Susan Morse
Insurers are increasingly getting into provider care as a way to reach members, integrate care, and lower costs.
The Senate Finance Committee's bill would cancel planned cuts to Medicaid disproportionate-share hospital payments for 2020 and 2021.
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.
The AHA is calling on CMS to "abandon further illegal cuts for 2020" that CMS says would save Medicare $800 million.
Cigna detected and reported the alleged fraud, in which the former players allegedly submitted over $3.9 million in false claims.
The American Hospital Association is against an earlier proposal because disputes would be settled through lower reimbursement benchmark rates.
Intellectual property protections are needed for the ongoing discovery of drug treatments, PhRMA says.
In a move insurers considered a bait and switch, Congress limited the funding available to compensate insurers for their losses.
IT security is a legacy word, says Brian Selfridge: "This isn't cybersecurity, this is risk."
Open enrollment is ongoing as the Fifth Circuit Court of Appeals is expected to soon rule whether the ACA is constitutional.