CMS: Agency Information Collection Activities: Proposed Collection; Comment Request
The Centers for Medicare& Medicaid Services (CMS) requests comments on proposed information collection related to the Medicaid Statistical Information System (T-MSIS), Medicaid Managed Care Organizations (MCOs), Marketplace Quality Standards, and Report of a Hospital Death Associated with Restraint or Seclusion, which applies to rehabilitation or psychiatric distinct part units (DPUs) in Critical Access Hospitals (CAHs). Comments are due April 15, 2019. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - February 14, 2019 Category: Rural Health Source Type: news

F.D.A. Panel Recommends New Depression Treatment
The active ingredients of ketamine, a popular club drug, show promise in battling deep despair. (Source: NYT Health)
Source: NYT Health - February 12, 2019 Category: Consumer Health News Authors: BENEDICT CAREY Tags: Mental Health and Disorders Depression (Mental) Drugs (Pharmaceuticals) Health Insurance and Managed Care Food and Drug Administration National Institute of Mental Health your-feed-science Johnson & Source Type: news

Personal Health: A New Treatment for a Painful Penis Curvature
Encouraging men to seek help for Peyronie ’ s disease, a condition that can make sex difficult. (Source: NYT Health)
Source: NYT Health - February 11, 2019 Category: Consumer Health News Authors: JANE E. BRODY Tags: Penis Health Insurance and Managed Care Men and Boys Sex Drugs (Pharmaceuticals) Source Type: news

How Trump ’ s Latest Plan to Cut Drug Prices Will Affect You
The proposal seeks to lower out-of-pocket spending in Medicare by taking aim at the secret deals that drug makers strike with industry go-betweens. (Source: NYT Health)
Source: NYT Health - February 5, 2019 Category: Consumer Health News Authors: KATIE THOMAS and REED ABELSON Tags: Drugs (Pharmaceuticals) Health Insurance and Managed Care Health and Human Services Department Azar, Alex M II Prices (Fares, Fees and Rates) State of the Union Message (US) Trump, Donald J Medicare Rebates and Refunds Source Type: news

N.Y. deal helped push Centene past $60B in 2018
Centene Corp. (NYSE: CNC) reported that its total revenue increased 24 percent in 2018, while its managed care membership rose by 15 percent. The Clayton-based managed health care provider said Tuesday in its earnings report that its 2018 total revenue grew to $60.1 billion, up from $48.4 billion in 2017. In addition, its managed care membership grew by 1.8 million to 14 million members in the same period. The company reported net earni ngs of $900 million for 2018, up nearly 9 percent from $828… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - February 5, 2019 Category: Pharmaceuticals Authors: Brian Robbins Source Type: news

AmeriHealth Caritas awarded North Carolina Medicaid contract
North Carolina ’s Department of Health and Human Services awarded a contract to AmeriHealth Caritas to serve the state's Medicaid population. Based in Philadelphia, AmeriHealth Caritas is an affiliate of Independence Blue Cross — this region's dominant health insurer. The North Carolina contract, which beg ins Nov. 1, will bring to seven the number of states where AmeriHealth Caritas operates Medicaid and Medicare managed care plans. The company, which has more than 5 million members, runs… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - February 5, 2019 Category: Pharmaceuticals Authors: John George Source Type: news

Demand for IUDs and Birth Control Implants Rose After Trump ’ s Election Amid Insurance Concerns, Study Shows
The study found a nearly 22 percent increase in the demand for long-acting reversible contraceptive methods in the 30 days after the 2016 election. (Source: NYT Health)
Source: NYT Health - February 4, 2019 Category: Consumer Health News Authors: CHRISTINA CARON Tags: Birth Control and Family Planning Trump, Donald J Presidential Election of 2016 Health Insurance and Managed Care Women and Girls Patient Protection and Affordable Care Act (2010) JAMA Internal Medicine (Journal) Pace, Lydia E Source Type: news

