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Doctors back bill to exempt CME from Open Payments reporting

By Adam Rubenfire  |  July 22, 2016

Roughly 100 national and state medical societies are backing a bill that would exempt drug and device makers from have to report payments made to doctors for participating in continuing medical education or receiving textbooks, journals and educational materials related to CME.

Humana dumps ACA plans as feds blast its Aetna deal

By Bob Herman  |  July 21, 2016

Just as the U.S. Justice Department formally moved to block the merger between Humana and Aetna, Humana said it is significantly reducing its individual health plans sold on and off the Affordable Care Act's exchanges.

Why the Justice Department rejected the Aetna and Anthem deals

By Bob Herman  |  July 21, 2016

The government argues both transactions would “substantially lessen competition in numerous markets around the country.” The result, antitrust regulators said, would lead to “higher prices and reduced benefits” for consumers. Both companies plan to challenge the DOJ in court.

43 of convicted cancer doc's patients to divide $8 million settlement

By Chad Halcom, Crain's Detroit Business  |  July 21, 2016

An arbitrator will divide up an $8 million settlement sum from three hospitals and an oncology clinic later this year for the 43 patients-turned-victims suing Michigan oncologist Farid Fata. Fata is serving 45 years in prison on fraud and money laundering charges.

Recertification proposal fuels dispute between PA groups

By Elizabeth Whitman  |  July 21, 2016

After the National Commission on Certification of Physician Assistants proposed changes to the recertification process, the American Academy of PAs said it was laying the groundwork to create a new certifying organization altogether.

CMS previews how hospitals will fare on new star ratings

By Elizabeth Whitman  |  July 21, 2016

The agency released the data ahead of publishing actual ratings for individual hospitals. The data show that hospitals of all kinds—teaching or safety net, for instance—vary in quality as judged by the ratings, which are based on 62 quality measures.

Medicare panel votes against coverage for leg vein treatments

By Virgil Dickson  |  July 21, 2016

A panel that advises the CMS on Medicare coverage decisions says it has little to no confidence there is adequate data that current treatments for patients with diseased leg veins improve health outcomes.

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