Policy

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.

The shift to value-based care made significant headway in 2017, according to a new survey from the Health Care Transformation Task Force that found nearly half of their business was in value-based payment arrangements by the end of the year.

CMS wants to take a closer look at the financial relationships of accrediting organizations (AOs) that survey Medicare-certified healthcare providers.

More than a dozen Democratic state attorneys general are seeking clarification from a district court judge who ruled the entire Affordable Care Act was unconstitutional last week. 

A Texas judge has ruled the Affordable Care Act unconstitutional in its entirety, throwing the American healthcare system into an uncertain future.

Hospital groups have launched a lawsuit against HHS over its new outpatient prospective payment system rule, which was finalized in November.

In the midst of a major consolidation period in the healthcare industry, a new report from the Trump administration sheds light on the current state of competition in the space.

HHS has a new strategy to ease the use of health information technology, including electronic health records. The agency’s draft strategy takes aim at some major complaints clinicians have about using EHRs, including documentation hours taking away from time spent with patients.