Demand for Long-Acting Birth Control Rose After Trump ’ s Election Amid Insurance Concerns, Study Shows
The study found a nearly 22 percent increase in the demand for long-acting reversible contraceptive methods in the 30 days after the 2016 election. (Source: NYT Health)
Source: NYT Health - February 4, 2019 Category: Consumer Health News Authors: CHRISTINA CARON Tags: Birth Control and Family Planning Trump, Donald J Pace, Lydia E. JAMA Internal Medicine Presidential Election of 2016 Health Insurance and Managed Care Women and Girls Patient Protection and Affordable Care Act (2010) Source Type: news

An assessment of the New York State Behavioral Health System's readiness to transition to medicaid managed care - Acri M, Fuss AA, Quintero P, Baier M, Connolly C, Dean-Assael K, Ferris D, Franco L, McGuire M, Vilgorin B, Cleek A.
New York State has one of the most richly funded Medicaid programs in the United States. In an effort to achieve the triple aim New York State is undergoing a significant redesign of its Medicaid program including transitioning nearly all Medicaid funded b... (Source: SafetyLit)
Source: SafetyLit - February 2, 2019 Category: International Medicine & Public Health Tags: Social Etiologies and Disparities Source Type: news

Clash of Giants: UnitedHealth Takes On Amazon, Berkshire Hathaway and JPMorgan Chase
A lawsuit exposes how unnerved major insurers are by the Big Three ’ s new venture into health care benefits. (Source: NYT Health)
Source: NYT Health - February 2, 2019 Category: Consumer Health News Authors: REED ABELSON Tags: Health Insurance and Managed Care Amazon.com Inc Berkshire Hathaway Inc JPMorgan Chase & Company Optum Inc UnitedHealth Group Inc trade secrets your-feed-science Source Type: news

I.V.F. Coverage Is the Benefit Everyone Wants
Fertility drugs and treatments are expensive, but employers have increasingly begun to cover their cost. (Source: NYT Health)
Source: NYT Health - January 31, 2019 Category: Consumer Health News Authors: VANESSA GRIGORIADIS Tags: In Vitro Fertilization Infertility Labor and Jobs Health Insurance and Managed Care Employee Fringe Benefits Source Type: news

Hopeful Would-Be Parents Shop Jobs for I.V.F. Coverage
Benefits in 2019 vary from nothing to a whole lot. (Source: NYT Health)
Source: NYT Health - January 30, 2019 Category: Consumer Health News Authors: VANESSA GRIGORIADIS Tags: In Vitro Fertilization Infertility Labor and Jobs Health Insurance and Managed Care Source Type: news

In Nashville, Wall Street pros predict health care's future
Managed care continues to be health care's hottest sector. Stocks of managed-care companies, such as Anthem Inc. and UnitedHealth Group Inc., were the highest-performing in the health care industry in 2018, Credit Suisse Managing Director A.J. Rice said, up an average of 18 percent for the year. Rice was speaking in front of about 600 attendees as part o f a panel at the Nashville Health Care Council’s annual Wall Street’s View on Prospects for the Health Care Industry luncheon, inside the JW… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - January 30, 2019 Category: Pharmaceuticals Authors: Joel Stinnett Source Type: news

In Nashville, Wall Street pros predict health care's future
Managed care continues to be health care's hottest sector. Stocks of managed-care companies, such as Anthem Inc. and UnitedHealth Group Inc., were the highest-performing in the health care industry in 2018, Credit Suisse Managing Director A.J. Rice said, up an average of 18 percent for the year. Rice was speaking in front of about 600 attendees as part o f a panel at the Nashville Health Care Council’s annual Wall Street’s View on Prospects for the Health Care Industry luncheon, inside the JW… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - January 30, 2019 Category: Biotechnology Authors: Joel Stinnett Source Type: news

