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POLICY

CMS proposal to address antibiotic resistance: Key takeawaysTo participate in Medicare and Medicaid, hospital and critical access hospitals (CAHs) would need to meet new criteria.
Several health plans sue government over ACA payments
Several health plans sue government over ACA paymentsSeveral lawsuits have been filed by qualified health plans offering coverage on the Affordable Care Act health insurance exchanges.
Seven healthcare questions the candidates aren’t answeringClinton and Trump are keeping mum about some healthcare issues, and that’s raising some critical questions. Managed Healthcare Executive asked industry experts to comment on what topics presidential candidates are being quiet about, and why they suspect they’re not talking about them.
Healthcare affordability remains an issue despite ACAA new KFF issue brief finds that healthcare coverage problematic for some, even as coverage is gained through the ACA.
CMS updates data mining rule to enrich patient careCMS finalized new rules that aim to enrich the Qualified Entity Program by expanding access to analyses and data that will help providers, employers, and others make more informed decisions about care delivery and quality improvement.
Consumers exploit health insurance exchange loopholes
Consumers exploit health insurance exchange loopholesHealth plans have found that Affordable Care Act (ACA) exchange plans are plagued with loopholes, and that some consumers are taking advantage.
Eight changes that would improve the ACAThe ACA has done a lot of good, but key opinion leaders believe there’s still room for improvement.
ACA helps many long-term uninsured get coverage
SCOTUS Ruling on False Claims Act has big implicationsThe industry is awaiting the Supreme Court’s ruling on Universal Health Services v. Escobar. This case concerns the viability of the “implied certification” theory of legal falsity under the False Claims Act.
Seven ways Hillary Clinton would change healthcareDemocratic presidential candidate Hillary Clinton vows to provide more affordable, cost effective, accessible, and higher quality healthcare and insurance coverage. Here’s a closer look at seven key ways Clinton would change the healthcare system if elected president.