Dive Brief: In response to the COVID-19 pandemic, CMS late Thursday announced relaxation of a variety of guidelines regulating the way, physicians, nurse practitioners and occupational therapists can do their jobs, expanding earlier easing to let clinicians practice at the top of their licenses and across state lines, including for telehealth. The relaxation is aimed
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Dive Brief: Disproportionate share hospitals’ payments are likely to be lowered after a federal appeal court ruled this week that the payment rule for calculating them can include Medicare and commercial insurance payments. Hospitals had argued the 2017 rule should only use Medicaid and uninsured patient payments toward the DSH cap, and sued HHS over the calculation.
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Dive Brief: The U.S. Supreme Court on Monday ruled in favor of commercial health insurers arguing they are owed $12 billion under the Affordable Care Act’s risk corridor program. The 8-1 decision, with only Justice Samuel Alito dissenting, found that the ACA “established a money-mandating obligation, that Congress did not repeal this obligation” and later
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Joe Biden, the presumptive Democratic presidential nominee, unveiled a top-level view of his healthcare plan in July to criticism from progressives and conservatives alike, with the far-left slamming it as not covering enough Americans and Republicans calling it merely a stepping stone to “Medicare for All” — and that’s before the candidate said he supported lowering
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Dive Brief: If commercial payers reimbursed at the same rate as Medicare, average hospital revenue would fall roughly 35%, though it would vary widely by state, according to a new pricing study published in Health Affairs. Harvard Medical School researchers found private health insurers reimbursed for inpatient and outpatient facility services roughly double what Medicare
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Dive Brief: President Donald Trump reiterated his support Wednesday for repealing the Affordable Care Act, a move which could cause roughly 20 million Americans to lose health insurance at a time of unprecedented unemployment. “We want to terminate healthcare under Obamacare and replace it,” Trump told the White House press pool on Wednesday, referring to
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Dive Brief: The American Hospital Association in a new report estimates the financial fallout from the COVID-19 pandemic, and the numbers are sobering: It forecasts losses will top $200 billion — and that’s just for the first four months of the outbreak from March estimated through June. AHA said the hemorrhaging can be connected to the
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Dive Brief: In the first round of oral arguments in their lawsuit against HHS over a rule requiring hospitals to reveal the secret rates they negotiate with insurers for services, hospital groups argued the requirement exceeds the government’s authority and violates the First Amendment by compelling hospitals to publicly post confidential and proprietary information​. The American
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The Healthcare and Public Health Sector Coordinating Council, a public-private partnership developed to mitigate threats to the nation’s health care sector, yesterday released guidance and recommendations to help health care organizations protect trade secrets, medical research and other innovation capital from theft.  “We at the AHA have been working closely with the field and the
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