Medicare & Medicaid
Smaller and rural hospitals outpace urban providers in performance measures -- except for clinical care.
Mental illness and substance use disorder are still the main driver of acute hospitalizations among homeless adults.
Insurers have two weeks left to sign-up consumers, as Trump Administration plans to allow ACA subsidies to cover non-Obamacare insurance.
The rule directs pharmaceutical manufacturers to disclose the maximum per unit ceiling price that can be charged to 340B hospitals.
Medicare Advantage, managed Medicaid and provider-sponsored plans, represent the bulk of the SMB market.
CMS is proposing to give Medicare Part D drug plans flexibility to negotiate discounts for drugs in "protected" therapeutic classes.
This year, 1.92 million people have selected plans, compared to 2.27 million last year when open enrollment began a day earlier.
After a judge blocked the attempt, CMS opened a new federal public comment period and says it believes KY HEALTH promotes the objectives of Medicaid.
Only one quarter of one percent of Medicare beneficiaries in 2016 took advantage of the service.
CMS reminds Medicare Advantage organizations of their requirement to waive prior authorization in affected areas.