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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.

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.

How an alleged Groupon scam led these patients to get 'fake Botox'

September 18, 2019


Federal and state officials last week raided a plastic surgery office following accusations that a doctor at the clinic administered non-FDA-approved drugs to patients who purchased certain services through Groupon, adding to growing concerns that Groupon users might be more vulnerable to medical scams.

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.

Medical expenses are 'the largest contributor' to poverty, Census report finds

September 17, 2019


Health care expenses were "the largest contributor" to growing U.S. poverty levels from 2017 to 2018, according to a U.S. Census Bureau report released this month.

OxyContin maker Purdue files for bankruptcy. What does that mean for opioid lawsuits?

September 17, 2019


Purdue Pharma on Sunday filed for Chapter 11 bankruptcy as part of a tentative settlement the drugmaker reached with nearly two dozen states and thousands of U.S. cities, counties, and territories that are suing the company for allegedly contributing to the U.S. opioid epidemic.

What's driving up the cost of employer-sponsored health benefits? Specialty drugs, chronic conditions, and more.

September 16, 2019


Chronic health conditions and specialty drugs are projected to drive up the overall cost of employer-sponsored health benefits in 2020, according to a report released last week by the consulting firm Aon.

Democratic debate round 3: Leading candidates still at odds over 'Medicare for All'

September 13, 2019


Democratic candidates vying for the 2020 presidential nomination sparred over health care in Thursday's primary debate, but did voters learn anything new?

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.

Insurers to pay a record $1.3B in rebates to consumers, employers under ACA

September 12, 2019


Health insurance companies this month are expected to begin paying an estimated $1.3 billion in rebates across the individual, small group, and large group insurance markets under the Affordable Care Act's medical loss ratio requirement, according to a Kaiser Family Foundation analysis published Tuesday.

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