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HHS: No evidence of fraudulent HealthCare.gov enrollment

HHS: No evidence of fraudulent HealthCare.gov enrollment

By Virgil Dickson  |  July 28, 2015

HHS is not aware of any consumers intentionally falsifying information to get subsides for insurance exchange coverage, Secretary Sylvia Mathews Burwell testified Tuesday. This month, the GAO said investigators were able to sign up for coverage, get subsidies and re-enroll with bogus information.

Burwell: HHS not investigating Planned Parenthood following video leaks

By Virgil Dickson  |  July 28, 2015

There are no current plans for HHS to investigate Planned Parenthood for providing fetal tissue to researchers, Secretary Sylvia Mathews Burwell said Tuesday. Some want the provider's funding pulled after leaked videos show doctors discussing providing tissue from aborted fetuses to researchers.

CMS streamlines Medicaid waiver renewal process

By Virgil Dickson  |  July 27, 2015

The CMS has taken steps to ensure transparency and timely renewal of Medicaid demonstration waivers via new guidance. This comes weeks after facing congressional criticism and scrutiny over its oversight of the program. The agency also announced it's creating new ways for states to use 1115 waivers...

CMS to test concurrent coverage of hospice and curative care

CMS to test concurrent coverage of hospice and curative care

By Melanie Evans  |  July 20, 2015

Terminally ill patients no longer will have to give up curative treatment to receive Medicare-paid hospice care, under a limited new program the CMS will start testing with 140 hospice providers as early as January.

No calm before the storm

No calm before the storm

By Merrill Goozner  |  June 13, 2015

The skirmishing ahead of the U.S. Supreme Court's King v. Burwell decision suggests we are in for a period of prolonged political turbulence should the high court strike down premium subsidies in the 34 states using the federally run exchanges.

GOP ready to attack Obama health law as HHS chief testifies

By Associated Press  |  June 10, 2015

Health and Human Services Secretary Sylvia Burwell is ready to defend President Barack Obama's healthcare law before congressional Republicans who consider it a failure and who hope the Supreme Court will void one of its cornerstones—federal subsidies that help millions afford coverage.

Too many treading water in movement to value-based care

Too many treading water in movement to value-based care

By Kevin Lofton  |  May 16, 2015

Few things are constant these days in the ever-changing world of healthcare, but there's one incontestable certainty in the mind of every leader responsible for plotting the strategic direction of a hospital or health system: Value-based payment is here—and it's here to stay.

Administration bears down on states to expand Medicaid

Administration bears down on states to expand Medicaid

By Virgil Dickson  |  April 25, 2015

Healthcare providers have mixed responses to the administration's aggressive linkage of uncompensated-care funding to Medicaid expansion. Hospital leaders in Florida, Kansas, Tennessee and Texas strongly support Medicaid expansion but don't want to risk losing the money.

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