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Did California's provider payment rate-setting law work? It's complicated, research suggests.

September 5, 2019


A California law touted as a national model for addressing so-called "surprise" medical bills has led to fewer surprise bills for patients and lower payment rates for in-network and out-of-network physicians—but it might be driving physician group consolidation, according to recent research.

CMS rejects Idaho's proposal to limit voter-approved Medicaid expansion

September 4, 2019


CMS on Thursday rejected Idaho's request to expand the state's Medicaid program, but allow individuals who are eligible for the expanded program to remain enrolled in Affordable Care Act exchange plans.

Medicare Part D spending on MS drugs increased tenfold as prices spiked, study suggests

September 3, 2019


Rising prices for multiple sclerosis drugs drove a more than sevenfold increase in out-of-pocket costs for Medicare Part D beneficiaries over a decade, according to a study published last week in JAMA Neurology.

One family's $6M drug claim (and what it means for the future of rare diseases)

August 28, 2019


Dawn Patterson and two of her children have a rare bone disease, and the only treatment is a drug that was slated to cost $6 million a year—a high price tag that observers say is indicative of the pharmaceutical industry's growing interest in treatment for rare diseases.

Judge orders J&J to pay Oklahoma $572M in first-of-its-kind opioid trial

August 27, 2019


A district court judge on Monday ruled that Johnson & Johnson contributed to Oklahoma's opioid crisis by downplaying the risks of its opioid drugs and ordered the company to pay the state $572 million.

Here's Florida's plan to import drugs from Canada

August 27, 2019


Florida's Agency for Health Care Administration on Wednesday submitted a concept paper to HHS outlining the state's proposal for importing drugs from Canada.

The 16 health care companies 'changing the world,' according to Fortune

August 26, 2019


Fortune last week released its fifth annual Change the World list, which recognizes for-profit companies that are "doing well by doing good," and 16 health care companies made the list.

How Wyoming wants to rein in air ambulance bills

August 26, 2019


Wyoming is preparing a Medicaid waiver request to expand Medicaid coverage for air ambulance rides to all state residents.

Is there a link between social and health care spending? Yes, but it's not what you think.

August 22, 2019


It has been widely speculated that the reason the United States outspends other countries on health care is because it does not invest enough in social services, but a study published last week in Health Affairs debunks that theory.

Why a cat's bite led to $26,229.35 in medical bills

August 22, 2019


Caitlin Hillyard was petting a cat in her neighborhood when the cat bit her wrist, which resulted in difficulties seeking treatment and more than $26,000 in health care bills.

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