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STAT+: Medicare wants to increase payments for heart rehab. Hospitals see an opening to get more

STAT

Some members of Congress and health care experts are pushing for a system that would not pay hospital outpatient departments more for identical services that are provided in lower-priced physician offices. Naturally, hospitals cheered regulators for increasing payments. But they don’t want the government to stop there.

Hospitals 265
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STAT+: House panel takes first steps toward reining in hospitals with ‘site-neutral’ changes

STAT

WASHINGTON — A key House panel on Wednesday advanced several health care bills on Wednesday, including its first step toward a controversial effort to equalize Medicare payments between hospitals and physician offices.

Hospitals 213
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STAT+: Key senators propose using ‘site-neutral’ pay to boost rural hospitals

STAT

  The reforms, called “site-neutral” payments, would equalize Medicare payments for some services provided at hospital outpatient departments with what the program pays physician offices for the same services.

Hospitals 198
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STAT+: Medicare paid substantially more for J&J’s Stelara when it was covered under Part D than under Part B

STAT

A popular biologic medicine used to combat autoimmune diseases cost Medicare and its beneficiaries considerably more when the injectable treatment was obtained at pharmacies rather than injected in physician offices due to different methods for determining payment, a new analysis found.

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340B program continues to drive shift in care to more expensive hospital settings

PhRMA

In this case, the Berkeley Research Group (BRG) found that nearly 36% of all Medicare Part B therapy sales occurred at 340B hospitals in 2021 , up nearly 17 percentage points since 2012, meaning care is moving from physician offices and non-340B hospitals to 340B hospitals.

Hospitals 114
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STAT+: HCA discloses massive data breach affecting 11 million patients

STAT

The list of affected sites includes about 1,400 hospitals and physician offices across 20 states. -based HCA, which operates more than 180 hospitals, said the compromised information includes patients’ names, email addresses, and service locations, but the company does not believe it includes clinical or payment information.

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Perks of Routing Tests Directly to Physicians’ Offices

Pharmaceutical Commerce

In an interview with Pharma Commerce editor Nicholas Saraceno, Matthew Walsh, ixlayer’s manager of biopharma, dives into efficiencies presented by at-home diagnostic tests.