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Study Looks at Factors Driving Health Care Costs

Markets that are less consolidated or less aligned vertically tend to have higher costs, while markets with well-organized provider networks tend to have lower costs, according to a new study.

CMS Announces New Medicaid Program Integrity Initiatives

The Centers for Medicare & Medicaid Services today announced several new Medicaid program integrity initiatives.

AHA Urges CMS to Refine Proposed SNF Payment Model

The Centers for Medicare & Medicaid Services’ proposed patient-driven payment model for skilled nursing facilities would increase overall payment accuracy, especially for the medically complex patients treated by hospital-based providers, but needs refinement.

CMS Urged to Reconsider Proposed Changes to IRF Case-mix System

AHA today expressed substantial concerns with proposed reforms to the inpatient rehabilitation facility patient assessment process and case-mix systems for fiscal year 2020 included in the Centers for Medicare & Medicaid Services’ FY 2019 proposed rule for the IRF prospective payment system.

Senate Holds Hearing on Prescription Drug Affordability, Innovation

The Senate Finance Committee today held a hearing on strategies to reduce prescription drug costs and encourage innovation and competition in the market.

Hospitals Help Nurses Cope After Trauma; Biden Tips His Hat to Nurses

Also in this weekly roundup of nursing news: executive moves in the field.

Applications are Open for 2019 AHA Quest for Quality Prize

Hospitals and health systems are invited to apply for the 2019 AHA Quest for Quality Prize, which recognizes extraordinary health care leadership and innovation in improving quality and advancing health in communities.

CMS Approves Medicaid Waivers; Clarifies Coverage of Certain Drugs

The Centers for Medicare & Medicaid Services today approved for Oklahoma the first state Medicaid plan amendment to allow supplemental rebate agreements involving value-based purchasing arrangements with drug makers.

Senate Hearing Examines How to Reduce Health Care Costs

The Health, Education, Labor and Pensions Committee today held the first in a series of hearings on how to reduce health care costs, which will examine administrative costs and waste, how to improve transparency, private sector solutions and other issues.

Five Key Issues to Improve Health, Improve Quality of Patient Experience and Lower Costs

There is a common theme among hospitals and health systems working to contain health care costs while also improving health outcomes: using medical resources more appropriately.