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CMS: Boost Medicare Advantage payments 1.1%

By Bob Herman  |  February 21, 2015

The CMS has proposed increasing health insurers' Medicare Advantage payment rates by 1.05% for 2016, a move that kicks off a 45-day dogfight in Washington before the rates are cemented.

Health entrepreneurship on the rise

Health entrepreneurship on the rise

By Dr. Arlen Meyers  |  February 21, 2015

Entrepreneurship can be defined as the pursuit of opportunity with scarce resources. Biomedical and health entrepreneurs do the same thing with the goal of creating value by deploying innovation.

Kaiser, Prime drop legal battles over unfair competition

Kaiser, Prime drop legal battles over unfair competition

By Lisa Schencker  |  February 14, 2015

Prime Healthcare Services and Kaiser Foundation Health Plan have taken a step back from their ongoing legal feuds and agreed to dismiss lawsuits against each other and go to binding arbitration.

Medicare will pay for lung CT scans for cancer screening

Medicare will pay for lung CT scans for cancer screening

By Sabriya Rice  |  February 05, 2015

Pack-a-day smokers in the federal health program now have access to low-dose CT scans for the early detection of lung cancer even as experts continue to debate whether the benefits are worth the cost and risk of false positives.

Data Points for Feb. 2, 2015

Data Points for Feb. 2, 2015

By Modern Healthcare  |  January 31, 2015

Data Points for the week of Feb. 2, 2015, covered the following topics: medical costs for chronic conditions, cervical cancer, Medicaid, coordinated care

HHS sets goals for expanding new Medicare payment models

By Paul Demko  |  January 26, 2015

The Obama administration wants 30% of payments for traditional Medicare benefits to be tied to alternative payment models such as accountable care organizations by the end of 2016. The administration also has set a goal of hitting 50% by the end of 2018.

CMS  can order trials before OKing payment for new tech

CMS can order trials before OKing payment for new tech

By Virgil Dickson  |  January 24, 2015

The CMS will continue ordering some drug and device manufacturers to collect evidence on how well their technologies work before giving its final approval on reimbursement.

Justices appear split on lawsuits over low Medicaid rates

Justices appear split on lawsuits over low Medicaid rates

By Lisa Schencker  |  January 20, 2015

Some U.S. Supreme Court justices are skeptical, based on questions they posed Tuesday, that healthcare providers should be allowed to sue state Medicaid agencies over low reimbursement rates. Other justices, though, asked where providers can challenge rates if not in court.

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