Author's posts
Appeals court strikes down individual mandate, but not entire ACA
"California will move swiftly to challenge this decision," says California Attorney General Xavier Becerra.
HHS releases proposed rule to import drugs from Canada to lower the price for consumers
Drug companies have said they are hamstrung by the current pharmacy benefit manager system, says HHS Secretary Alex Azar.
Sutter Health | Aetna to offer house calls and virtual care
Insurers are increasingly getting into provider care as a way to reach members, integrate care, and lower costs.
Three drug bills attempt to cap costs
Moody’s upgrades 2020 outlook for non-profit healthcare sector to stable
Non-profit hospitals on track for higher operating cash flow and continuing M&A activity, though demographic and policy risks remain
Health and Human Services appeals site neutral payments ruling
Beyond cost, CMS said it adopted the lower payments for hospital outpatient facilities as a method to control unnecessary increases in the volume of services furnished there.
CMS to pay hospitals millions in site neutral payments for 2019
The AHA is calling on CMS to "abandon further illegal cuts for 2020" that CMS says would save Medicare $800 million.
Ten former NFL players charged with alleged fraud of healthcare benefit program for retired players
Cigna detected and reported the alleged fraud, in which the former players allegedly submitted over $3.9 million in false claims.
Rival surprise billing plan unveiled by Ways and Means
The American Hospital Association is against an earlier proposal because disputes would be settled through lower reimbursement benchmark rates.
Trade deal takes away pharma’s biologic exclusivity and promotes drug competition
Intellectual property protections are needed for the ongoing discovery of drug treatments, PhRMA says.
