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Policy and Legislation

By Jeff Lagasse | 04:31 pm | September 11, 2018
After the major provisions of the law were implemented, 77.8 percent of Latinos of Mexican heritage reported having health insurance, a 10-point increase.
By Susan Morse | 06:35 pm | September 10, 2018
Two new reports find payers expanding their footprint in the Affordable Care Act marketplace with some reducing costs.
By Susan Morse | 02:28 pm | September 10, 2018
Ruling throws out 2014 rule, leading to question of how CMS will determine whether it has overpaid an MA insurer.
By Jeff Lagasse | 03:45 pm | September 07, 2018
The findings were a surprise, as researchers thought they would find decreased complications and mortality rates for critically ill patients.
By Susan Morse | 03:03 pm | September 07, 2018
The insurer says it is owed $5 million in payments mandated under the Affordable Care Act.
By Susan Morse | 11:33 am | September 06, 2018
Judge to decide whether loss of individual mandate is tied to keeping essential benefits for those with pre-existing conditions.
By Beth Jones Sanborn | 06:04 pm | September 04, 2018
Bipartisan concern over Medicare policies driving hospital consolidation has been long-standing, but conflicting evidence has clouded the waters, lawmakers said.
By Susan Morse | 03:05 pm | September 04, 2018
Agency evaluation of Next Gen sets stage for ACOs to qualify as Advanced APMs under MACRA and get incentive payments.
By Mike Miliard | 03:07 pm | August 30, 2018
Absent more rigorous federal regs, Pew Charitable Trusts, MedStar Health and AMA offer model test cases to help vendors and providers detect potentially dangerous usability risks.
By Jeff Lagasse | 03:46 pm | August 28, 2018
The study found an immediate reduction in the percentage of people hospitalized without insurance, particularly among states that expanded Medicaid.