel advances bill to address 'surprise' medical bills—but will it go any further?

July 15, 2019


The House Energy and Commerce Health Subcommittee on Thursday advanced a bill to address so-called "surprise" medical bills by setting a benchmark payment rate for out-of-network services.

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%.

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 drops fight to add citizenship question to census survey

July 12, 2019


President Trump on Thursday announced that his administration will not add a controversial citizenship question to the 2020 U.S. Census, reversing an announcement he made last week and effectively ending a dispute over the question.

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The Trump administration has withdrawn its proposed rule to prohibit drugmakers from paying rebates to pharmacy benefit managers under federal health programs, a White House spokesperson confirmed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

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.

CMS OKs Louisiana's plan to get 'unlimited access' to hep C treatment

July 1, 2019


CMS last week signed off on Louisiana's plan to test a subscription-based payment model for hepatitis C drugs intended to increase medication access for its Medicaid and prison populations.

Senate HELP committee advances 'surprise' bill legislative package

June 27, 2019


The Senate Health, Education, Labor and Pensions Committee on Wednesday voted 20-3 to approve a bill intended address so-called "surprise" medical bills, reduce U.S. health care costs, and more, but senators have suggested the bill could undergo more changes before a floor debate next month.

SCOTUS to hear case over $12B in unpaid risk corridors funds

June 26, 2019


The Supreme Court on Monday agreed to hear a case that centers on whether the federal government owes insurers $12 billion in risk corridors payments under the Affordable Care Act.

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