Florida's medicaid changes come under fire
Florida has put in place sweeping changes to its main health-care safety net program over the last several months, but legislators on Tuesday received an earful about ongoing problems with the $28 billion Medicaid program. Some of the changes include new five-year Medicaid contracts with managed-care plans, as well as changes in payments to behavioral analysis providers who treat children with autism. While top-ranking Agency for Health Care Administration officials have touted the moves as improvements,… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - January 23, 2019 Category: Pharmaceuticals Authors: Christine Sexton Source Type: news

FDA Authorizes 23andMe to Report Results of Direct-to-Consumer Pharmacogenetics Test to Customers without a Prescription, Bypassing Doctors and Clinical Laboratories
FDA cautions patients to not use data gained from the DTC test to make healthcare decisions on their own Clinical laboratories continue to be impacted by the growing direct-to-consumer (DTC) testing market, as more walk-in lab customers order at-home tests. Now, the US Food and Drug Administration (FDA) has authorized a DTC test company to […] (Source: Dark Daily)
Source: Dark Daily - January 23, 2019 Category: Laboratory Medicine Authors: Jude Tags: Coding, Billing, and Collections Compliance, Legal, and Malpractice Laboratory Hiring & Human Resources Laboratory Pathology Laboratory Testing Managed Care Contracts & Payer Reimbursement Management & Operations ACR American College of Ra Source Type: news

Humana and Trinity reach Medicare network deal for Philadelphia region
Humana has reached an agreement with Trinity Health that gives the managed care company ’s Medicare Advantage members in-network access to seven Trinity hospitals located in southeastern Pennsylvania and South Jersey.  Eric Bohannon, Humana’s regional president, said this expansion is part of the company’s ongoing effort to provide additional care options for senior adults in i ts local Medicare Advantage HMO, PPO and private fee-for-service plans. “Increasing access to care is essential… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - January 22, 2019 Category: Biotechnology Authors: John George Source Type: news

Trump Proposals Could Increase Health Costs for Consumers
President Trump says he wants to reduce drug prices, but some patients could face higher out-of-pocket costs for medicines and other goods and services. (Source: NYT Health)
Source: NYT Health - January 21, 2019 Category: Consumer Health News Authors: ROBERT PEAR Tags: Health Insurance and Managed Care Consumer Behavior United States Politics and Government Prices (Fares, Fees and Rates) Patient Protection and Affordable Care Act (2010) Drugs (Pharmaceuticals) Generic Brands and Products Trump, Donald J Source Type: news

Balance Billing Under Increased Scrutiny at Both State and Federal Levels; Clinical Laboratory Tests Top List of Surprise Bills Received by Patients
Experts blame insurance regulators for not ensuring the adequacy of healthcare networks that include hospital-based physicians, such as pathologists and radiologists According to a recent study, clinical laboratories, anatomic pathologists, radiologists, and anesthesiologists top the list of providers who bill patients for the difference between what they charge for their services and a hospital’s contracted […] (Source: Dark Daily)
Source: Dark Daily - January 21, 2019 Category: Laboratory Medicine Authors: Jude Tags: Coding, Billing, and Collections Compliance, Legal, and Malpractice Laboratory Hiring & Human Resources Laboratory Pathology Laboratory Testing Managed Care Contracts & Payer Reimbursement Management & Operations ACR American College of Ra Source Type: news

Double-Digit Increase in Medicare Advantage Plan Growth May Be Good News for Seniors but Bad News for Local Clinical Laboratories and Pathology Groups in 2019
Popularity of Medicare Advantage Plans fuels influx of new companies into the marketplace with anticipated enrollment of more than 22.6 million beneficiaries, or more than one-third of Medicare-eligible consumers Continuing enrollment growth in Medicare Advantage plans is expected in 2019 and beyond. The projections are for double-digit percentage increases in Medicare Advantage enrollees. This is […] (Source: Dark Daily)
Source: Dark Daily - January 16, 2019 Category: Laboratory Medicine Authors: Jude Tags: Coding, Billing, and Collections Compliance, Legal, and Malpractice Laboratory Hiring & Human Resources Laboratory Pathology Laboratory Testing Managed Care Contracts & Payer Reimbursement Management & Operations Source Type: news

