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Medicaid rate increases for providers are coming next year

Medicaid rate increases for providers are coming next year

By Virgil Dickson  |  October 25, 2018

The majority of state Medicaid agencies are planning to issue raises next year for providers thanks to the stronger economy. States are also seeing the first drop in Medicaid enrollment in a decade.

New CMS pay model targets soaring drug prices

New CMS pay model targets soaring drug prices

By Harris Meyer and Virgil Dickson  |  October 25, 2018

The Trump administration's first mandatory CMS pay model is projected to save taxpayers and patients $17.2 billion over five years by shifting Medicare Part B drugs to price levels more closely aligned with what other countries pay.

US approves first new type of flu drug in 2 decades

US approves first new type of flu drug in 2 decades

By Associated Press  |  October 24, 2018

The FDA's approval of Xofluza for people age 12 and older comes ahead of the brunt of this winter's flu season. Xofluza is a pill that can reduce severity and shorten duration of flu symptoms after one just dose.

Waiver flexibility could widen gap between states

Waiver flexibility could widen gap between states

By Shelby Livingston  |  October 23, 2018

In handing states greater flexibility to overhaul their insurance markets through waivers, the Trump administration has paved the way for states to diverge further in the access and affordability of its residents' coverage, insurance experts said.

CMS hands states more power for waiver process

CMS hands states more power for waiver process

By Erica Teichert and Virgil Dickson  |  October 22, 2018

In a dramatic overhaul of the current 1332 waiver process, the CMS said state legislatures will no longer have to approve waiver plans. Instead, governors will be able to take action on their own. The agency also changed how it will evaluate waivers.

Direct-contracting won't hurt Advantage business, CMMI director says

Direct-contracting won't hurt Advantage business, CMMI director says

By Susannah Luthi  |  October 16, 2018

The Trump administration is looking at new risk structures, including direct provider contracting, to drive cost-saving behaviors in the healthcare industry. But CMMI Director Adam Boehler said that won't dent the Medicare Advantage business.

Family wins Pontiac General 'pay-for-play' residency case

Family wins Pontiac General 'pay-for-play' residency case

By Jay Greene  |  October 15, 2018

A jury in federal court in Port Huron, Mich., unanimously said Tuesday that Pontiac General Hospital breached a contract with the Canadian parents of an international medical school graduate who paid $400,000 believing their son would be accepted into the hospital's residency program.

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