Government: Page 20
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Sponsored by Point Click CareNavigating government affairs in healthcare: Driving quality improvements
In healthcare, serving people is the real Job 1. But we can only do that job effectively through a relentless focus on quality.
By Bill Charnetski, PointClickCare Executive Vice President of Health System Solutions & Government Affairs • Sept. 9, 2024 -
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FTC opposes Indiana’s first hospital merger under controversial COPA law
Federal antitrust regulators are asking Indiana to block Union Hospital and HCA-owned Terre Haute Regional Hospital’s request for a certificate of public advantage, which allows states to greenlight potentially problematic mergers.
By Rebecca Pifer • Sept. 6, 2024 -
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Mississippi awards Medicaid contracts to Centene, Molina, TrueCare
The Magnolia State has finally issued new contracts for its Medicaid managed care program, two years later than intended after UnitedHealth and Elevance challenged the awards following unsuccessful bids.
By Rebecca Pifer • Sept. 5, 2024 -
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ARPA-H program to focus on AI degradation in medical tools
The agency will fund work to identify and auto-correct AI-enabled tools that are misaligned with their underlying training data.
By Nick Paul Taylor • Sept. 3, 2024 -
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PBM executives threatened with fines and jail time for alleged perjury in House hearing
Testimony from the heads of Express Scripts, Optum Rx and Caremark in July defending pharmacy benefit managers’ business practices could be coming back to bite them.
By Rebecca Pifer • Aug. 29, 2024 -
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HHS withdraws appeal in online tracking lawsuit
The dismissal is a win for providers, who argued federal regulators’ guidance on online trackers would limit their ability to share health information with their patients.
By Emily Olsen • Updated Aug. 30, 2024 -
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Semaglutide coverage for weight loss could cost Medicare billions: study
If all newly eligible patients received semaglutide, Medicare Part D spending could increase by $34 billion to $145 billion each year, according to new research.
By Emily Olsen • Aug. 27, 2024 -
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OIG estimates 1 in 4 for-profit nursing homes not complying with infection control staffing rules
Facilities reported challenges hiring and retaining qualified infection prevention personnel, according to the analysis by the HHS’ Office of Inspector General.
By Emily Olsen • Aug. 26, 2024 -
National Institute of Allergy and Infectious Disease. (2020). "Novel Coronavirus SARS-CoV-2" [Image]. Retrieved from Flickr.
Updated COVID shots from Pfizer, Moderna cleared by FDA
The approval of both vaccines, designed to better match the coronavirus strains currently circulating, comes just ahead of the fall and winter seasons.
By Ned Pagliarulo • Aug. 22, 2024 -
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Surprise BillingCMS has received 12K complaints of No Surprises noncompliance; won $1.7M in restitution
The most common complaints against providers were for surprise billing, while the top complaints for health plans included incorrectly calculating qualifying payment amounts.
By Rebecca Pifer • Aug. 22, 2024 -
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New Jersey to erase $100M of medical debt
Nearly 50,000 residents will see their debt forgiven. The initiative comes as other states and federal regulators have moved to lessen the burden of medical debt.
By Emily Olsen • Aug. 22, 2024 -
The image by Renegomezphotography is licensed under CC BY-SA 4.0
Judge strikes down FTC noncompete ban nationwide
Obviating the ban has big implications for U.S. healthcare, an industry that frequently relies on noncompetes to lock medical workers into employment agreements with hospitals, insurers and other employers.
By Ryan Golden , Rebecca Pifer • Aug. 21, 2024 -
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Humana pays $90M to settle whistleblower allegations of Medicare Part D fraud
The insurer, which did not admit wrongdoing, agreed to the deal on the eve of a jury trial.
By Rebecca Pifer • Aug. 20, 2024 -
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FTC noncompete ban suffers another blow
The ruling — which applies only to one Florida-based real estate broker — comes just weeks before the ban is slated to take effect.
By Ryan Golden • Aug. 19, 2024 -
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Tracking Steward's declineMassachusetts makes deal to force Steward hospital sales
Gov. Maura Healey’s office has brokered agreements for Steward to sell five hospitals to other operators, ensuring they’ll remain open as the health system’s bankruptcy proceedings drag on.
By Rebecca Pifer • Aug. 19, 2024 -
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Court strikes down HHS change to low-income payment formula in win for Texas hospitals
The case centered on whether patients who receive funds from a pool of state money for uncompensated care could be included in calculating hospitals’ disproportionate share funding.
By Rebecca Pifer • Aug. 19, 2024 -
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Medicare drug price cuts could have limited early impact, but grow with time
Some industry watchers described the level of price discounts announced by Medicare as a "relief," though they warned of bigger future implications for drug research.
By Jonathan Gardner • Aug. 16, 2024 -
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Texas sues Biden administration over nursing home staffing mandate
It’s the latest legal challenge against the mandate finalized this spring, which requires long-term care facilities to provide at least 3.48 hours of care per resident each day.
By Rebecca Pifer • Aug. 15, 2024 -
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Medicare reveals results of drug price negotiations
The agency said the first round of pricing talks, which involved drugs like the blood thinners Eliquis and Xarelto, will result in $6 billion in savings for taxpayers.
By Ned Pagliarulo • Aug. 15, 2024 -
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Overturning of Roe v. WadeTexas women say hospitals violated EMTALA by denying emergency abortions
The patients’ complaints to the HHS allege two Texas hospitals denied them emergency abortion care for ectopic pregnancies, risking their lives and damaging their future fertility.
By Emily Olsen • Aug. 13, 2024 -
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In tone-setting verdict, FDA rejects MDMA as a therapy aid for PTSD
The decision to turn down an application comes at a pivotal time for psychedelics research, which has recently gained momentum after decades of dismissal.
By Jacob Bell • Updated Aug. 9, 2024 -
Rebecca Pifer/Healthcare Dive
CMS finalizes notice on Medicare coverage for breakthrough devices
The CMS will consider five medical device candidates yearly for national coverage through the new pathway, called Transitional Coverage for Emerging Technologies.
By Elise Reuter • Aug. 8, 2024 -
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Uninsured rate jumps to 8.2% amid Medicaid unwinding: CDC
Growth in the nation’s uninsured rate could become steeper if subsidies in the Affordable Care Act exchanges expire on schedule next year, according to health policy experts.
By Rebecca Pifer • Aug. 7, 2024 -
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Surprise Billing
Appeals court hands providers latest win in No Surprises litigation
The 5th Circuit Court’s decision vacates instructions that arbiters should first consider the qualifying payment amount in deciding payments over contested out-of-network bills. Providers argued that unfairly advantaged insurers.
By Rebecca Pifer • Aug. 6, 2024 -
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Experts fear patient harm from FDA’s lab developed test rule
Decreased access to diagnostic tests, worsening patient care and practice closures are among the concerns the AMA and others have raised as the regulation takes effect.
By Susan Kelly • Aug. 5, 2024
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