The Latest
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Mario Tama via Getty Images
AHIP backs HHS in surprise billing suit, pushes back against provider claims
Relying on the qualifying payment amount, or median in-network rate, helps center the payment dispute, creating a starting point for when payers and providers may need to turn to a third-party arbiter, the lobby argued.
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iStock.com/elenabs
Sponsored by LyniateWhy your growth depends on an EHR integration strategy and 8 steps to get you there
Eight project steps that every data integration requires, from planning to go-live to scaling.
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UnitedHealth Group
UnitedHealth reiterates MA growth expectations for 2022 as profits eclipse $4B
"Big picture, really positive," CEO Andrew Witty said about the fruitful MA market, despite dismal projections from some of UnitedHealth's peers about slowing enrollment.
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Michael Ciaglo/Getty Images via Getty Images
CMS extends COVID-19 vaccine deadline for health workers in 24 states
New guidance from CMS sets different vaccine deadlines for healthcare workers in half the country, which could create confusion. Further complicating compliance is Texas' current shield from any deadline.
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JuSun via Getty Images
Cybersecurity leads ECRI's list of top medtech hazards for 2022
Cyber incidents can compromise patient care and attacks against hospitals have become more prevalent in recent years. However, ECRI said the worst consequences are preventable.
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Alex Wong via Getty Images
Biden administration publishes long-awaited TEFCA interoperability framework
After TEFCA's many fits and starts, ONC head Micky Tripathi called its finalization a "milestone" marking the beginning of a "new era of electronic health information exchange in the U.S."
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Providers concerned about staffing shortages post-SCOTUS vaccination mandate ruling
Nursing facilities are particularly worried about the strain a vaccination mandate could have on their shrinking workforce, and are urging CMS to consider a regular testing option for unvaccinated workers.
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Permission granted by Biogen
Medicare faces blowback over plan to limit coverage of Biogen's Alzheimer's drug
Biogen, along with allies in industry, plans to pressure Medicare to water down its policy, which limits coverage of Aduhelm and drugs like it to clinical trials.
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Abbott
Abbott, BD, Quidel pursue DTC strategies amid 'paradigm shift' for at-home, self-testing
The three test makers said at last week's J.P. Morgan investor meeting that they see opportunities for direct-to-consumer, digitally-connected testing for other diseases beyond COVID-19.
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Getty Images
Pandemic stresses physicians as they reevaluate careers, work-life balance
About 60% of female physicians and 53% of male physicians said they would take a pay cut to have better work-life balance, Medscape's survey found.
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Permission granted by BioNTech SE
SCOTUS narrowly upholds health worker vaccine mandate
The court's liberal justices agree with the government that CMS has the authority to impose the requirement, just one of many healthcare organizations must comply with to be eligible for Medicare and Medicaid funding.
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WhiteHouse.gov
Biden administration to buy 500M more rapid COVID-19 tests to give to Americans
The announcement by President Joe Biden now brings the administration's total purchase to 1 billion test kits. Abbott Laboratories, iHealth and Roche have so far been awarded contracts for a combined 380 million tests.
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Fotolia
Medical cost growth trailed that of other industries in 2021
Prices for goods and services skyrocketed at the fastest pace in four decades, rising 7% between December 2020 and December 2021, according to new data. By comparison, prices for healthcare services rose roughly 2.5%.
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Getty Images
Neurological devices, diagnostics dominate latest FDA breakthrough designations
The agency has granted breakthrough designations to several devices for neurological conditions, including an autism test and treatment as well as diagnosis of Parkinson's disease.
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Sarah Silbiger via Getty Images
FDA seeks feedback on draft device shortage guidance
A new document poses a series of questions for industry on the overall design and operation of the policy, and is intended to help manufacturers provide timely information about supply disruptions during public health emergencies.
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Joe Raedle via Getty Images
Healthcare sharing ministry 'sham' faces suit for allegedly defrauding consumers in California
Aliera allegedly scammed thousands of people by collecting monthly payments but denying coverage of medical costs, a lawsuit claims.
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Win McNamee via Getty Images
Stakeholders urge Supreme Court to act fast on OSHA mandate
"We are asking for a stay before enforcement takes effect Monday," an attorney for the National Federation of Independent Businesses said.
Updated Jan. 10, 2022 -
UHS
UHS details omicron's hit, shares dip
The health system has enough beds and ventilators but sometimes not enough staff, echoing concerns from other providers across the nation crushed by the latest wave of coronavirus patients with the fast-spreading omicron variant.
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Win McNamee via Getty Images
Biden health officials defend COVID-19 testing policies amid diagnostics shortage
Acting FDA Commissioner Janet Woodcock and others were under fire from senators during a Tuesday hearing for not doing enough to increase the availability of tests.
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Permission granted by Biogen
Medicare proposes to limit coverage of Biogen Alzheimer's drug
The program will only cover Aduhelm, which the FDA controversially approved last June, for patients enrolled in clinical trials.
Updated Jan. 11, 2022 -
Digital health funding reaches record $29.1B in 2021
"The digital health market wasn't an across-the-board bubble, but it wasn't placid water either," Rock Health researchers said in a new report on investment in the space.
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Mark Wilson via Getty Images
Becerra orders CMS to reassess Medicare premiums after Aduhelm cost cut
It's an unusual step for HHS, given the plan year has already begun, and follows Biogen slashing the price of its controversial Alzheimer's drug in half.
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Nic Antaya via Getty Images
Insurers will be required to cover 8 at-home COVID-19 tests per month
The Biden administration is incentivizing insurers to create programs that enable people to get tests from preferred pharmacies without paying upfront or needing to file a reimbursement claim.
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Teladoc ups revenue, visit expectations for 2021
Despite consistent revenue growth with an expected topline of $2.03 billion for the year, the 20-year-old vendor has not yet turned a profit and is currently facing a skeptical market.
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Getty Images
Healthcare roles dominate U.S. News 2022 list of best jobs
Information security analyst took the top spot in the annual list, followed by nurse practitioner, physician assistant, medical and health services manager and software developer.
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Zhanna Hapanovich via Getty Images
Hospitals turned to M&A to shore up core operations last year
The financial pressures, supply chain disruptions and labor challenges brought by the COVID-19 pandemic drove hospitals to seek out merger partners that could help expand their presence in key markets.
