Policy and Legislation
Insurers, providers, pharma urge CMS to reconsider allowing states to set essential health benefit benchmarks.
Hospitals and other providers spend nearly $39 billion a year solely on the administrative activities associated with regulatory compliance, AHA says.
In 25 states starting in 2019, plans will be able to provide Medicare beneficiaries with more choices and lower cost, CMS says.
Consumers coping with the high cost of health insurance are the target market for new plans claiming to be lower-cost alternatives to the Affordable Care Act that fulfill the law's requirement for health coverage.
Canadians throw shade at the American hodgepodge of plans they hold in high esteem in the ACA's federal Center for Medicare & Medicaid Innovation initiative.
Advanced payment models should qualify as downside risk for advanced APMs under MACRA, AHA says.
Massachusetts wants the power to negotiate discounts for the drugs it purchases and to exclude drugs with limited treatment value.
Proposed rule would update star rating methodology, save Medicare close to $200 million over 5 years.
Resolution 232, adopted this week by the AMA House of Delegates, argues for the legal designation of healthcare facilities as sensitive locations.
Hospitals challenged CMS after the agency gave a 0.2 percent downward adjustment to inpatient payment under the two-midnight rule.