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Pelosi unveils bill to lower Rx drug prices. But will it pass Congress?

September 20, 2019


House Speaker Nancy Pelosi (D-Calif.) on Thursday unveiled a highly anticipated bill that aims to reduce prescription drug prices in the United States by giving the HHS secretary the authority to negotiate Medicare payments for certain drugs and establishing a drug price ceiling for the negotiations based on the prices paid for the drugs in other countries.

Inside Buttigieg's 'Medicare for All Who Want It' plan

September 19, 2019


South Bend, Indiana, Mayor Pete Buttigieg (D), who is seeking the 2020 Democratic nomination for president, on Thursday released his so-called "Medicare for All Who Want It" plan, which would create a public health plan that Americans could choose to opt in to.

Tennessee has a first-in-the-nation plan to convert Medicaid into a block grant

September 19, 2019


Tennessee on Tuesday released a draft Medicaid waiver proposal to convert the state's Medicaid financing structure from an open-ended federal funding system into a block-grant system.

Providers urge CMS to delay proposed radiation oncology bundled payment model

September 19, 2019


Provider groups are urging CMS to delay its proposed mandatory bundled payment model for radiation oncology, saying the model could lower investments in new technologies and equipment and reduce access to new types of care.

Why is the US health care system such an outlier? Here's one hypothesis.

September 18, 2019


The U.S. health care system is unique, but some observers say what makes it truly distinct from other health care systems around the globe is the amount patients—including those who are insured—pay out of pocket for care.

A federal judge struck down Medicare's site-neutral payment rule

September 18, 2019


A federal judge on Tuesday vacated HHS' site-neutral payment policy that cuts Medicare payment rates for off-campus hospital facilities.

A monthly subscription to an air ambulance? Regulators say it might be too good to be true.

September 18, 2019


Some air ambulance companies are selling membership subscriptions that promise patients will pay no out-of-pocket costs if they use the transportation services, but state regulators—and some larger air ambulance companies—are skeptical of the memberships' no-cost guarantee.

12 lessons private health systems can learn from VA, according to David Shulkin

September 18, 2019


Former Veterans Affairs (VA) Secretary David Shulkin, who spent much of his career in the private sector, in a post on LinkedIn offers 12 tips the private health care sector can take from VA.

VA must pay for non-VA emergency care even if veterans have other insurance, court rules

September 13, 2019


A federal appeals court this week ruled Veterans Affairs (VA) must reimburse veterans for emergency medical care provided at non-VA facilities—a decision that plaintiff's lawyers estimate could cost VA billions of dollars.

First, she had a heart transplant. Then, a debt collector added her on LinkedIn.

September 10, 2019


Tens of millions of U.S. residents owe medical debt, and it is not uncommon for collections agencies to pursue aggressive tactics to recoup the balance.

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