The pace slowed compared to the previous two years as demand for drugs, hospital care and physician services weakened.
The analysis from the Office of the Actuary at the Centers for Medicare and Medicaid Services (CMS) showed a shift from the...National News
Commercial real estate developers, construction industry and financing institutions all have a stake in the outcome.
When the Affordable Care Act was initially enacted many Arizonans who had not had health insurance received access to care through insurance outside of emergency rooms for the first time in their lives.
Due to...National News
The move creates the largest non-profit health system in the nation.
The agreement announced today creates a system across 28 states that includes more than 700 care sites, 139 hospitals with approximately 159,000 employees plus 25,000 physicians and specialists.
Retaining their leadership positions is Kevin E. Lofton, chief...National News
DaVita is one of the largest doctor groups in the nation.
The agreement is subject to regulatory approval and was entered into on December 5, 2017.
UnitedHealth's Optum health-services division has been gobbling up physician practices and this recent agreement comes on the heals of Rx giant CVS Health's $69 billion deal to buy...National News
Prescription drug spending is a billion dollar expense for insurers and self-insured employers.
Allying with a pharmacy benefit manager may be tempting when looking at discounts, annual drug savings, promotion of generic drugs and cheaper prescription alternatives. They can also help payers facilitate enhanced care delivery....National News
Without Congressional action, Medicare beneficiaries will face a cap of $2,010 for PT and speech therapy services as of January 1, 2018.
Earlier this year, a bi-partisan group of legislators introduced the “Medicare Access to Rehabilitation Services Act” (H.R. 807/S.253), a bill that would permanently repeal the Medicare...National News
The Health Care Transformation Task Force examined ACOs in Medicare programs to find scalable and generally applicable strategies for success reducing costs and improving care quality.
Creating a high-value culture, engaging in proactive population health management, and implementing an infrastructure that promotes continuous...National News
Payer-pharmaceutical alliances may be powerful if the right partners are involved.
The CVS-Aetna deal creates the first health-care triple threat, combining CVS' pharmacy and pharmacy benefits manager platform with Aetna's insurance business. The threat to pharmacies-or those that own them-is the way in which the two will leverage...National News
The Senate version touched on many issues besides taxes.
The Senate tax bill must still be reconciled with House legislation that does not include the mandate’s repeal. But that is unlikely to be a major issue, given support in the GOP conference for repealing the mandate.
No Democrats in either chamber voted for the GOP tax...National News
AAA says repealing the mandate could raise premiums, cause insurers to become insolvent or leave the market altogether. The American Academy of Actuaries, whose tagline is Objective. Independent. Effective. wrote a letter to Mitch McConnell, Senate majority leader and Chuck Schumer, Senate minority leader, to share the potential adverse...National News
Senators voted 52-48 to take up the House-passed legislation, which is being used as a vehicle for the Senate bill.
The party-line vote was an important victory for Majority Leader Mitch McConnell and President Trump. But it was not a guarantee of ultimate success, as several Republican lawmakers agreed to open debate on the bill so...National News
Shorter open enrollment period, much less outreach funding, less convenient online access all lead to dire predictions.
In spite of surveys indicating 30 percent of Americans were unaware of the open enrollment for the ACA market place record numbers of people are signing up.
Through the first 18 days, nearly 2.3 million people...National News
The report concludes that the VA provided inadequate oversight and calls into question the extent to which VA medical centers are held accountable for ensuring that veterans receive safe, high quality care.
Department of Veterans Affairs (VA) medical center (VAMC) officials are responsible for reviewing the clinical care delivered...National News
The plan designs were touted as promoting price shopping and cost discussions with doctors.
A study published in Journal of American Medical Association Internal Medicine, based on a national poll of 1,637 adults under age 65 who had High Deductible Health Plans (HDHPs) for at least a year, provides new insight into the behavior of...
As hospitals reduced readmissions for heart failure patients, their mortality rates increased, according to a recent JAMA study.
Modern Healthcare reports overall, the penalty program, established under the Affordable Care Act, has effectively motivated hospitals to change wasteful care practices and better manage populations....
Kapoor is the founder and former CEO of Chandler-based Insys Therapeutics.
The Arizona Republic reports Kapoor was arrested in Phoenix last month and indicted in federal court in Boston. He is charged with racketeering, mail fraud and wire fraud. Federal prosecutors allege company officials conspired with doctors and other medical...National News
While the Affordable Care Act’s fifth open enrollment season is off to a surprisingly good start, many uninsured people said they weren’t even aware of it, according to a Kaiser Family Foundation survey.
Kaiser Health News reports open enrollment started Nov. 1 and runs through Dec. 15 in most states. Advocates fear enrollment...National News
The Republican tax plans are looking a lot more like health-care bills, with provisions that may affect coverage and increase medical expenses for millions of families.
Bloomberg reports the House version of the tax bill would end a deduction that allows families of disabled children and elderly people to write off large medical...National News
The City Council voted 8-0 Wednesday to take legal action against drug manufacturers and distributors to recoup some of the money the city has spent fighting the opioid epidemic.
More than 500 Arizonans have died of suspected opioid-related death since June 15, according to the Arizona Department of Health Services.
In June, Gov....National News
The American population aged 65 and older is expected to more than double from 46 million today to more than 98 million by 2060.
This growth, along with the increasing number of people with disabilities and dementia in a crisis of housing affordability, will have profound public health and housing implications...