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CMS Next Generation ACO changes prompt early exits, potential lawsuit
22 Mar 2018 at 3:17pm
CMS' risk-adjustment changes under the Next Generation ACO Model sparked concerns from some ACOs that they couldn't make money under the program.

With no fix in omnibus budget bill, insurers set to hike premiums, rethink se...
22 Mar 2018 at 2:30pm
The $1.3 trillion omnibus spending bill the House passed Thursday lacks funding for two things insurers want: cost-sharing reduction payments and federal reinsurance. That likely means they'll hike premiums and rethink participating in the...

17 states could get a pass on Obama-era network adequacy rule
22 Mar 2018 at 2:00pm
The CMS will allow some states to opt out of a Obama-era rule meant to ensure Medicaid beneficiaries have adequate access to care. States have sought a reprieve, citing the administrative burden of implementing the policy.

Doctors advocate overhauling some Medicare billing codes
22 Mar 2018 at 2:00pm
A list of common billing codes do little to ensure patients are getting quality care, doctors told the CMS during a call Wednesday.

Advocate-Aurora deal clears final regulatory hurdle
22 Mar 2018 at 11:00am
The merger, which would unite comparably sized systems in Illinois and Wisconsin to form the country's 10th largest not-for-profit hospital system, got the nod from Wisconsin regulators Thursday.

John Bardis leaves cybersecurity post at HHS
22 Mar 2018 at 1:00pm
John Bardis announced he is departing as HHS assistant secretary for administration effective immediately.

Study: Medical bankruptcies may not be as common as thought
22 Mar 2018 at 9:37am
Hospitalizations cause only about 4% of personal bankruptcies among non-elderly U.S. adults, according to an analysis published Wednesday in the New England Journal of Medicine.

8 ways in which 'right to try' would affect the industry
22 Mar 2018 at 10:00am
The House on Wednesday passed a bill that would allow dying patients to receive experimental treatments. Here's how, if it passes, the bill would affect providers.

Enhanced privacy for substance abuse patients under debate again in Congress
22 Mar 2018 at 1:00pm
The House is considering a bill that would roll back the enhanced HIPAA protections now given to substance use disorder patients, re-opening a debate that pits providers against patient advocates concerned about stigma and privacy.

Who in healthcare wins/loses in omnibus bill?
21 Mar 2018 at 9:33pm
A peek at who got a piece of the $1.3 trillion two-year omnibus spending bill.

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