In the News

• HCCI Adds Blue Cross Blue Shield Claims Data to National Database for Analyzing Healthcare Costs (HealthPayer)

• Beaumont Health sues Michigan regulators after hospital plan is rejected (Beckers)

• Proposed Medicaid Fiscal Accountability Rule would tighten Medicaid supplement payments (RevCycle)

• Announcement: Scheduled publication in Nov 18th, 2019 Federal Register

• Rash of nursing home closures in Washington prompts proposals to raise Medicaid rates (KUOW)

• CMS Grants Ambulatory Surgery Centers' Wish —Expands roster of services reimbursable in Medicare (MedPageToday)

• Related:CMS Finalizes Rule Allowing Reimbursement of PCI in Ambulatory Centers (TCTMD)

• Healthcare Costs Vary Among Specialists Across, Within Hospitals (RevCycle)

• Comprehensive Health Management Pharmacist-Delivered Model: Impact on Healthcare Utilization and Costs (AJMC)

• Frequent ED Users Have Higher Utilization Rates Than Nonfrequent Users (Health Leaders)

• Fact Sheet: Federal Health Insurance Exchange 2020 (CMS)

• Related: For the ACA enrollment season, the federal health insurance marketplace will have star ratings, enhanced direct enrollment, and a brand new HRA option (HealthPayer)

• Retrospective study suggests ED physicians improving both outcomes and efficiency of care (MedExpress)

• JAMA Study Abstract: Trends in Mortality for Medicare Beneficiaries Treated in the Emergency Department From 2009 to 2016

• Home Health Providers Skimping on Therapy Will Likely Pay Steep Price (HomeHealthNews)

• News Release: FTC to Study the Impact of COPAs (FTC)

• Related: What the FTC’s Study of COPAs Means for Hospital Mergers (RevCycle)

• Adjusting Hospital Reimbursement to Account for Social Influences on Health (JAMA Network)

• Spread of ACOs And Value-Based Payment Models In 2019: Gauging the Impact of [CMS] Pathways to Success (HealthAffairs)

• Too many older adults readmitted to hospitals with same infections they took home (MedicalExpress)

• Kaiser Family Foundation Survey Results:

• A View from the States: Key Medicaid Policy Changes: Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2019 and 2020

• Related Article: State Medicaid Programs Enhance SUD Benefits, Lower Cost-Sharing

• Medicaid Enrollment & Spending Growth: FY 2019 & 2020

• Related Article: Medicaid Spend Grows 2.9% in FY 2019, Medicaid Enrollment Flat

• Humana files suit against generic drug makers, alleges price fixing (FierceHealth)

• Routine flu vaccination for adults hospitalized with pneumonia can reduce readmissions, mortality (Healio)

• Report on the Independent Dispute Resolution Process: New York’s Surprise Out-Of-Network Bill Protection Law (PDF Report from NY Department of Financial Services)

• UHC Medicare Plan Suspended for Failing to Meet Medical Loss Ratio (HealthPayer)

• Survey: 17% of health execs unaware of 21st Century Cures Act rules (HealthData)

• Trends in Medicare Payment Rates for Noninvasive Cardiac Tests and Association With Testing Location (JAMA)

• Related Article: Site-of-Service Medicare Reimbursement Led to More Hospital Testing

• New tool aims to remove the mystery of health care costs at Connecticut hospitals (Hartford Courant)

• Related: Price tag for health,Which area hospitals offer most affordable, expensive procedures (Journal Inquirer)

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