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Trump admin just dropped 2 major price transparency rules. Here's what's inside.

November 15, 2019


The Trump administration on Friday released rules intended to increase price transparency among health care providers and insurers.

CMS wants to crack down on unauthorized Medicaid spending. Here's how.

November 14, 2019


CMS on Tuesday released a proposed rule intended to increase transparency around states' supplemental Medicaid payments and financing arrangements by establishing new reporting requirements.

Hospital acquired conditions are declining—so why are pressure injuries on the rise?

November 14, 2019


The rate of hospital-acquired pressure injuries has continued to rise while other hospital-acquired conditions have fallen, prompting some providers to question whether federal regulators are taking the right approach to reduce incidence rates.

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.

Former Trump officials were paid hundreds of thousands under CMS contract

November 13, 2019


At least eight former officials who served on President Trump's campaign, presidential transition team, or in the White House received as much as hundreds of thousands of dollars under a one-year CMS communications contract that is under federal investigation, according to new documents obtained by Politico.

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.

Are providers the key to improving flu shot rates?

November 13, 2019


Little progress has been made in recent years to improve influenza shot uptake, but new research suggests spurring competition among providers to get more patients vaccinated could be the key to turning the needle.

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.

Judges strike down HHS' 'conscience protection' rule as unconstitutional

November 8, 2019


Two federal judges this week struck down the Trump administration's so-called "conscience protection" rule, which was intended to enforce protections for health care professionals who have moral or religious objections to providing certain medical care, including abortion care and medically assisted death.

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