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Study estimates 23 percent of outpatient antibiotic prescriptions inappropriate
An estimated 23 percent of outpatient antibiotic prescriptions filled by privately insured children and non-elderly adults in the United States in 2016 were inappropriate.
CDC: Rural patients more likely to receive opioid prescription
Patients in the most rural counties had an 87 percent greater chance of receiving an opioid prescription from their primary care provider between January 2014 and March 2017 than patients in large metropolitan areas.
FDA takes steps to spur OTC versions of naloxone
To encourage drug companies to seek approval for over-the-counter versions of naloxone, an emergency treatment for opioid overdose, the Food and Drug Administration today released model consumer-friendly labels for prospective OTC versions of the drug.
CMS releases proposed rules for health insurance marketplace plans for 2020
The Centers for Medicare & Medicaid Services today issued proposed rules for plans sold on the Health Insurance Marketplaces for the 2020 benefit year.
Perspective: Turning the Tide on the Prescription Drug Spending Crisis
Last week, I shared a few areas where we can advance health in America this year, even in a divided Congress. Number one on that list: reining in the skyrocketing costs of prescription drugs.
CMS approves Ariz. Medicaid waiver with work requirement
The Centers for Medicare & Medicaid Services today approved a Section 1115 waiver for Arizona that will require certain adults aged 19 to 49 to work or participate in training or community service an average 80 hours per month to continue qualifying for Medicaid.
CMS announces 2020 Part D model, changes to MA value-based model
The Center for Medicare and Medicaid Innovation today announced a new payment model for Medicare
MedPAC approves 2020 payment recommendations
The Medicare Payment Advisory Commission this week recommended that Congress provide a 2 percent market-basket update for the hospital inpatient and outpatient prospective payment systems in 2020,
HHS proposal would change drug discount safe harbors
The Department of Health and Human Services’ Office of Inspector General yesterday proposed excluding from safe harbor protection under the Anti-Kickback Statute rebates paid by prescription drug makers to pharmacy benefit managers, Medicare Part D plans and Medicaid managed care organizations.
In court filing, AHA says HHS should make 340B hospitals 'whole'
A federal court should order the Department of Health and Human Services to "make whole" 340B hospitals that received reimbursement reductions resulting from the Centers for Medicare & Medicaid Services' 2018 outpatient prospective payment system rule, AHA and other hospital plaintiffs said yesterday in a court-ordered brief.