California Adds Its Clout to States Battling High Drug Prices
Under a new governor, it ’ s hoping to use its status as the most populous state as leverage when it negotiates with drug makers. (Source: NYT Health)
Source: NYT Health - January 11, 2019 Category: Consumer Health News Authors: KATIE THOMAS Tags: Newsom, Gavin Drugs (Pharmaceuticals) Prices (Fares, Fees and Rates) California Health Insurance and Managed Care Medicaid Source Type: news

Facing Legal Action, Insurer Now Will Cover People Taking Truvada, an H.I.V.-Prevention Drug
Regulators had accused Mutual of Omaha of denying policies to applicants, mostly gay men, who took medication to protect against the infection. (Source: NYT Health)
Source: NYT Health - January 10, 2019 Category: Consumer Health News Authors: GINA KOLATA Tags: Discrimination Truvada (Drug) Health Insurance and Managed Care Disability Insurance Homosexuality and Bisexuality Acquired Immune Deficiency Syndrome Infections Consumer Protection Suits and Litigation (Civil) Centers for Disease Contro Source Type: news

Jefferson exploring potential purchase of Fox Chase Cancer Center
Temple University may have a buyer for Fox Chase Cancer Center. Thomas Jefferson University and Jefferson Health and Temple announced Thursday they have entered an agreement that creates an exclusive 90-day window for the two organizations to conduct diligence and negotiate the sale of the Fox Chase Cancer Center to Jefferson. The due diligence period will al so include evaluation of the sale of Temple’s interest in Health Partners Plans, a Philadelphia-based managed care health insurer. "This… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - January 10, 2019 Category: American Health Authors: John George Source Type: news

De Blasio Unveils Health Care Plan for Undocumented and Low-Income New Yorkers
The mayor ’ s announcement, first on national television, came as the Democrat-controlled State Legislature is weighing some form of universal health insurance. (Source: NYT Health)
Source: NYT Health - January 8, 2019 Category: Consumer Health News Authors: J. DAVID GOODMAN Tags: Health Insurance and Managed Care Immigration and Emigration Politics and Government New York City Health and Hospitals Corp de Blasio, Bill Morning Joe (TV Program) Source Type: news

De Blasio to Unveil Health Care Plan for Undocumented and Low-Income New Yorkers
The mayor ’ s announcement on national television comes as the Democrat-controlled State Legislature is weighing some form of universal health insurance. (Source: NYT Health)
Source: NYT Health - January 8, 2019 Category: Consumer Health News Authors: J. DAVID GOODMAN Tags: Health Insurance and Managed Care Immigration and Emigration Politics and Government New York City Health and Hospitals Corp de Blasio, Bill Morning Joe (TV Program) Source Type: news

Personal Health: Hearing Loss Threatens Mind, Life and Limb
Poor hearing is not just an annoying inconvenience. (Source: NYT Health)
Source: NYT Health - December 31, 2018 Category: Consumer Health News Authors: JANE E. BRODY Tags: Ears and Hearing Health Insurance and Managed Care Hearing Aids Brain Dementia Elderly Mental Health and Disorders Noise Source Type: news

Largest Managed Care Plans in Tampa Bay
Information was obtained from the Florida Office of Insurance Regulation, Managed Care Quarterly Data Summary. Local includes Hernando, Hillsborough, Manatee, Pasco, Pinellas, Polk and Sarasota. (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - December 28, 2018 Category: Pharmaceuticals Source Type: news

CMS: Medicare and Medicaid Programs: Risk Adjustment Data Validation
Notice from the Centers for Medicare& Medicaid Services extending the comment period for the Risk Adjustment Data Validation (RADV) provisions in the proposed rule "Medicare and Medicaid Programs; Policy and Technical Changes to the Medicare Advantage, Medicare Prescription Drug Benefit, Program of All-inclusive Care for the Elderly (PACE), Medicaid Fee-For-Service, and Medicaid Managed Care Programs for Years 2020 and 2021"filed November 1, 2018. Comments for this portion of the proposed rule are due April 30, 2019. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - December 27, 2018 Category: Rural Health Source Type: news

