Category: FierceHealthPayer

Payer Roundup—Americans think U.S. is behind in healthcare; CMS approves Maryland reinsurance waiver

Nearly half of Americans say U.S. healthcare is “worst” or “below average” compared with other industrialized countries, according to a new Gallup poll. Plus, CMS announces its approval of Maryland’s reinsurance program, and $8.6 million in grants for …

AHIP, state AGs urge appeals court to rehear risk-corridor payment case

Several parties—including AHIP, attorneys general from 18 states and major insurers—are urging a petition court to revisit its decision regarding $12 billion in risk-corridor payments. Although the appeals court already weighed in, saying the federal g…

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.

Louisiana uninsured rate cut in half due to Medicaid expansion

The Pelican State has made tremendous progress in a very short amount of time under Gov. John Bel Edwards. Will his call for work requirements scale that back?

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.”

Employers are offering more cancer benefits. Here’s an important key to making sure employees use them

With more cancer benefits available to their employees than ever, employers need to consider how they assist their workers through the maze after a cancer diagnosis. That starts with introducing benefits vendors to each other to make sure they are prov…

HHS touts work on drug prices 100 days after unveiling ‘American Patients First’ blueprint

The White House unveiled its blueprint to reduce drug prices 100 days ago, and the Department of Health and Human Services is marking the milestone with a report that touts its efforts under the plan so far.

Bipartisan Policy Center calls for sensible oversight of new Medicare Advantage supplemental benefits

Provisions in the law can improve care quality and beneficiaries’ health while reducing costs—but they must be implemented correctly, says an issue brief released Aug. 20.

OIG: Medicare overpaid hospitals by as much as $21.5M due to bundled payments

The OIG said the improper payments to hospitals for intensity-modulated radiation therapy planning services ran afoul of Medicare Part B payment rules because those planning services were already covered in bundled payments for IMRT therapies.

Blockchain in healthcare: 3 promising use cases in a sea of skepticism

WASHINGTON, D.C.—The recent Blockchain Health Summit brought arcane blockchain engineers, hopeful healthcare CEOs and a heady dose of hype to the nation’s capital. But a few promising healthcare use cases did emerge, alongside some not-so-promising one…