Category: Modern Healthcare

Editorial: The midterm elections will decide the fate of the ACA

If the GOP maintains control of the entire government, the nation’s health insurance marketplace would look a lot like the one that existed before passage of the Affordable Care Act.

Geisinger, Intermountain, others form coalition to address diagnostic errors

A group of 41 leading healthcare organizations will work together to improve the quality of medical diagnoses. The coalition, called ACT for Better Diagnosis, will focus on identifying the main causes of diagnostic errors and working toward…

Arkansas cuts 4,300 off Medicaid under new work requirements

More than 4,300 Medicaid expansion enrollees in Arkansas will lose coverage for the rest of this year because they did not comply for three straight months with the state’s first-in-the-nation work and reporting requirements, state officials…

More Medicare Advantage upcoding could follow court ruling

A federal judge’s recent decision to vacate the 2014 Medicare Advantage overpayment rule paves the way for insurers to continue upcoding to reap higher CMS payments that could cost billions of dollars, experts said.

CMS removes one more barrier to the ACA individual mandate exemption

People who have opted out of exchange coverage will not need to back up their claim for a mandate exemption with paperwork when they file their 2018 taxes, according to the CMS.

Marin General expands partnership with UCSF Health

The not-for-profit California health systems plan to expand their care sites with more Marin and UCSF providers and specialists throughout Marin County.

FDA wants to study whether doctors understand drug ads

The FDA wants to launch a national study to analyze how well doctors understand drug advertising information before they prescribe medications, citing limited data on the issue.

39 navigators to receive grants to aid 2019 ACA enrollment

The CMS is drastically reducing the number of navigators who will receive grants this year to assist with exchange enrollment. Under the new criteria, navigators can help people enroll in non-ACA health plans.

Community providers form independent cancer care network

Tennessee Oncology, New York Cancer & Blood Specialists and West Cancer Center combined their 225 cancer physicians, 60 locations and 158,000 patients to create Nashville-based OneOncology.

Apple scores FDA clearance for heart rhythm-sensing Apple Watch

The company’s latest Apple Watch will be able to conduct electrocardiograms and alert wearers if there seems to be atrial fibrillation.