Public Inspection: CMS: Medicare and Medicaid Programs: Risk Adjustment Data Validation
Pre-publication notice from the Centers for Medicare& Medicaid Services extending the comment period for the Risk Adjustment Data Validation (RADV) provisions in the proposed rule "Medicare and Medicaid Programs; Policy and Technical Changes to the Medicare Advantage, Medicare Prescription Drug Benefit, Program of All-inclusive Care for the Elderly (PACE), Medicaid Fee-For-Service, and Medicaid Managed Care Programs for Years 2020 and 2021"filed November 1, 2018. Comments for this portion of the proposed rule will be due April 30, 2019. (Source: Federal Register updates via the Rural Assistance Center)
Source: Federal Register updates via the Rural Assistance Center - December 21, 2018 Category: Rural Health Source Type: news

Times Insider: How We Created a New Way to Depict Addiction Visually
We used video clips illustrated by software to interpret heroin addicts ’ own words about their experiences. (Source: NYT Health)
Source: NYT Health - December 20, 2018 Category: Consumer Health News Authors: ALEXANDRIA SYMONDS Tags: Opioids and Opiates Heroin Addiction (Psychology) Health Insurance and Managed Care Buprenorphine (Drug) Methadone Source Type: news

Finding a New Way to Depict Addiction Visually
We used video clips illustrated by software to interpret heroin addicts ’ own words about their experiences. (Source: NYT Health)
Source: NYT Health - December 20, 2018 Category: Consumer Health News Authors: ALEXANDRIA SYMONDS Tags: Opioids and Opiates Heroin Addiction (Psychology) Health Insurance and Managed Care Buprenorphine (Drug) Methadone Source Type: news

What We Learned in 2018: Health and Medicine
Developments in medicine and health that we ’ re still thinking about at year ’ s end. (Source: NYT Health)
Source: NYT Health - December 20, 2018 Category: Consumer Health News Authors: THE NEW YORK TIMES Tags: Medicine and Health Research Two Thousand Eighteen Smoking and Tobacco Teenagers and Adolescence Vaccination and Immunization E-Cigarettes Strep Throat Health Insurance and Managed Care Drug Abuse and Traffic Conflicts of Interest In Source Type: news

Judge Seeks Monitoring of CVS and Aetna During Antitrust Review
A federal judge overseeing the merger settlement wants the combined companies to keep some operations separate while he examines the $69 billion deal. (Source: NYT Health)
Source: NYT Health - December 18, 2018 Category: Consumer Health News Authors: EMILY BAUMGAERTNER Tags: Mergers, Acquisitions and Divestitures Health Insurance and Managed Care Antitrust Laws and Competition Issues Drugstores Aetna Inc CVS Caremark Corporation Justice Department Source Type: news

Kaiser receives crucial approval to pave way for 61,000-square-foot campus in West Berkeley
Berkeley City Council voted 6-3 to allow a zoning change at the corner of Parker and Tenth Streets that would pave the way for Kaiser Permanente to open a new medical campus on the site, Berkeleyside reports. The issue split the council because Kaiser's plans to move into a proposed new suite of medical offices to be built on the site are far from definite. All that the integrated managed care provider has done thus far is submit a letter of intent to the city, and some council members were concerned… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - December 18, 2018 Category: Pharmaceuticals Authors: Lindsey J. Smith Source Type: news

Taking Surprise Medical Bills to Court
Some legal experts say contract law could provide consumers another avenue to challenge unexpected hospital bills. (Source: NYT Health)
Source: NYT Health - December 18, 2018 Category: Consumer Health News Authors: JULIE APPLEBY, KAISER HEALTH NEWS Tags: Health Insurance and Managed Care Law and Legislation Emergency Medical Treatment Hospitals Prices (Fares, Fees and Rates) Source Type: news

