A Boston federal judge ruled in favor of the Amazon, Berkshire Hathaway, and J.P. Morgan healthcare venture on Friday, Feb. 22; in dispute was UnitedHealth’s request for former Optum executive David Smith to stop talking trade secrets he acquired...
A pilot project from the Centers for Medicare and Medicaid Innovation (CMMI) could change the way Medicare pays for emergency ambulance services. If the plan is adopted, it would be a big Medicare dollar saver and allow first responders to use urgent care centers, doctor's offices and even telemedicine in the comfort of a patient's...
Family planning clinics were never able to use the federal funds for abortions, but now no clinic that perform abortions or refer patients to another facility for the legal medical procedure can receive Title X funds; other new clinic restrictions are also causing concern.
The Henry J Kaiser Family Foundation (KFF) explains other...National News
Two Arizona hospitals, Florence Hospital at Anthem and Gilbert Hospital, went bankrupt and closed last summer, leaving over 300 former patients without access to their medical records. On Wednesday, Gov. Doug Ducey and a Maricopa County judge intervened, filing an order for temporary reactivation of the hospitals' electronic health...National News
Preliminary data from the Medicare Payment Advisory Commission show U.S. hospitals' Medicare margin was negative 9.9% in 2017, compared with negative 9.7% in 2016, according to MedPAC.
Modern Healthcare is reporting that in 2017 Medicare margins for hospitals reached their lowest point in at least a decade. The publication noted that...
Launched three years ago and limited to Medicaid Part D prescribing, the new mapping tools allow users to see both the number and percentage of opioid prescriptions in Medicare and Medicaid to better understand how the opioid crisis impacts states and communities nationwide.
For the first time, the tool has data for Medicaid...
The mega insurer uses digital data fed from devices including tablets to monitor blood pressure, glucose monitors, fitness trackers and more.
UHC is expanding its use of digital data to help its Medicare Advantage plans better manage members with chronic conditions including diabetes, congestive heart failure, multiple chronic...National News
A new study from Milliman suggests that 577 Medicare Advantage plans are offering at least one or more supplementary benefits offered by long-term care insurance policies. CMS is encouraging Medicare Advantage plans to provide coverage with added benefits that can be seen as an alternative to traditional fee-for-service Medicare...National News
Under the Affordable Care Act (ACA), statistics on healthcare coverage noted a closure of the gap in the number of people of various races and ethnicity who have health insurance, but a Kaiser Family Foundation brief has highlighted trends indicating that between 2016 and 2017, some groups of color have experienced a stagnation in health...National News
On Friday, Feb. 15, The Centers for Medicare and Medicaid Services (CMS) published a proposal that would require Medicare to offer coverage for CAR-T cell therapy and could take form as a national coverage determination (NCD). The cancer treatment uses a patient's immune system to fight off the illness and currently, local Medicare...National News
The U.S. Court of Appeals for the Fifth Circuit has granted the Democrat-controlled House of Representatives' petition to intervene in Texas v. Azar, the lawsuit calling into question the constitutionality of the Affordable Care Act (ACA). But the Lousiana-based federal court of appeals denied a request filed by blue states to expedite...National News
Early in February the agency proposed options to make patient data more useful and transferable through open, secure, standardized, and machine-readable formats while reducing restrictive burdens on healthcare providers. Its impact will be felt by Medicare Advantage, Medicaid and plans on the exchange.
The agency is proposing to...National News
GT Medical Technologies Inc. secured a total of $10 million in funding during its Series A financing round led by a San Francisco-based venture capital firm, MedTech Venture Partners. The money was raised to help the medical tech company commercialize its radiation therapy technology post-brain operation.
President and CEO of the...National News
Over 60 healthcare legislatures joined in sending a letter to Centers for Medicare and Medicaid Services (CMS) Administrator Seema Verma regarding an interpretation of National Coverage Determination (NCD) for next-generation sequencing (NGS) that would limit accessibility to certain testing.
The Jan. 31 letter expressed explicit...National News
Hacienda Healthcare last week agreed to give licensing authority of its facility to the Department of Health Services (ADHS) following dissent from state agencies concerning the Board of Directors decision to cease operations of the Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF-IID).
A joint letter...National News
In 2017 health spending grew 4.8 percent year-over-year, the second consecutive year of deceleration in spending growth; from 2006 to 2017 growth in health spending per enrollee averaged 4.4 percent annually for the privately insured - Medicare averaged 2.4 percent and Medicaid, 1.6 percent, according to research from The Urban...National News
Election season is starting to heat up as numerous democratic candidates are eager to announce their bid for presidency and chime in with their ideas for the trendiest discussion--Medicare for All. The bill, most famously introduced by Vermont Senator and former presidential candidate Bernie Sanders, would create a single-payer...National News
A new report coming from the White House argues that the Trump administration's changes to the Affordable Care Act (ACA) have had a beneficial effect on its marketplace. The Council of Economic Advisors (CEA) report suggests the policy mandate changes actually do not undermine the law. It is an argument against the Democratic claim that...National News
Blue Cross and Blue Shield of North Carolina (BCBSNC) announced last month its Blue Premier program, a value-based model of healthcare that binds performance directly to payment. BCBSNC and five other health systems are responsible for fostering better outcomes with a lower cost.
The health systems include:
On Tuesday, Feb. 5, former Hacienda Healthcare nurse Nathan Sutherland pleaded not guilty for raping and impregnating a disabled 29-year-old woman in a vegetative state for nearly two decades. Sutherland was arrested last month after the woman unexpectedly gave birth to a baby boy on Dec. 29.
The unprecedented birth in December...