FTC seeks to revive case against Advocate, NorthShore merger

By Maria Castellucci  |  August 19, 2016

The Federal Trade Commission argued against the proposed merger between two Chicago-area health systems in a federal appeals court Friday, defending its market definitions that were rejected by a lower court in June.

CMS may crack down on third-party groups that subsidize ACA premiums

By Shannon Muchmore  |  August 18, 2016

The CMS is asking the public for information about providers and organizations that may be steering Medicare- or Medicaid-eligible patients toward the Affordable Care Act's insurance exchanges in order to receive higher reimbursement rates.

Volunteers sought as race to develop a Zika vaccine heats up

By Associated Press  |  August 18, 2016

Wanted: Volunteers willing to be infected with the Zika virus for science. It may sound bizarre, but researchers are planning just such a study—this winter, when mosquitoes aren't biting—to help speed development of much-needed Zika vaccines.

Medicare Part D spending rose 17% in 2014 because of high-cost drugs

By Shannon Muchmore  |  August 18, 2016

The drug with by far the highest cost, despite the lowest claim count of the 10 most expensive, was Gilead's hepatitis C treatment Sovaldi at more than $3.1 billion. Next were Nexium, which treats gastroesophageal reflux disease, and the cholesterol drug Crestor.

Michael Bloomberg named World Health Organization ambassador

By Associated Press  |  August 18, 2016

Billionaire philanthropist and former New York mayor Michael Bloomberg has a new job—as global ambassador for the U.N. health agency with a mandate to help reduce deaths from prevalent diseases, traffic accidents, tobacco, alcohol and obesity.

Exchanges do work for some health plans. Ask Kaiser.

By Bob Herman  |  August 17, 2016

Kaiser Permanente is “absolutely” sticking with the marketplaces, CEO Bernard Tyson told Modern Healthcare. Some peers that are fleeing exchanges, he said, priced low to gain market share and lost money when Congress underfunded the ACA's risk-adjustment program.

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