The Centers for Medicare & Medicaid Services is pushing back the deadline to participate in the Trump administration’s new bundled payment program, and Vermont is planning to regulate the White House’s recently announced associated health plans.
Category: FierceMarkets
Industry Voices—It’s time to move to ‘value 2.0’ in healthcare
Mark Linthicum, director of scientific communications at IVI, discusses the problems with measuring the “value” in value-based payment arrangements. He also has some recommendations for CMS.
340B overhaul at the top of Congress, Azar’s mind
Congress and the Trump administration are planning speeches and hearings involving the 340B program next week, and it looks like an overhaul of the drug discount program might be on the horizon.
Nebraska Medicaid expansion appears to be headed for November ballot
The future of Medicaid in Nebraska appears to be in voters’ hands, as advocates claim to have collected enough signatures to put Medicaid expansion on the November ballot.
Pain management needs to go beyond traditional treatment
While the government and insurers are taking steps to curb opioid prescriptions and enhance treatments, nonmedication pain management needs to be pumped up as well to stop the problem at its core, executives at Amercian Specialty Health told FierceHeal…
Over 1M already left ACA plans in 2018
About 1.1 million people have already dropped from their exchange plan in 2018. While that decline is lower than it was in 2017, signaling greater stabilization, policy changes are likely to disrupt the marketplace next year.
To benefit of physicians, CMS to test Medicare Advantage as an advanced APM
Under a demonstration project, CMS will move ahead with plans to test whether certain Medicare Advantage plans should qualify as an advanced alternative payment model and exempt doctors from MIPS.
Payer Roundup—Centene completes purchase of Fidelis; Bevin cuts off Medicaid dental, vision benefits
Another high-profile insurance merger is complete, and Kentucky’s governor is already slashing the state’s Medicaid program following his courtroom loss over work requirements.
CMS: Doctors, hospitals received $8.4B in payments from drug companies last year
The Centers for Medicare and Medicaid Services released new data in its Open Payments database last week. The information, meant to create transparency about the relationships between doctors and teaching hospitals with drug companies, provides informa…
Amid IV opioid shortages, hospitals adjust to new normal
Pharmacy staff and physicians at hospitals across the U.S. are still grappling with an opioid crisis based on shortages, rather than overuse and abuse, while they await potential relief from federal agencies.
