Editorial: Why assume healthcare cost controls will fail?

Editorial: Why assume healthcare cost controls will fail?

By Merrill Goozner  |  July 16, 2016

Last week, two well-respected groups of government economists predicted the end is nigh for the era of restrained growth in healthcare spending. Ignore them. They've been wrong before. They will be proven wrong again.

CMS updates rule allowing claims data to be sold

CMS updates rule allowing claims data to be sold

By Joseph Conn and Adam Rubenfire  |  July 01, 2016

Data mining of patient medical records kept by the federal government will get a boost by the CMS, following the release of finalized changes to the so-called Qualified Entity Program.

Arizona joins rest of nation with children's health plan

By Associated Press  |  May 14, 2016

Arizona has joined the 49 other states that offer a federal health insurance program for low-income children after backers of the plan pushed it through the state Legislature earlier this month and Republican Gov. Doug Ducey signed it into law.

Slavitt promises flexibility, mindfulness during MACRA implementation

By Shannon Muchmore  |  May 11, 2016

CMS Acting Administrator Andy Slavitt emphasized a commitment to working with providers as the new Medicare reimbursement system is implemented. House lawmakers said small-group and solo practitioners are concerned the model will push them out of business or into larger groups.

CMS preps Medicaid agencies on MACRA ID change

By Virgil Dickson  |  May 06, 2016

The CMS has started making biweekly calls to state Medicaid agencies to ensure that their information technology systems are ready to handle the 60 million new identification cards the agency is preparing to send out to Medicare beneficiaries, including those dually eligible for both Medicaid and...

Docs face stark choices under new Medicare pay proposal

Docs face stark choices under new Medicare pay proposal

By Beth Kutscher  |  April 30, 2016

The new draft regulations designed to change how Medicare pays clinicians represent the most sweeping overhaul the CMS has made in a long time to the business of running a physician practice.

Blog: Revisiting Hillary Clinton's record on healthcare

Blog: Revisiting Hillary Clinton's record on healthcare

By Harris Meyer  |  April 19, 2016

Two people with first-hand knowledge of Hillary Clinton's history on healthcare say she has done outstanding work in expanding coverage and research funding, and that the Clinton they know is nothing like the self-serving politician described by her critics.

CMS unveils Primary Care Plus

CMS unveils Primary Care Plus

By Virgil Dickson  |  April 16, 2016

With less than a year to go in the Obama administration's public-private push for better care management among primary-care providers, the CMS has rolled out a souped-up care-delivery model.

States, plans get no flexibility under final mental health parity rule

By Virgil Dickson  |  March 29, 2016

The CMS has finalized a rule that requires Medicaid and CHIP managed-care plans to provide the same level of benefits for mental health or substance-abuse treatment that they provide for medical and surgical care. The final rule largely dismisses criticism and suggestions made by plans and states.

Blog: Why consumerism is no panacea for our healthcare problems

By Harris Meyer  |  March 08, 2016

Politicians and policymakers often tout price transparency, comparison shopping, high-deductible health plans and other consumer-based approaches as answers to the nation's healthcare cost and access problems. But recent evidence suggests such solutions have severe limits.

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