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Industry News

Jan 22, 2018

The CMS has called off plans to create a new regulatory pathway that would have accelerated granting Medicare coverage for medical devices.

The agency withdrew a proposed rulemaking that would have launched the expedited coverage of innovative technology (EXCITE) from review at the White House's OMB earlier this month. The proposal had languished at the executive branch for nine months.

Details of the new rule's substance or why it was pulled are unclear, and the CMS has not...

Jan 22, 2018

Few doctors will benefit this year from a Medicare pay-for-performance program that promised more money if they hit key quality metrics in patient care.

Only 20,000 clinicians will receive between a pay bump ranging between 6.6% to 19.9% this year based on how they performed in the final year of the value-based modifier program, which ended in 2016.

However, "the overwhelming majority of clinicians received neutral payment adjustments," the CMS said in a notice. There are...

Jan 22, 2018

Detroit Medical Center will cut jobs in the coming weeks as it struggles to adapt to pressures in the healthcare industry.

In a letter to employees announcing the layoffs Monday morning, the medical center's CEO Tony Tedeschi noted that they started at the top. Last year, he said he cut 14 positions from his management team, but that he expects further consolidation to come.

The cuts are part of a broader restructuring Tenet Healthcare Corp., the Dallas-based investor-owned...

Jan 22, 2018
Negotiations around a three-week budget patch that included an extension of the Children's Health Insurance Program and disaster relief funding failed to garner enough support for a Senate vote Sunday night, moving the government shutdown into this week.

This means the future of CHIP remains precarious, as House lawmakers on both sides of the aisle dig in their heels and Senate leaders fail to reach a basic agreement on the status of young, undocumented immigrants.

The announcement...

Jan 20, 2018
During the first morning of the government shutdown, Senators took to the floor to declare their support for the Children's Health Insurance Program. The popular program, which provides health coverage for 9 million low-income children, has become a political hot potato in the bitter debate over government spending.

At the same time, House Republican and Democratic leaders huddled Saturday to see if they could find an end to the impasse. Aides from both sides say there is no clear solution...

Jan 19, 2018

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The individual mandate to buy health insurance is out. Unpaid community service for unemployed workers who sign up for Medicaid is in.

Jan 19, 2018

Calls for President Donald Trump to extend the opioid public health emergency beyond its 90-day limit have grown increasingly louder as the impact of the epidemic continues to be felt in communities throughout the country.

So far there has been no indication from the White House on whether Trump plans to renew the declaration, which ends Jan. 23.

"Unfortunately, I don't know that we've seen a lot of advancement as a result of the first public health declaration," said Chuck...

Jan 19, 2018

Twoindustryinnovatorsarebeinginducted intotheHealthCareHallofFame—Sister Mary Jean Ryan and George Caldwell. An induction ceremony will take place March 26, in conjunction with the American College of Healthcare Executive's 2018 Congress in Chicago. More detailed profiles of both will appear in the March 26 issue of Modern Healthcare.

Sister Mary Jean Ryan

DuringhertenureleadingSSMHealthCare,Ryan was credited with championing programs to advance both gender and racial diversity. She...

Jan 19, 2018
Four not-for-profit health systems last week announced they were taking on big pharma by creating their own generic-drug company. But experts caution it'll take years of navigating red tape and substantial investment before the operation stands a chance at lowering drug prices and alleviating shortages—if it does at all. In fact, previous attempts have fallen short.

"There are no new entrants to the market because it is so difficult to get into," said Michael Rea, CEO of Rx Savings Solutions...

Jan 19, 2018

Sen. Ron Wyden (D-Ore.) is accusing CMS Administrator Seema Verma of breaking her conflict of interest waivers by weighing in on several Medicaid waivers. However, public records show she may have done nothing wrong.

Before joining the federal government, Verma was a leading industry consultant and helped craft Medicaid expansion plans in Indiana, Iowa, Kentucky and Ohio. She also advised numerous other states on Medicaid matters.

After she was confirmed last year, Verma...