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Baby boomers, drugs pushing up federal healthcare spending

By Shannon Muchmore  |  August 23, 2016

Federal spending for major healthcare programs are estimated to increase by $55 billion, or 6%, in 2016 after a technical adjustment for payment timing shifts, according to a report from the Congressional Budget Office.

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.

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

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.

Few docs ready for risk under MACRA

Few docs ready for risk under MACRA

By Shannon Muchmore  |  August 13, 2016

Most physicians are expected to opt for the Merit-based Incentive Payment System, known as MIPS, rather than assume the downside risk of alternative payment models.

Data Points for Aug. 15, 2016

Data Points for Aug. 15, 2016

By Modern Healthcare  |  August 13, 2016

Data Points for the week of Aug. 15, 2016, covered the following topics: The CMS' new star ratings for overall quality of hospitals

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