Reimbursement
A coalition of civil rights advocates Tuesday called for a federal investigation of California's Medicaid program, alleging that it discriminates against millions of low-income Latinos by denying them equal access to health care.
Capital Blue Cross will provide a second round of funding to help put a life-saving overdose antidote into the hands of Pennsylvania police officers by donating $100,000 to help local and campus police departments purchase Naloxone.
Congress on Wednesday is considering legislation to allow physicians working in ambulatory surgical centers to receive the same payment incentives for meaningful use of electronic health records as doctors in other settings.
Under current law, reimbursement for biosimilars is calculated by a single code. Six physician groups that represent a wide swath of biologic-prescribing physicians, want to change that by urging Congress to press the Centers for Medicare and Medicaid Services to make unique codes for biosimilar medicines for billing and payment purposes.
Six groups who represent a wide swath of biologic-prescribing physicians are urging Congress to press the Centers for Medicare and Medicaid Services to make unique codes for biosimilar medicines for billing and payment purposes.
The Department of Health and Human Services has issued guidance to states seeking a 1332 waiver to about every major component of the Affordable Care Act as the deadline for the new program approaches.
As the December 15 deadline for January healthcare coverage neared, California's insurance exchange intensified efforts to sign people up in pockets of the state with exceptionally high numbers of uninsured residents. Covered California targeted such "hot spots" as San Francisco's Mission district, and Oakland's Fruitvale neighborhood, officials said.
Republican presidential candidate Ben Carson this week released his healthcare platform, a plan for reform that he said would fix the relationship between physician and patient by providing tax-sheltered accounts and giving Medicare patients the onus to buy their own plans.
As patients face high deductibles, price is a major topic that's put pressure on healthcare providers to offer price transparency, even though what a hospital charges can be far different from what a patient actually owes after their insurance covers some of the costs.
Among uninsured individuals who are not exempt from the Affordable Care Act penalty, the average household fine for not having insurance in 2015 will be $661, rising to $969 per household in 2016, according to a Kaiser Family Foundation analysis.