AIA partners with MyDoc to digitally deliver health screening results for AIA Vitality Members in Singapore
The digital managed care platform MyDoc has been tapped to digitally deliver health screening results of AIA Vitality members in Singapore, creating the first digitally integrated corporate health screening programme for the global insurer. (Source: mobihealthnews)
Source: mobihealthnews - December 18, 2018 Category: Information Technology Source Type: news

Fact Check: Trump Officials Say Drug Prices Are Inflated. So Are Some of Their Claims on a Solution.
The administration has sometimes made misleading statements to garner support for its plan on what it has accurately identified as a problem for many Americans. (Source: NYT Health)
Source: NYT Health - December 16, 2018 Category: Consumer Health News Authors: ROBERT PEAR Tags: Trump, Donald J Drugs (Pharmaceuticals) Health Insurance and Managed Care Medicare United States Politics and Government Patient Protection and Affordable Care Act (2010) Health and Human Services Department Azar, Alex M II Source Type: news

Health Law Could Be Hard to Knock Down Despite Judge ’ s Ruling
Legal scholars on opposite sides of previous Obamacare court decisions find the legal argument in this one shaky. (Source: NYT Health)
Source: NYT Health - December 15, 2018 Category: Consumer Health News Authors: JAN HOFFMAN, ROBERT PEAR and ADAM LIPTAK Tags: Health Insurance and Managed Care Law and Legislation Patient Protection and Affordable Care Act (2010) Decisions and Verdicts United States Politics and Government Fines (Penalties) O'Connor, Reed Obamacare Supreme Court (US) Texas Source Type: news

Texas Judge Strikes Down Obama ’ s Affordable Care Act as Unconstitutional
The ruling was over a lawsuit filed this year by a group of Republican governors and state attorneys general. A group of intervening states led by Democrats promised to appeal the decision. (Source: NYT Health)
Source: NYT Health - December 15, 2018 Category: Consumer Health News Authors: ABBY GOODNOUGH and ROBERT PEAR Tags: Health Insurance and Managed Care Patient Protection and Affordable Care Act (2010) United States Politics and Government Texas Source Type: news

‘ That Way Madness Lies … ’ Review: A Terrifying True Story, Ordinarily Told
The director Sandra Luckow chronicles her brother ’ s mental illness. If this is a subject matter that has touched your life, you ought to see this movie. (Source: NYT Health)
Source: NYT Health - December 13, 2018 Category: Consumer Health News Authors: GLENN KENNY Tags: Documentary Films and Programs That Way Madness Lies ... (Movie) Sandra Luckow Mental Health and Disorders Duanne Luckow Health Insurance and Managed Care Source Type: news

Doctors: International Patients, Seeking Cures in the States
Are they taking up beds that could be used for vulnerable domestic patients or are they bringing money that could be used toward other programs? (Source: NYT Health)
Source: NYT Health - December 13, 2018 Category: Consumer Health News Authors: RICHARD LEITER, M.D. Tags: Hospitals Death and Dying Health Insurance and Managed Care Source Type: news

Six Michigan Doctors Charged in $464 Million Insurance and Opioid Scheme
Federal prosecutors said the doctors unnecessarily prescribed opioids to patients and sought to defraud insurance companies. (Source: NYT Health)
Source: NYT Health - December 7, 2018 Category: Consumer Health News Authors: LAURA M. HOLSON Tags: Frauds and Swindling Opioids and Opiates Health Insurance and Managed Care Michigan OxyContin (Drug) Medicaid Medicare Rajendra Bothra, Eric Backos Ganiu Edu David Lewis Christopher Russo Ronald Kufner Source Type: news

Drug Maker Pays $360 Million to Settle Investigation Into Charity Kickbacks
Prosecutors accused Actelion Pharmaceuticals, which Johnson& Johnson acquired in 2017, of violating Medicare laws by funneling money through a patient-assistance charity. (Source: NYT Health)
Source: NYT Health - December 6, 2018 Category: Consumer Health News Authors: KATIE THOMAS Tags: Drugs (Pharmaceuticals) Prices (Fares, Fees and Rates) Actelion Pharmaceuticals Ltd Johnson & United Therapeutics Corporation Medicare Bribery and Kickbacks Pulmonary Hypertension Justice Department Health Insurance and Managed Care Source Type: news

