More Insurers Expected to Return to ACA Market Next Year

  • Sep 9, 2019

Despite ongoing political and legal battles over the Affordable Care Act, many health insurance providers are expected to enter or reenter ACA markets next year as a number of states take steps to stabilize their health insurance markets. The average number of insurers offering plans in ACA marketplaces increased to four this year, though participation varies widely among states, with seven...

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Metabolic Biomarker “Score” May Predict Death in Next 5–10 Years

  • Sep 9, 2019

One day, doctors may be able to use the metabolites in blood samples to predict the likelihood of a person surviving another five to 10 years, according to a newly developed tool described today (August 20) in Nature Communications. The authors of the report say the information may be useful in helping decide whether or not to do surgery on patients who are frail or could serve as endpoints in...

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Proposed MIPS Changes Designed to Ease "Burdensome" Program

  • Sep 9, 2019

CMS recently proposed Merit-Based Incentive Payment System changes in 2020 and beyond, including a new participation framework and higher performance thresholds. CMS is planning to overhaul reporting for the Merit-Based Incentive Payment System (MIPS) in order to make the pay-for-performance program less burdensome and more meaningful to providers, according to a recently proposed rule.

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NBGH: Large employers have serious reservations about 'Medicare for All'

  • Sep 9, 2019

For the first time, the National Business Group on Health (NBGH) polled large employers about Medicare expansion plans, including a single-payer “Medicare-for-All” system, as part of its annual report examining their healthcare strategies.  

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Allscripts Agrees to $145 Million HIPAA, Kickback Settlement

  • Sep 9, 2019

Allscripts Healthcare Solutions on Thursday announced it had reached a tentative settlement with the Justice Department to resolve investigations of a company the electronic health records vendor acquired last year.

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CDC: Too Little Naloxone Being Dispensed - One Drug Dispensed for Every 69 High-dose Opioid Prescriptions

  • Sep 9, 2019

Even though prescriptions of the overdose-reversing drug naloxone soared 106% in one year, the drug still isn't being dispensed often enough, a CDC analysis concluded. Only one naloxone prescription was dispensed for every 69 high-dose opioid prescriptions in 2018, reported Gery Guy, Jr., PhD, of the agency's National Center for Injury Prevention and Control, and co-authors in the Morbidity and...

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Legislators Introduce Bill to Increase Whole-Genome Sequencing Access for Pediatric Illnesses

  • Sep 9, 2019

The aim of the bill is to provide access to whole-genome sequencing for "certain undiagnosed children under the Medicaid program, and for other purposes." The hospital is a pioneer in using rapid sequencing in the care of pediatric patients. A few years ago, Rady Children's Institute for Genomic Medicine in San Diego hired clinical genomicist Stephen Kingsmore as its first president and CEO, and...

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CMS Releases 2020 Proposed Rule

  • Sep 9, 2019

On July 29th, CMS released the Proposed Rule for 2020. The Proposed Rule includes provisions on the physician fee schedule, MIPS program, and several regulatory programs impacting radiology.  A more extensive review will follow in the upcoming months.

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