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As States Try To Rein In Drug Spending, Feds Slap Down One Bold Medicaid Move
As States Try To Rein In Drug Spending, Feds Slap Down One Bold Medicaid Move

State-based experiments may carry even greater weight for Medicaid

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Senators Unveil Legislation To Protect Patients Against Surprise Medical Bills
Senators Unveil Legislation To Protect Patients Against Surprise Medical Bills

The draft legislation, which sponsors said is designed to prevent medical bankruptcies, targets three key consumer concerns

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New Medicare Advantage Tool To Lower Drug Prices Puts Crimp In Patients' Choices
New Medicare Advantage Tool To Lower Drug Prices Puts Crimp In Patients' Choices

Some physicians and patient advocates are concerned that the pursuit of lower Part B drug prices could endanger very sick Medicare Advantage patients

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CMS Proposes to Lift Unnecessary Regulations and Ease Burden on Providers
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In Trump's First Year, Nation's Uninsured Rate Unchanged
In Trump's First Year, Nation's Uninsured Rate Unchanged

There is concern about the large number of states seeing uninsured rates increase

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AMA Offers Comments to CMS on its 2019 Medicare Reform Proposal
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States Looking To Tax Opioids Pin Hopes On November Elections
States Looking To Tax Opioids Pin Hopes On November Elections

Lawmakers in at least 11 states intend to consider opioid taxes in upcoming legislative sessions

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ACOs Taking Risk in Innovative Payment Model Generate Savings for Patients and Taxpayers
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HHS Watchdog To Probe Enforcement Of Nursing Home Staffing Standards
HHS Watchdog To Probe Enforcement Of Nursing Home Staffing Standards
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McCain's Complicated Health Care Legacy: He Hated the ACA. He Also Saved It.
McCain's Complicated Health Care Legacy: He Hated the ACA. He Also Saved It.

There are many lawmakers who made their names in health care, seeking to usher through historic changes to a broken system.

John McCain was not one of them

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Feds Urge States To Encourage Cheaper Plans Off The Exchanges
Feds Urge States To Encourage Cheaper Plans Off The Exchanges

Consumers need better options, and in early August federal officials offered a strategy to help bring down costs for them

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Statement from America's Physician Groups
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Medicare To Overhaul ACOs But Critics Fear Fewer Participants
Medicare To Overhaul ACOs But Critics Fear Fewer Participants

Administration officials say ACOs have led to higher Medicare spending

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Once Its Greatest Foes, Doctors Are Embracing Single-Payer
Once Its Greatest Foes, Doctors Are Embracing Single-Payer

Organized medicine, and previous generations of doctors, had for the most part staunchly opposed to any such plan

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CMS Moves Toward Transparency, Price Parity
CMS Moves Toward Transparency, Price Parity

Your comments are needed

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To Tame Prescription Prices, HHS Dips A Toe Into Drug Importation Stream
To Tame Prescription Prices, HHS Dips A Toe Into Drug Importation Stream

Determined to explore more avenues to curb price hikes, the administration is signaling that it is willing to consider what the industry regards as something of a nuclear option to address a recalcitrant problem

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Missed Visits, Uncontrolled Pain And Fraud: Report Says Hospice Lacks Oversight
Missed Visits, Uncontrolled Pain And Fraud: Report Says Hospice Lacks Oversight

On average, hospices provided only 4.8 hours of visits per week, in exchange for $1,100 in weekly Medicare payments, for each patient receiving routine home care in an assisted living facility in 2012

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Some Doctors, Patients Balk At Medicare's 'Flat Fee' Payment Proposal
Some Doctors, Patients Balk At Medicare's 'Flat Fee' Payment Proposal

Some doctors and advocates for patients fear it could be a disaster

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Medicare Reconsiders Paying For Seniors' Spine Operations At Surgery Centers
Medicare Reconsiders Paying For Seniors' Spine Operations At Surgery Centers

The cases include a Florida man

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1,400 Nursing Homes Get Lower Medicare Ratings Because Of Staffing Concerns
1,400 Nursing Homes Get Lower Medicare Ratings Because Of Staffing Concerns

Medicare has lowered its star ratings for staffing levels in 1 in 11 of the nation's nursing homes

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CMS proposes Medicare Hospital Outpatient Payment and Ambulatory Surgical Center Payment Changes
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In Florida, Midterm Elections Hold Faint Hope For Medicaid Expansion
In Florida, Midterm Elections Hold Faint Hope For Medicaid Expansion

It's been three years since the Florida legislature last debated -- and overwhelmingly rejected --Medicaid expansion under the Affordable Care Act.

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Insurers Fall Short In Catching And Reporting Medicaid Fraud, Inspectors Find
Insurers Fall Short In Catching And Reporting Medicaid Fraud, Inspectors Find

The U.S. Health and Human Services' inspector general's office said a third of the health plans it examined had referred fewer than 10 cases each of suspected fraud or abuse to state Medicaid officials in 2015 for further investigation

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CMS Announces Initiatives to Strengthen Medicaid Integrity
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CMS Advances Demonstration to Waive MIPS Requirements for Clinicians in Certain Plans
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Displaying Articles 1 - 25 of 278
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