The pain radiated from the top of Annette Monachelli’s head, and it got worse when she changed positions. It didn’t feel like her usual migraine. The 47-year-old Vermont attorney turned innkeeper visited her local doctor at the Stowe Family Practice twice about the problem in late November 2012, but got little relief. Two months later,…

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Eliminating profit from an entire sector of the national economy would be unprecedented. But the example of New York, on a smaller scale, shows why it is a recipe for dysfunction. The Empire State’s hospital industry has been 100% nonprofit or government-owned for more than a decade. It’s a byproduct of longstanding, unusually restrictive ownership laws that squeeze for-profit general hospitals. The last one in the state closed its doors in 2008.

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“Medicare for All” may sound good to some Americans until they take a closer look at how it would actually work. Take something pretty basic: how it would affect the number of medical professionals we have in this country. “Medicare for All” would drive out many doctors and nurses and compromise the accessibility and quality…

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The CMS rolled out new tools on Thursday to help states get approval to make changes to Medicaid such as implementing work requirements. Administrator Seema Verma defended the administration’s push to get more states to pursue 1115 demonstration waivers even as the agency faces criticism over coverage losses due to work rules.

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First, she douses progressives’ impeachment dreams in cold water, telling the Washington Post that such a divisive and drastic political step should only be taken over egregious criminality that’s “compelling and overwhelming and bipartisan.”  She cagily adds, “he’s just not worth it,” a personal swipe at the president, likely deployed to placate Trump haters who will bristle at her…

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HHS Secretary Alex Azar revealed Thursday that his department is in talks with states about instituting block grants in Medicaid without congressional approval. “There may be states that have asked about block granting, per capita, restructurings around especially expansion populations … It’s at their instigation.”

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But he warned that how such a system would work — and who would pay for it — are big questions that have yet to be answered. “For me, I think it’s a great opportunity for the industry to be able to expand the population that it’s coordinating care with,” Broussard said Tuesday at the…

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Surprise billing is an unexpected event that requires significant financial resources. That’s hardly a unique economic phenomenon, and the usual solution is … insurance! The unique aspect of this event, however, is that it takes place in the context of an insurance contract. What could be modified? There are really two pieces: the surprise and…

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Legislators at both the federal and local level are trying to do something about the problem of surprise billing, what wonks often call “balance billing.” A modest, bipartisan measure proposed by state legislators in Texas would penalize emergency rooms that charge more than 200 percent above the average hospital charge for a comparable service. A plethora of…

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Michigan’s new Democratic governor is attempting to reverse course on steps taken by her Republican predecessor to require childless, able-bodied beneficiaries of the Obamacare Medicaid expansion to meet work, training or community service requirements. In a February letter to the federal administrator of the program, Gov. Gretchen Whitmer called the work requirements “onerous.” In the letter,…

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