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News

UnitedHealth Group to exit Marketplace in most states next year

UnitedHealth Group, the nation’s largest private insurer, next year plans to exit most of the 34 states where it offers plans in the Affordable Care Act’s Health Insurance Marketplaces,
News

CMS issues inpatient PPS proposed rule for FY 2017

The Centers for Medicare & Medicaid Services (CMS) April 18 proposed an inpatient prospective payment system (PPS)  
News

CMS issues inpatient PPS proposed rule for FY 2017

The Centers for Medicare & Medicaid Services late today issued its hospital inpatient prospective payment system
News

CMS issues LTCH PPS proposed rule for FY 2017

The Centers for Medicare & Medicaid Services late today issued its long-term care hospital prospective payment system
News

CMS extends bundled payment initiative

The Centers for Medicare & Medicaid Services will extend the Bundled Payments for Care Improvement initiative for Model 2, 3 and 4 awardees who choose to participate for two more years, CMS Act
News

OIG: Proposed Medicaid MLR standard would save Oregon $10.1 million

The Oregon Medicaid program could have saved $10.1 million in 2014 by requiring all Medicaid managed care organizations to meet a minimum medical loss ratio of 85%, the standard for large group ins
News

CDC: 0.8% of pregnant women tested for Zika virus in states infected

About 2.9% of pregnant women with symptoms and 0.3% of those without symptoms had Zika virus when tested after traveling to or from areas with active transmission, according to a
News

FDA issues draft guidance on hospital and health system compounding

The Food and Drug Administration today issued draft guidance ex
News

CMS: Physicians, teaching hospitals may review 2015 Open Payments data

Physicians and teaching hospitals may review and dispute 2015 payments reported to the Open Payments program for a 45-day period that began April 1, the Centers for Medicare & Medicaid Services