Government: Page 3
-
Courtesy of Dexcom, Nick Jonas Super Bowl kit
Dexcom receives FDA clearance for first OTC glucose sensor
The diabetes tech firm tailored its software to the 25 million people in the U.S. who have Type 2 diabetes and do not use insulin.
By Nick Paul Taylor • March 6, 2024 -
erdikocak via Getty Images
Change Healthcare cyberattackCMS rolls out provider flexibilities amid fallout from Change cyberattack
Provider groups argued the government should go further to financially bolster providers during the outage at Change Healthcare.
By Emily Olsen • March 5, 2024 -
Explore the Trendlineā
RossHelen via Getty Images
TrendlineSocial determinants of health
The focus on social determinants of health has only increased as the COVID-19 pandemic has devastated the United States.
By Healthcare Dive staff -
Permission granted by Elevance Health
Elevance gains $190M on revised MA star ratings
It’s a positive development for the insurer, which sued the government earlier this year after its quality scores fell dramatically.
By Rebecca Pifer • March 5, 2024 -
erdikocak via Getty Images
Hospital price transparency compliance dips: report
Lenient regulatory enforcement has led hospitals to disregard price transparency requirements, according to watchdog group Patient Rights Advocate.
By Susanna Vogel • March 4, 2024 -
Kameleon007 via Getty Images
Molina loses Medicaid contract in Virginia
It’s the second recent Medicaid state loss for Molina, despite executives expressing confidence about the insurer’s ability to retain contracts.
By Rebecca Pifer • March 1, 2024 -
Courtesy of UnitedHealth Group
UnitedHealth under antitrust investigation by DOJ: reports
Regulators are reportedly looking into the massive healthcare conglomerate’s potential anticompetitive effects, including the relationship between its health insurer UnitedHealthcare and physician network Optum.
By Rebecca Pifer • Feb. 28, 2024 -
Alex Wong via Getty Images
Lobby-funded study argues Medicare Advantage rate cuts are worse than CMS expects
Medicare Advantage payment per month per beneficiary could drop by 1% next year if regulators finalize rates as proposed, according to the analysis backed by the Better Medicare Alliance.
By Rebecca Pifer • Feb. 27, 2024 -
YinYang via Getty Images
False claims settlements in healthcare reached $1.8B in fiscal year 2023
According to the Department of Justice, enforcement in Medicare Advantage is of “critical importance” as the number of beneficiaries in the privatized insurance program swells.
By Emily Olsen • Feb. 26, 2024 -
Avosb via Getty Images
CHS hit with Justice Department investigation
Federal regulators are seeking information about the for-profit hospital operator's inpatient admissions and dialysis processes and procedures.
By Susanna Vogel • Updated Feb. 23, 2024 -
Colin Campbell/Healthcare Dive
State attorneys general urge PBM reform
The letter, sent on behalf of 39 state attorneys general to leaders in Congress, comes as lawmakers consider legislation to regulate the pharmacy middlemen.
By Sydney Halleman • Feb. 23, 2024 -
iStock / Getty Images Plus via Getty Images
HHS reaches second-ever ransomware settlement
A mental healthcare provider didn’t have sufficient protections in place before a ransomware attack exposed the protected health information of more than 14,000 people, according to the HHS’ Office for Civil Rights.
By Emily Olsen • Feb. 22, 2024 -
Brandon Bell via Getty Images
Tracking Steward's declineSteward Health Care gets ultimatum from Massachusetts governor
Gov. Maura Healey sent a letter to Steward executives this week saying the operator must produce financial documents and consider a sale of its properties in the state.
By Susanna Vogel • Feb. 21, 2024 -
Alex Wong via Getty Images
CMS finalizes rule to cut Medicaid DSH payments for some hospitals
Under the new definition, hospitals can only receive disproportionate share hospital Medicaid reimbursements for beneficiaries who are primarily insured by the safety-net program.
By Susanna Vogel • Updated Feb. 22, 2024 -
AndreyPopov via Getty Images
Ukrainian national pleads guilty in Vermont hospital ransomware attack
The attack against the University of Vermont Medical Center in 2020 cost the hospital millions of dollars and limited operations for weeks.
By Emily Olsen • Feb. 20, 2024 -
Gerenme via Getty Images
No Surprises implementation created uptick in in-network claims: Fair Health
From the fourth quarter of 2021 to the first quarter of 2022, in-network care as a percentage of all national claim lines increased 2.3%, the nonprofit found.
By Rebecca Pifer • Feb. 20, 2024 -
PeopleImages via Getty Images
Telehealth services during pandemic largely compliant with Medicare, OIG finds
The latest audit from the HHS’ Office of Inspector General comes as some Medicare flexibilities for telehealth are set to expire at the end of this year.
By Emily Olsen • Feb. 16, 2024 -
erdikocak via Getty Images
Disputes over surprise billing continue to soar, new CMS data shows
Arbiters are mostly selecting the higher payment offer in billing dispute determinations. That suggests No Surprises could actually raise premiums for consumers, one health researcher said.
By Rebecca Pifer • Feb. 16, 2024 -
Alex Wong via Getty Images
House subcommittee grills VA, Oracle over pharmacy issues amid EHR rollout
Implementation of the new electronic health record has been rocky, with system reliability and safety concerns plaguing the Department of Veterans Affairs.
By Emily Olsen • Feb. 15, 2024 -
Sarah Silbiger / Stringer via Getty Images
Data broker used phone location info to track Planned Parenthood visits, senator says
Sen. Ron Wyden urged federal regulators to crack down on a data broker that allegedly used location data to track visits to clinics and target users with anti-abortion ads.
By Emily Olsen • Feb. 14, 2024 -
Stock via Getty Images
Humana sued over alleged 340B underpayments in Medicare Advantage
Alabama-based Baptist Health argued the insurer had received a “windfall” due to illegal payment cuts in the 340B drug discount program.
By Emily Olsen • Feb. 13, 2024 -
PeopleImages via Getty Images
Washington state bill seeks to regulate hospital mergers, care access
The Washington state Senate advanced legislation Thursday that grants the state attorney authority to deny mergers that may limit healthcare access.
By Susanna Vogel • Feb. 13, 2024 -
RiverNorthPhotography via Getty Images
FTC obtains $195M judgment against Simple Health for selling āshamā insurance
The Florida-based insurer deceived tens of thousands of consumers into purchasing what they believed was comprehensive coverage, but instead amounted to a medical discount membership.
By Rebecca Pifer • Feb. 12, 2024 -
Avosb via Getty Images
Lawsuit accuses Advocate Aurora of charging āeye-wateringā prices
The lawsuit accuses the health system of using acquisitions, noncompetes and gag clauses to create a monopoly and increase prices.
By Susanna Vogel • Feb. 12, 2024 -
Kevin Dietsch via Getty Images
Pharma CEOs, pressed by Senate panel, refuse to commit to price cuts
Forced into testifying by Senate HELP chair Bernie Sanders, the heads of Bristol Myers Squibb, J&J and Merck largely avoided major missteps.
By Jonathan Gardner • Feb. 8, 2024 -
gorodenkoff via Getty Images
Senate finance committee weighs healthcare AI oversight
Lawmakers considered how to prevent artificial intelligence from worsening bias or improperly denying coverage at a Feb. 8 hearing.
By Emily Olsen • Feb. 8, 2024
Previous
