Policy

A group of doctors filed suit against health insurance company Anthem for its pay practices over emergency room (ER) care.
The Medicare bidding process is hurting patients, according to a new study from the Pacific Research Institute.
After a federal judge blocked work requirements for Medicaid beneficiaries in Kentucky, CMS has opened a pathway for the policy.
The FDA unveiled a new plan to enable market competition for biologics and biosimilars Wednesday, July 18, as part of a larger shift to lower drug prices across the healthcare system.
President Donald Trump’s policy of “zero tolerance” on illegal immigration has led HHS to redirect millions in funding to house migrant children separated from their parents at the border.
Speeding up the regulatory process has led to uncertainty about the effectiveness of some new drugs.
The largest U.S. health insurers aren’t likely to be at risk of negative credit ratings after the Trump administration halted about $10 billion in risk adjustment payments, according to Fitch Ratings.
After work requirements for eligible Medicaid beneficiaries too effect in Arkansas, more than 7,000 people failed to report they worked at least 80 hours in June.
The White House’s Council of Economic Advisers (CEA) is urging Congress to take legislative action to promote work requirements in Medicaid.
After the Trump administration halted roughly $10 billion in risk adjustment payments designated for ACA insurers, CMS Administrator Seema Verma defended the decision.
CMS proposed several changes with wide-ranging goals, including aiming to reduce administrative burdens on doctors to spend more time with patients, the agency announced Thursday, July 12.
Brett Kavanaugh, President Donald Trump’s pick to replace Supreme Court Justice Anthony Kennedy and a D.C. Appeals Court judge, will likely face questions on his healthcare record during confirmation hearings.
States are desperate to act in the national opioid epidemic, but laws limiting opioid prescriptions and doses are negatively impacting chronic pain patients and leaving doctors conflicted about care delivery, NPR reported.
On July 7, CMS announced it will stop making risk adjustment payments, which were designed as part of the Affordable Care Act (ACA) to help insurers that accept more high-cost patients avoid major losses.
CMS bumped back the due date for providers to opt into the Bundled Payments for Care Improvement (BPCI) Advanced model—moving the final date to Aug. 8 from Aug. 1. The move comes in amid growing concerns from those in the industry that claims data were not provided in a timely fashion.
Jul 06, 2018 | Health IT
Government regulation can’t keep up with innovation in healthcare technology, especially when dealing with mobile medical applications—and those in charge of developing regulatory framework know it, according to top officials at the FDA in a July 2 viewpoint in JAMA.
Health IT, Policy
Jul 02, 2018 | Policy
CMS has issued an approval to Oklahoma to negotiate value-based supplemental rebate agreements directly with drug manufacturers, which could produce extra rebates for state, should clinical outcomes not be achieved.
Policy
Jul 02, 2018 | Health IT
The U.S. Department of Veterans Affairs (VA) is about to undergo a massive, $16 billion revamp of its electronic health record (EHR) system. A month after a $10 million deal with Cerner was finalized, the Government Accounting Office (GAO) released a report that found the VA spent $3 billion on EHR support between 2015 and 2017.
Health IT, Policy
Jul 02, 2018 | Policy
On Friday, a federal judge denied Kentucky’s move to impose work requirements on some Medicaid recipients. Now, one Kentucky official claims benefits will be cut if this policy isn't fixed and implemented quickly.
Policy
Jun 29, 2018 | Policy
Kentucky was set to become the first state in the U.S. to impose work requirements on Medicaid recipients. But a federal judge blocked the move, which was set to take effect on Sunday—claiming the Trump administration didn’t properly consider the policy’s effect on the program’s intended aim to provide medical coverage to at-risk populations.
Policy
Jun 29, 2018 | Care Delivery
Pediatric cancer rates are highest in the Northeast U.S. and lowest in the South, according to a new report from the CDC, while leukemia is more prevalent in the West. But, the researchers noted, childhood cancer remains rare enough that such variables are more significant to care providers than the public.
Care Delivery, Policy