Why Is Obamacare Enrollment Down?
Sign-ups for health plans are 11 percent lower than last year, with two weeks left in open enrollment. Here are some possible reasons. (Source: NYT Health)
Source: NYT Health - December 6, 2018 Category: Consumer Health News Authors: REED ABELSON and MARGOT SANGER-KATZ Tags: Health Insurance and Managed Care Patient Protection and Affordable Care Act (2010) HealthCare.gov United States Politics and Government Trump, Donald J Obamacare Source Type: news

No Cash, No Heart. Transplant Centers Need to Know You Can Pay.
When a Michigan woman was told to raise $10,000 for a heart transplant, outrage spread on social media. But experts say “ wallet biopsies ” are common. (Source: NYT Health)
Source: NYT Health - December 4, 2018 Category: Consumer Health News Authors: JONEL ALECCIA | KAISER HEALTH NEWS Tags: Health Insurance and Managed Care Transplants Source Type: news

Excessive $48,329 Charge for California Patient ’s Outpatient Clinical Laboratory Testing Calls Attention to Chargemaster Rates and New CMS Price Transparency Rule
Studies show medical laboratories may be particularly hit by adjustments to hospital chargemasters as hospitals prepare to comply with Medicare’s New Transparency Rule Recently, Kaiser Health News (KHN) published a story about a $48,329 bill for allergy testing that cast a spotlight on hospital chargemaster rates just as healthcare providers are preparing to publish their […] (Source: Dark Daily)
Source: Dark Daily - November 30, 2018 Category: Laboratory Medicine Authors: Jude Tags: Laboratory Pathology Laboratory Testing Managed Care Contracts & Payer Reimbursement News From Dark Daily anatomic pathology Anthem Blue Cross California Office of Statewide Health Planning and Development CDM centers for medicare and medi Source Type: news

Scottsdale health care group terminates CEO
The CEO of a publicly traded Scottsdale health care company will leave his position before the end of the year, according to documents filed with the U.S. Securities and Exchange Commission. Sam Srivastava will step away from Magellan Healthcare, which is the managed care division of Magellan Health Inc. (Nasdaq: MGLN), on Dec. 28 after a little more than five years at the helm. Magellan Health CEO and Chairman Barry Smith will assume chief executive duties for Magellan Healthcare. Magellan… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - November 28, 2018 Category: Biotechnology Authors: Tim Gallen Source Type: news

CareFirst weighs rejoining Medicaid, Medicare Advantage markets after nearly 20-year absence
CareFirst BlueCross BlueShield may begin offering Medicaid and Medicare Advantage options to regional consumers as soon as 2021, after being absent from the markets for nearly two decades. Following major financial losses, CareFirst announced in July 2000 it was bowing out of the state Medicaid managed care and Medicare HMO markets. The region's largest health insurer reported losing close to $20 million in 2000 on reimbursement from the two programs. About 88,000 Maryland Medicare and Medicaid… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - November 26, 2018 Category: Biotechnology Authors: Morgan Eichensehr Source Type: news

Hearing Aid Tech Advances
For a well-established product like the hearing aid, the market is a dynamic one with incredible growth opportunities. “There’s only about a 20% penetration in the space,” reported Dave Olson, CEO of Elevated Technologies/Elevated Hearing. “A lot of people can’t afford hearing aids or think wearing them would be unappealing. But there are a lot of forces at work to make them more appealing and affordable.” The market for these devices is growing about 8%, according to market research firm ResearchAndMarkets, whose es...
Source: MDDI - November 17, 2018 Category: Medical Devices Authors: Daphne Allen Tags: MD & M Minneapolis Design Source Type: news