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Atrium Health agrees to settle antitrust lawsuit over contract language

Formerly known as Carolinas HealthCare System, Atrium will resolve more than two years of civil antitrust litigation over contract provisi…

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Want to speed adoption of new evidence-based care guidelines? Try getting insurers and providers to work together

Better collaboration between insurers and healthcare providers could help accelerate the use of evidence-based care, according to a new re…

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CMS approves value-based drug payments in Michigan's Medicaid program

The Centers for Medicare & Medicaid Services (CMS) will allow Michigan's Medicaid program to enter into outcomes-based drug payments with m…

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Why HHS wants Medicare Advantage plans to pay for home modifications, transportation for seniors

Health and Human Services Secretary Alex Azar also teased work by CMMI to pay for benefits like food and housing through Medicaid as he add…

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FTC hearing: Not all AI is created equal, so safety and validation are critical

In hearings yesterday and today at the Howard University Law School in Washington, D.C., the Federal Trade Commission is gathering expert p…

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NIH scientists combine technologies to view the retina in unprecedented detail

Technique enables direct imaging of neural tissue; could lead to earlier detection of diseases affecting eye tissue.

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Experts: Trump administration’s moves will put drug prices center stage in 2020 election

The Trump administration’s plan to peg Part B drug prices to those paid in other countries may not come to fruition in its current form,…

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CMS increases Healthcare.gov breach total to 93,600

More than 18,000 people were added to the final number of consumers impacted by the Healthcare.gov breach last month. A CMS spokesperson sa…

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NIH scientists illuminate causes of hepatitis b virus-associated acute liver failure

Rare condition can turn fatal within days.

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CMS gives states permission to waive Medicaid's IMD exclusion, expanding mental health treatment

In an announcement on Tuesday, Health and Human Services Secretary Alex Azar said the so-called institutions for mental diseases (IMD) excl…

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AMA outlines initiatives aimed at fixing ‘dysfunctional’ healthcare system at interim meeting

The “dysfunctional” U.S. health system may be working to improve hospital and payer bottom lines, but it’s not working as intended fo…

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Athenahealth to be acquired for $5.7B by Veritas Capital and Elliott subsidiary

The company will be combined with Veritas-owned Virence Health, but will continue operating under the athenahealth name and keep its Watert…

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WellCare, Spectrum Health join new blockchain effort focused on provider credentialing, directories

Several large payers and providers are joining a new pilot project that plans to find out just how much time blockchain can shave off the m…

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Jury pins Aetna with $25.5M verdict for denying cancer treatment

The insurer refused to cover "the best and only treatment" for an Oklahoma woman's stage 4 cancer. With their verdict, jurors said it's up…

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Google hires Geisinger CEO to chart healthcare strategy

David Feinberg will work with Google and other Alphabet companies to unify and innovate their various health projects. At Geisinger, Jaewon…

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MACPAC urges Azar to pause, re-evaluate Arkansas' Medicaid work requirements

Amid CMS' encouragement of work requirements in state Medicaid programs, MACPAC told HHS Secretary Alex Azar that Arkansas' implementation…

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Soy formula feeding during infancy associated with severe menstrual pain in adulthood

Scientists examined data from over 1,500 women.

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Industry Voices—Overcoming 3 challenges to medication management for seniors

Medication safety—or lack thereof—among seniors is placing an unnecessary strain on our healthcare system, especially when you consider…

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Week 1 ACA exchange enrollment sluggish, but analysts aren’t worried

Just over 370,000 people signed up for plans on Healthcare.gov during the first week of open enrollment, which began on Nov. 1. Those numbe…

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Payer Roundup—Medicaid expansion a priority in Maine, likely in Kansas

Voters decided to expand Medicaid in Idaho, Nebraska and Utah via ballot initiatives last week. Gubernatorial elections in two other states…

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ACA had 'no adverse impact' on workers' hours and wages: report

Back when the Affordable Care Act first introduced new mandates for individuals and employers, critics predicted businesses would respond b…

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HHS planning new bundled payment models with mandatory participation on the table

While both voluntary and mandatory bundled payment models have the potential to advance value-based care, mandating participation provides…

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CMS floats new network adequacy requirements for Medicaid managed care programs

The Trump administration wants to give more freedom to states overseeing Medicaid managed care and ease certain standards. Part of a propos…

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Report on informatics systems in NHS Wales raises "alarming findings"

The Welsh Assembly Public Accounts Committee (PAC) has questioned the “competence, capability and capacity" across the syst…

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More adults and children are using yoga and meditation

Nationwide survey reveals significant increases in use of mind and body approaches.

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CMS proposes additional oversight of ACA exchanges, including abortion coverage

The agency wants to prevent people who are enrolled in Medicare from also enrolling in exchange plans, and it wants to bill consumers separ…

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Trump administration finalizes rules allowing religious and 'moral' objections to birth control coverage

A year after a court blocked a federal rule that created "moral" exemptions for birth control coverage, the Trump administration published…

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Novel antibiotic shows promise in treatment of uncomplicated gonorrhea

Gonorrhea is the second most commonly reported notifiable disease in the United States.

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What the 2018 midterm elections mean for healthcare: predictability

The midterm elections' major implication for the healthcare industry? Some much-needed predictability. …

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Humana reports $901M in Q3 earnings, attributing growth to prevention

Making the most of technology and addressing social determinants of health improved the customer experience for members and cut costs, said…

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