Medicare & Medicaid
The rule does not have the "vast economic and political significance" put forward by the district court as it would cost drug makers only a fraction of what they pay for TV ads, HHS says in appeal.
Those in Michigan's expanded Medicaid program reported not only better physical health, but better mental health outcomes as well.
Insurers can offer premium discounts or other incentives to engage in healthy activities, but questions remain as to whether wellness programs work.
The 5% increase in employer-sponsored insurance is coming at a time when 2020 premiums in the Affordable Care Act and Medicare Advantage markets are at their lowest levels.
CMS is proposing that hospitals make public their payer-specific negotiated charges for a limited set of "shoppable" services or face civil monetary penalties, in a rule to go into effect on January 1, 2020.
The defendants ordered unnecessary tests that were reimbursed by Medicare, with laboratories sharing the profit, DOJ says.
America's Essential Hospitals said it is working with lawmakers to stop $4 billion in cuts for 2020 from taking effect November 22.
The savings for Medicare fee-for-service would vary by specialty, but would total more than $20 billion next year alone.
Medical providers receiving higher amounts of industry payments tend to bill higher drug and medical costs.
Plans are hampered by current CMS policy and provider coding that often does not reflect social needs, Urban Institute report says.