Category: Modern Healthcare

The CMS might allow hospitals and health systems to pay directly for housing, healthy food or other solutions for the “whole person” through the Medicaid program, according to HHS Secretary Alex Azar.

EHR companies like Athenahealth, which was just sold for $5.7 billion, are turning to consolidation to stay afloat in a saturated market.

The ad is aimed at President Donald Trump and a specific proposal known as “patient definition” that has been floated in the administration’s drug pricing blueprint.

A corporate strategist from Michigan has given Mayo Clinic its largest gift ever — $200 million.

Express Scripts will add approved lower-cost generics to its National Preferred Flex Formulary and exclude the branded drug, and possibly other drugs in the therapy class, from its coverage.

States may soon have a new waiver option to use federal funds to pay for Medicaid beneficiaries’ treatment at inpatient mental health facilities. The CMS has had a ban on reimbursing those providers for decades.

Insurance startup Oscar Health is suing Florida’s Blue Cross and Blue Shield affiliate for allegedly prohibiting insurance brokers who sell Florida Blue individual plans from selling competing insurers’ coverage.

The American Medical Association will advocate on a range of major population health policies including gender identity, sexual assault treatment and detention of migrant children, as agreed upon by delegates at the group’s 2018 interim meeting.

A federal initiative targeting pregnant Medicaid patients reduced medical costs for both mothers and their babies.

The CMS and physicians aren’t communicating well on what’s required under MACRA. So the agency is looking for a contractor that can help.