Author's posts
CMS data shows ACOs saved Medicare $314M in 2017
New data released by CMS shows ACOs cut Medicare costs by hundreds of millions of dollars after accounting for shared savings payments. The National Association of ACOs said the data proves Track 1 ACOs are generating savings.
CMS loosens restrictions on Part D drug formularies to allow indication-based coverage
In a memo to Part D plan sponsors on Wednesday, CMS issued new flexibilities for “indication-based” drug formularies that will allow plans to add or exclude drugs for specific conditions.
Insurers say a small change to FCC regulations will have a big impact on their ability to text and call patients
More than two years after petitioning the FCC to clarify its rules around communicating with patients, a group of insurers and the American Association of Healthcare Administrative Management are reigniting the fight they say helps improve patient care…
House and Senate leaders push HRSA to finalize 340B regulations on drug pricing, penalties
A group of Republicans and Democrats in the House and Senate is asking the Health Resources and Services Administration (HRSA) to finalize regulations around drug ceiling prices and penalties for manufacturers that overcharge the 340B program.
House and Senate leaders push HRSA to finalize 340B regulations on drug pricing, penalties
A group of Republicans and Democrats in the House and Senate is asking the Health Resources and Services Administration (HRSA) to finalize regulations around drug ceiling prices and penalties for manufacturers that overcharge the 340B program.
House and Senate leaders push HRSA to finalize 340B regulations on drug pricing, penalties
A group of Republicans and Democrats in the House and Senate is asking the Health Resources and Services Administration (HRSA) to finalize regulations around drug ceiling prices and penalties for manufacturers that overcharge the 340B program.
Verscend closes $4.9B acquisition of Cotiviti adding to Veritas Capital’s health IT portfolio
The combined company will operate under the Cotiviti name and go from public to private. The acquisition comes months after Veritas Capital bought GE Healthcare’s IT business line for $1 billion.
CMS tightens oversight of Medicaid demonstration projects after GAO highlights ‘billions’ in excess costs
A day after GAO Comptroller Gene Dodaro told a Senate committee that Medicaid demonstration projects cost the feds “billions” of dollars for failing to meet budget neutrality requirements, the Centers for Medicare & Medicaid Services is tightening the …
17 health systems join former CMS administrator to build digital tools for Medicaid patients
Some of the nation’s largest health systems have teamed up with Andy Slavitt and AVIA to create digital solutions for Medicaid patients. Initial efforts will focus on five key areas, including behavioral health and substance abuse.
Verma vows to defend pre-existing conditions despite ACA legal challenge
Verma told members of a Senate committee that she is “deeply concerned about individuals with pre-existing conditions,” adding that she would work with Congress to create protections if the law changes “in any way, shape or form.”
