Medicare & Medicaid
There was a decrease in utilization among CHECK-enrolled patients, but the reduction was similar in the control group.
Savings produced by capping the teaching health center graduate medical education rate would allow the THC program to expand tenfold, research shows.
Higher telehealth rates would open doors for companies such as Amazon and WalMart to expand their healthcare business.
The order outlines sweeping policy and regulatory proposals including modifying Medicare fee for service payments to reflect the prices paid in MA plans and the commercial market.
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.