LATEST ARTICLES

February 12: New Study on 340B Attempts to Hide Real Cost of 340B to Medicare and Seniors

Created on: Friday, February 12, 2016

A new study commissioned by 340B Health makes the case that 340B hospitals have lower costs on drugs than “non 340B providers.” The problem is that the study lumps non-340B hospitals and physicians together into the comparison category of “non-340B providers.” &nbs...

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February 12: Should All These Drugs Really Be Considered ‘Orphans’?

Created on: Friday, February 12, 2016

The authors of a new report in the American Journal of Clinical Oncology accuse pharmaceutical companies of gaming the Orphan Drug Act (ODA) to maximize profits from drugs ultimately used for large populations of patients, thus driving up medication costs for patients with cancer and diluting incentives designed to benefit patients with rare cancers.

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February 12: Now Humana Says It Might Bail On ObamaCare

Created on: Friday, February 12, 2016

Health Reform: It wasn’t that long ago when ObamaCare fans were wagging their fingers at critics, saying industry profits proved that the law was working. They’ve been noticeably silent as insurers report huge losses.

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February 12: MACRA: What Health Care Providers Need to Know

Created on: Friday, February 12, 2016

On April 16, 2015, President Obama signed into law H.R. 2, the "Medicare Access and CHIP Reauthorization Act of 2015" (MACRA), a bipartisan effort to reform the Medicare payment policy for physician services that adopts a series of important policy changes affecting a wide range of providers and suppliers. Most notably, Section 101 repealed the sustainable growth rate (SGR) formula for updating Medicare physician fee schedule (PFS) payment rates and substituted a series of specified annual update percentages. MACRA establishes a new methodology that ties annual PFS payment adjustments to "value" metrics through a Merit-Based Incentive Payment System (MIPS) for MIPS-eligible professionals, as well as through an incentive program to encourage participation in Alternative Payment Models (APMs). While changes to physician payment provisions were the impetus of the legislation, it also includes other provisions of great import for health care providers.

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Februrary 12: Standardizing Patient Outcomes Measurement

Created on: Friday, February 12, 2016

The arc of history is increasingly clear: health care is shifting focus from the volume of services delivered to the value created for patients, with “value” defined as the outcomes achieved relative to the costs.1 But progress has been slow and halting, partly because measurement of outcomes that matter to patients, aside from survival, remains limited. And for many conditions, death is a rare outcome whose measurement fails to differentiate excellent from merely competent providers.

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President's Budget Grounds Cancer Moonshot; Fails Patients and Taxpayers

Created on: Thursday, February 11, 2016

The federal budget just released by President Obama contains another harmful cut to Medicare payments for cancer drugs. If implemented, the cut would further consolidate cancer care into the more expensive hospital setting and in the process cause access problems for seniors and disabled individuals with cancer who are covered by Medicare.

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February 11: Physicians from 340B Hospitals Send Letter to Congress Supporting the Dug Discount Program

Created on: Thursday, February 11, 2016

Congressional leaders received a brief letter from 4,757 physicians (names, not signatures) from 340B hospitals supporting the drug discount changes. The letter, without supporting data or references, simply asks the Congress not to limit or shrink the 340B program. Here is the physician's ...

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February 11 With end of ‘doc fix’, effort to craft a new payment system underway

Created on: Thursday, February 11, 2016

The end of the annual “doc fix” last year was one of the medical community’s most celebrated moments on Capitol Hill in recent memory.

Groups from the American Medical Association to the Federation of American Hospitals touted the legislation as the end of an era of uncertainty, and former Speaker John Boehner (R-Ohio) has called it one of his legacy’s greatest achievements.

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February 11: Why Are Hospitals Buying Physician Practices and Forming Insurance Companies?

Created on: Thursday, February 11, 2016

For the last half-century or longer, one of the most notable features of the U.S. health care system has been the fact that very few physicians are employed by hospitals. The vast majority of physicians are members of independent or solo practices. Even physicians who work exclusively in hospitals, such as emergency physicians, are typically members of small group practices that contract with one or more hospitals to staff their departments. Hospitals typically employ nurses, technicians, and support staff – but not physicians.

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February 11: CMS mulls over changes to reimbursement under Medicare Part B

Created on: Thursday, February 11, 2016

CMS is weighing possible changes to how Medicare pays physicians for administering cancer drugs and other expensive medications administered in physicians' offices, according to Bloomberg Business.

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