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Anthem overturned most ER claims it denied under controversial policy

Anthems policy led to a big spike in coverage denials among ED patients in three states last year, according to a senators report. But Anthem ended up reversing the majority of denied claims that patients appealed....


Drug rebates' legal protections are on the chopping block

HHS is taking steps to remove legal protections for drug rebates that favor pharmacy benefit managers. Its unclear whether the changes will actually lead to lower drug prices, experts say....


Maryland's price transparency site adds new data, petition

Consumers can now sign a petition that lobbies Maryland providers and insurers to reveal their costs via the states updated price transparency website....


CMS starts the search for a chief health informatics officer

The new chief health informatics officer will manage the CMS interoperability and general health IT strategy, according to a blog post from CMS Administrator Seema Verma. The application period for the position closes July 20....


New Catholic directives could complicate mergers and partnerships

Catholic officials, ethicists and observers said the rules approved by U.S. bishops last month could toughen church scrutiny of merger or partnership agreements, notably the pending huge merger of Catholic Health Initiatives and Dignity Health....


CMS may propose restarting $10B risk-adjustment payments

The CMS sent a rule to the White House for review that may resume risk-adjustment payments to insurers. Patient advocates have claimed the agency was trying to sabotage the insurance exchanges by eliminating billions in payments....