Government: Page 20
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Hospitals no longer protected from immigration raids
The U.S. Department of Homeland Security lifted the practice of avoiding immigration enforcement at hospitals. Some advocates say the new policy could deter immigrants from seeking medical care.
By Kara Arundel , Sydney Halleman • Jan. 21, 2025 -
Trump reverses Biden healthcare directives, withdraws from WHO in first executive orders
The rescinded orders include directives boosting the Affordable Care Act exchanges, coordinating the government’s COVID-19 response and overseeing artificial intelligence tools.
By Emily Olsen • Jan. 21, 2025 -
ACA enrollment breaks records again in 2025
About 24.2 million people signed up for Affordable Care Act plans during the open enrollment period for 2025, with huge increases in major Republican-led states.
By Rebecca Pifer Parduhn • Jan. 21, 2025 -
DOJ sues Walgreens for allegedly filling millions of illegal prescriptions, including opioids
Walgreens countersued the government the same day. Analysts said a settlement is likely.
By Rebecca Pifer Parduhn • Jan. 21, 2025 -
Welsh Carson agrees to pare back anesthesia market power to avoid new FTC suit
Antitrust regulators have reached a deal with Welsh, Carson, Anderson and Stowe that doesn’t penalize the private equity firm for rolling up the market for anesthesia services in Texas, but tries to prevent it from happening again.
By Rebecca Pifer Parduhn • Jan. 17, 2025 -
Medicare will negotiate Novo’s GLP-1 drug price. Here’s what that means for Ozempic, Wegovy.
Novo sells semaglutide as Ozempic, Rybelsus and Wegovy. The CMS will treat the different forms as a single product in price talks.
By Jonathan Gardner • Jan. 17, 2025 -
False claims settlements in healthcare total $1.7B in 2024
Healthcare fraud investigations accounted for more than half of the Department of Justice's settlements and judgments in 2024, which totaled north of $2.9 billion.
By Susanna Vogel • Jan. 17, 2025 -
Ozempic among drugs picked by Medicare for price talks
Announcing the 15 medicines chosen for the second round of negotiations is one of the Biden administration’s final health policy acts.
By Ned Pagliarulo • Updated Jan. 17, 2025 -
Tarver warns that US device supply chain vulnerabilities could harm patients
The new director of the FDA’s device center contrasted a European rule with the lack of mandatory reporting requirements for potential device shortages in the U.S.
By Nick Paul Taylor • Jan. 17, 2025 -
Private equity poses ‘new and unique risks’ to healthcare, federal agencies warn
A new report from the Biden administration calls for increased transparency in healthcare transactions to better monitor the growing influence of private equity on care delivery.
By Susanna Vogel • Jan. 16, 2025 -
Deep Dive
Top healthcare technology trends in 2025
The shape of AI regulation will be uncertain under the Trump administration this year, while healthcare companies will continue bolstering cyber defenses to withstand increasing attacks, experts say.
By Emily Olsen • Jan. 15, 2025 -
HHS lays out strategic plan for healthcare AI
The agency’s road map, which outlines goals for promoting safe and equitable adoption, comes as the future of AI policy is uncertain under the incoming Trump administration.
By Emily Olsen • Jan. 14, 2025 -
CMS expands enforcement power over shady ACA brokers
A rule finalized Monday makes it easier for regulators to suspend agents and brokers from selling Affordable Care Act plans if they pose a risk to the exchanges.
By Rebecca Pifer Parduhn • Jan. 14, 2025 -
FTC releases second report slamming pharmacy benefit managers
Agency commissioners voted unanimously on Tuesday to publish the report, which makes similar allegations against the controversial drug middlemen as the agency’s first report released last summer — but relies on more data.
By Rebecca Pifer Parduhn • Updated Jan. 15, 2025 -
CMS proposes Medicare Advantage payment hike in 2026
The Biden administration’s last MA rule is a boon for insurers, though it remains to be seen how the incoming Trump administration might put its stamp on the regulation before it’s finalized this spring.
By Rebecca Pifer Parduhn • Jan. 13, 2025 -
Tracking Steward's decline
After Steward crisis, new Massachusetts law aims to strengthen oversight of hospitals
The law aims to close loopholes that officials say Steward Health Care exploited to keep regulators in the dark about its finances leading up to its bankruptcy.
By Susanna Vogel • Jan. 10, 2025 -
Private equity firms got rich while shirking obligations to hospitals, Senate report finds
The year-long inquiry into hospitals managed by Apollo Global Management and Leonard Green & Partners comes amid growing calls for increased oversight of private equity in healthcare.
By Susanna Vogel • Jan. 9, 2025 -
ACA signups set to smash record at 24M with enrollment continuing
The Biden administration attributed the growth to generous subsidies that are scheduled to expire at the end of this year.
By Rebecca Pifer Parduhn • Jan. 8, 2025 -
New rule wipes medical debt from consumer credit reports
The rule removes an estimated $49 billion in medical bills from about 15 million Americans' credit reports and bars lenders from using medical information in their lending decisions.
By Susanna Vogel • Jan. 8, 2025 -
Deep Dive
Health insurers will step off the roller coaster in 2025
After a turbulent year, things should calm for payers with the advent of a business-friendly Trump administration — though challenges will persist. Here are experts’ biggest predictions for 2025.
By Rebecca Pifer Parduhn • Jan. 8, 2025 -
FDA aims to stem AI device bias, boost transparency in draft guidance
The document follows the agency’s first digital health advisory meeting and a final guidance on postmarket updates to AI devices.
By Elise Reuter • Jan. 7, 2025 -
UnitedHealth, Amedisys delay close date of $3.3B merger
The massive healthcare company and the home health provider have agreed to push back the timeline of their deal after the Department of Justice sued to block it.
By Rebecca Pifer Parduhn • Jan. 7, 2025 -
FDA issues much-anticipated guidance on pulse oximeters
The FDA released the guidance in response to concerns that the devices are less accurate in people with darker skin pigmentation.
By Elise Reuter • Jan. 6, 2025 -
HHS proposes HIPAA update to boost healthcare cybersecurity
The security rule update, which would be the first since 2013, aims to clarify and provide more instruction on securing health data as cyberattacks and breaches in the sector skyrocket.
By Emily Olsen • Jan. 3, 2025 -
Independent Health settles with Justice Department over alleged Medicare Advantage upcoding
The $100 million settlement is one of the larger recent sums agreed to by an MA payer accused of inflating its members’ sicknesses to get higher reimbursement from the government.
By Rebecca Pifer Parduhn • Jan. 3, 2025