Tag: Healthcare Reform

Anthem’s anesthesia time limit policy, reversal sparks new legislation

Editor's Note Anthem Blue Cross Blue Shield recently reversed its controversial plan to impose time limits on anesthesia coverage after intense backlash from the medical community, including anesthesiologists and patient advocates. The policy, aimed at curbing alleged overbilling, would have restricted payments based on average surgery times, a move critics…

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By: Tarsilla Moura
December 18, 2024
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Simple procedure or ‘surgery’? Questionable medical billing practices cause confusion

Editor's Note Certain medical bills reclassifying minor procedures as “surgery” are driving up costs and causing confusion among patients, KFF Health News December 13 reports. Cases such as a $414 charge for a splinter removal with tweezers and a $469 charge for freezing a skin tag highlight how CPT codes…

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By: Tarsilla Moura
December 18, 2024
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AHA's Congressional "wish list" calls for financial relief, patient access, workforce protections

Editor's Note   In a November 12 letter to Congress, the American Hospital Association (AHA) outlined its priorities for the lame-duck legislative session, focusing on measures to stabilize hospitals and health systems facing significant financial and operational pressures. If enacted, these recommendations would support the nation’s healthcare infrastructure amid rising…

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By: Matt Danford
November 14, 2024
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GOP-controlled Senate to prioritize drug pricing, health agency reform

Editor's Note Republicans secured a 51-seat majority in the US Senate after victories in Ohio and West Virginia, promising a power shift that will see GOP leaders shaping decisions on pressing issues like drug pricing, public health agency reform, and rural healthcare. On November 6, STAT published an overview of…

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By: Matt Danford
November 6, 2024
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CMS proposes $2 Drug List Model to reduce out-of-pocket costs for Medicare recipients

Editor's Note CMS has taken the next steps in making prescription drugs more affordable for Medicare recipients, according to an October 9 report from The US Department of Health and Human Services (HHS). The proposed Medicare $2 Drug List Model, developed in line with President Biden’s Executive Order 14087, aims…

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By: Matt Danford
October 9, 2024
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Vice presidential debate highlights healthcare, abortion policy differences

Editor's Note The October 1 vice presidential debate showcased sharp divisions between the candidates on healthcare policy, focusing primarily on the future of the Affordable Care Act (ACA) and reproductive rights. A summary published October 2 in Stat details how Sen. JD Vance (R-Ohio) proposed changes that could allow insurers…

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By: Matt Danford
October 2, 2024
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Trump-Harris debate highlights contrast on abortion, Affordable Care Act

Editor's Note The healthcare portion of the September 10 debate between former President Donald Trump and Vice President Kamala Harris focused on two issues: abortion and the Affordable Care Act (ACA).  Becker’s Hospital Review published key takeaways from the exchange September 11. According to the article, Trump reiterated that the…

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By: Matt Danford
September 11, 2024
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Nearly 1 in 3 US rural hospitals at risk of closure

Editor's Note More than 700 rural hospitals, representing 31% of all rural hospitals in the country, are at risk of closure, according to a report from the Center for Healthcare Quality & Payment Reform. Chief Healthcare Executive reported the news August 8. According to the article, 16% of all rural…

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By: Matt Danford
August 15, 2024
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Medicare drug price negotiations to save $6 billion in first year

Editor's Note Medicare’s first negotiations on 10 top-selling prescription drugs for older Americans will save the US government $6 billion in the first year, according to an August 15 article in Reuters. Enabled by President Joe Biden’s 2022 Inflation Reduction Act, negotiations for drugs used by Medicare—which covers 66 million…

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By: Matt Danford
August 15, 2024
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Harris, Trump healthcare records compared

Editor's Note The Affordable Care Act , abortion and contraception, LBGTQ health, prescription drug prices—presidential candidates Donald Trump, the Republican nominee, and Kamala Harris, the Democratic nominee, have vastly different positions these and other healthcare issues. KFF Health News has published a detailed comparison in the form of a side-by-side…

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By: Matt Danford
August 12, 2024
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