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Policy and Legislation

By Jeff Lagasse | 12:13 pm | May 20, 2019
The ratio of private insurance to Medicare payments is even higher than the 209 percent average at some hospitals.
By Jeff Lagasse | 03:38 pm | May 14, 2019
A number of clinicians and payers have been enforcing hard limits on opioid doses, regardless of the patient's situation.
By Jeff Lagasse | 04:01 pm | May 10, 2019
Success was highest for those with employer coverage while marketplace enrollees were statistically more likely to run into trouble.
By Susan Morse | 04:58 pm | May 09, 2019
AHIP wants reimbursement based on market rates determined by contracted amounts paid by insurers to similar doctors in a geographic area.
By Susan Morse | 10:53 am | May 08, 2019
If pharmaceutical manufacturers are ashamed of their drug prices, then change the price, HHS Secretary Alex Azar says.
By Jeff Lagasse | 11:35 am | May 03, 2019
The actions represent components of a strategy to address barriers to medical innovation in the Medicare program.
By Susan Morse | 10:57 am | May 03, 2019
Two primary concerns of a single-payer system are the methods it would use to pay providers and set their payment rates, both of which would affect hospital and physician revenues.
By Susan Morse | 03:13 pm | May 02, 2019
This includes the protection of medical conscious of practitioners, says OCR Director Roger Severino.
By Susan Morse | 03:49 pm | April 30, 2019
America's Health Insurance Plans says MFA would likely result in higher premiums for consumers with private coverage.
By Jeff Lagasse | 03:41 pm | April 30, 2019
The stratified payment method showed the biggest impact among hospitals tending to the socioeconomically disadvantaged.