Government


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    National Institute of Allergy and Infectious Diseases. (2020). "Novel Coronavirus SARS-CoV-2" [Micrograph]. Retrieved from Flickr.

    NIH licenses COVID-19 technologies to WHO-backed program

    The agreement, which covers three experimental vaccines as well as several key patents, makes products sold in 49 low-income countries royalty-free.

    By Jonathan Gardner • May 16, 2022
  • Insurers seek steep marketplace premium hikes in Vermont

    Proposed 2023 plan year average increases on individual and family plans of 17% for MVP Health Care and 12% for Blue Cross Blue Shield in the state buck the national trend of declining ACA exchange premiums.

    By Susan Kelly • May 16, 2022
  • Trendline

    Labor

    Amid a surge in COVID-19 cases, hospitals need nurses so desparetly they're offering massive sign-on bonuses and staffing firms say open positions for both temporary and permanent nursing roles are at all-time highs

    By Healthcare Dive staff
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    Justin Sullivan via Getty Images

    Efforts to protect health workers from violence on the job ramp up

    Renewed efforts to pass federal requirements for healthcare employers come as some systems are implementing their own policies to keep workers safe.

    By May 13, 2022
  • VA EHR implementation facing patient data, access concerns, audit finds

    The multibillion-dollar Cerner implementation hasn't improved data exchange as well as some had hoped, as the departments "did not take all actions needed to achieve interoperability," the audit found.

    By May 12, 2022
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    Courtesy of Advocate Aurora Health, Atrium Health

    FTC likely to examine insurer overlap in Advocate Aurora, Atrium merger

    Mergers with geographic overlap often face challenges. This deal doesn't "raise the same red flags, but it doesn't mean that it gets waved through," said Leemore Dafny, former deputy director of healthcare and antitrust at the FTC.

    By May 12, 2022
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    Megan Quinn/Healthcare Dive

    Hospital, payer, IT groups urge Congress to overturn ban on unique patient identifier

    Industry groups are ratcheting up the pressure on Congress to nix a decadesold ban on using federal funding to create a UPI. Subcommittees, meanwhile, are continuing hearings for 2023 appropriations bills.

    By May 5, 2022
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    Brandon Bell via Getty Images

    ER providers push for federal protection against rising health worker violence

    Nurses have been bitten, punched and strangled with stethoscopes, "all while just trying to provide basic care to patients," Todd Haines, a member of the Emergency Nurses Association, said Wednesday on Capitol Hill.

    By May 5, 2022
  • Telemedicine reached disadvantaged communities during pandemic, study finds

    The results surprised Johns Hopkins University researchers, who said it contrasted with earlier findings showing an inverse link between socioeconomic status and use of telemedicine in the pandemic.

    By Susan Kelly • May 4, 2022
  • Air ambulance provider latest to sue over surprise billing ban

    The central issue of the new lawsuit is the guidance the federal government has provided to third-party arbiters.

    By May 2, 2022
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    Joe Raedle via Getty Images

    Biden admin suspends Georgia plan to let private sector run ACA marketplace

    CMS Administrator Chiquita Brooks-LaSure said the controversial plan would provide coverage to fewer people and no longer complies with federal law and other policies.

    By May 2, 2022
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    Permission granted by Bristol-Myers Squibb

    Bristol Myers wins FDA approval for first drug to treat inherited heart condition

    Bristol Myers paid $13 billion to acquire the drug's maker, MyoKardia, and expects it to become a blockbuster. But a tricky dosing regimen, as well as safety concerns, could challenge the pharmaceutical giant's lofty forecast.

    By Jonathan Gardner • April 29, 2022
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    CMS

    Medicare Advantage plans denied some members needed care, OIG finds

    The report calls for improved oversight of MA and urges the CMS to update audit protocols and issue new guidance on medical necessity reviews performed by the plans.

    By April 29, 2022
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    Stefani Reynolds / Stringer via Getty Images

    'Very false and misleading' criticisms over direct contracting stoked model controversy, stakeholders say

    Political ire around direct contracting that came to a head earlier this year was rooted in a "real lack of understanding," one CEO of a physician group said at NAACOS' spring conference.

    By April 29, 2022
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    Sergio Flores via Getty Images

    Moderna seeks FDA clearance for COVID-19 vaccine in young children

    The biotech's shot would become the first available to children under 6, the last remaining age group currently ineligible for vaccination. 

    By Kristin Jensen • April 28, 2022
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    bpperry via Getty Images

    DOJ appeals surprise billing ruling in Texas

    The Department of Justice intends to appeal a ruling siding with the Texas Medical Association, saying arbiters should not weigh any factor more heavily than others when resolving payment disputes between payers and providers.

    By April 25, 2022
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    CrackerClips via Getty Images

    Biden admin drops challenge to Texas Medicaid waiver

    The state's main hospital lobby called the waiver's survival, which was also praised by Republicans late last week, a relief.

    By April 25, 2022
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    bpperry via Getty Images

    DOJ cracks down on 'largest and most wide-ranging' COVID-19 fraud

    Defendants — including doctors, medical business executives and fake vaccination card manufacturers — caused nearly $150 million in false billings to federal programs, the DOJ alleged.

    By April 21, 2022
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    Getty Images

    CMS underestimated hospital labor spending in payment adjustments, Premier says

    Inpatient payment rates for fiscal 2023 released earlier this week also wouldn't adequately cover rising costs, according to the group purchasing organization.

    By April 21, 2022
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    Stefan Zaklin via Getty Images

    House Democrats urge Biden admin to curtail short-term plan access

    The HHS is facing increasing pressure to limit enrollment in the cheap yet skimpy plans, which aren't required to comply with consumer protections under the Affordable Care Act.

    By April 20, 2022
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    E+ via Getty Images

    Larger, less profitable hospitals more likely to have ownership change

    In data released for the first time Wednesday, HHS also found changes in ownership over the past six years have been much more common in nursing homes than hospitals, with wide variations in ownership by state.

    By April 20, 2022
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    Mario Tama via Getty Images

    Hospitals blast 'unacceptable' inpatient payment bump

    Despite the 3.2% overall hike, the AHA argued that net payments to hospitals may decrease due to cuts in other areas, including uncompensated care.

    By April 19, 2022
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    Fotolia

    End of Medicaid continuous coverage may leave millions of children uninsured, analysis finds

    Children are at highest risk in Texas, Florida and Georgia when states resume checking Medicaid eligibility after the public health emergency expires, Georgetown University researchers found.

    By Susan Kelly • April 19, 2022
  • Supreme Court throws out Medicaid work requirement cases

    The high court said the requirements were now moot given the Biden administration's dismissal of the policies, and sent them back to the trial court with instructions to dismiss prior judgments.

    By April 19, 2022
  • ACA marketplace premiums decline for third consecutive year, Urban Institute finds

    The marketplace is bucking the trend of sustained premium increases for job-based coverage, which provides insurance to a majority of nonelderly Americans.

    By April 13, 2022
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    bpperry via Getty Images

    Providence Health to pay $22M to settle claims of unnecessary neurosurgeries

    Two neurosurgeons in Washington state were accused of operating on patients who were not appropriate candidates for surgery, causing excessive complications and negative outcomes.

    By Susan Kelly • April 13, 2022