Policy

Rising costs in healthcare was a top issue for voters in the 2018 election, and more emphasis on the industry is likely to come, according to a 2019 outlook from Avalere.

The accountable care organization (ACO) industry is asking CMS for more time to apply for the reformed Medicare Shared Savings Program, but the new changes are likely to roll out whether ACOs are ready or not, according to a new report from Leavitt Partners.

The Trump administration is preparing to allow states to remodel their Medicaid programs with block grant proposals, according to a report from The Wall Street Journal.

The accountable care organization industry is asking for a later deadline to apply for CMS’ revamped Medicare Shared Savings Program.

HHS Secretary Alex Azar has a demand for the pharmaceutical industry: “Prices must start coming down.”

Medicare’s Hospital Readmissions Reduction Program (HRRP) has been given a lot of credit for trimming readmission rates, but the real results may be far less impressive, according to a recent study published in Health Affairs.

Zuckerberg San Francisco General Hospital, the largest public hospital in the city, sticks patients with sky-high medical bills because it does not partner with any private health insurance plans, Vox reported.

A new federal policy took effect on Jan. 1 that requires hospitals to post standard prices online. However, the rule, which intends to boost transparency, may be causing more confusion than clarity for patients, according to reports.

Health insurers have been inflating cost estimates for providing prescription-drug benefits to more than 40 million Medicare beneficiaries, allowing them to cash in $9.1 billion in extra payments from 2006 to 2015, according to a report from The Wall Street Journal.

A federal judge has intervened in the planned payment cuts to the 340B drug pricing program that enables outpatient facilities to purchase certain drugs at a lower cost.

Several Democratic states have filed notice to appeal the recent court ruling that declared the Affordable Care Act unconstitutional, The Hill reported.

CMS has finalized changes to the Medicare Shared Savings Program (MSSP) that “dramatically redesigns and sets a new direction” for Medicare accountable care organizations (ACOs). The final rule, as outlined in the proposed rule announced in August, will force ACOs to take on more risk at a quicker pace.