Government: Page 22
-
David Berding via Getty Images
CMS ordered to recalculate UnitedHealthcare’s 2025 MA stars
A Texas federal judge has sided with UnitedHealthcare in determining regulators messed up calculating its Medicare Advantage quality scores for next year. The decision could have big implications for similar pending cases.
By Rebecca Pifer Parduhn • Nov. 25, 2024 -
Noam Galai via Getty Images
Johns Hopkins surgeon Makary is Trump’s pick to lead FDA
A prolific medical researcher and author, Martin Makary criticized the FDA and CDC for their decision-making during the pandemic, although he describes himself as pro-vaccine.
By Jonathan Gardner , Ned Pagliarulo • Nov. 23, 2024 -
Getty Images
Hospital price transparency continues to drop: report
Just 21.1% of hospitals are in full compliance with federal price transparency rules, according to Patient Rights Advocate. Compliance has slipped since July 2023.
By Susanna Vogel • Nov. 22, 2024 -
Getty Images
UnitedHealth, Cigna, CVS sue FTC over insulin litigation process
The three companies are claiming the FTC’s suit is unconstitutional because it was lodged in the agency’s administrative court, instead of a federal one.
By Rebecca Pifer Parduhn • Nov. 20, 2024 -
Getty Images
CMS allows 5 states to adopt multiyear continuous Medicaid eligibility for children
The future of such policies is unclear under an upcoming Trump administration, which could rescind approvals or prevent states from implementing waivers.
By Emily Olsen • Nov. 20, 2024 -
Rebecca Noble via Getty Images
RFK Jr.'s path to HHS secretaryHealthcare industry braces for RFK Jr.
Kennedy's views on vaccines in particular are causing alarm among some physicians and investors.
By Susanna Vogel • Nov. 20, 2024 -
Win McNamee/Getty Images via Getty Images
Trump nominates Dr. Oz to oversee Medicare, Medicaid as CMS head
On Truth Social, President-elect Donald Trump said Oz, who is best known for his eponymous TV show, would take on the “illness industrial complex.”
By Sydney Halleman • Updated Nov. 20, 2024 -
Alex Wong via Getty Images
HHS facing challenges as lead agency for healthcare cybersecurity: GAO
The department hasn’t implemented some policies recommended by the watchdog, which could pose a risk to cybersecurity in the sector as attacks increase, according to the Government Accountability Office.
By Emily Olsen • Nov. 19, 2024 -
Joe Raedle via Getty Images
If enhanced ACA subsidies expire, 4M could become uninsured: report
The enhanced premium tax credits will expire at the end of next year without action from lawmakers. Republicans have previously criticized the subsidies’ cost.
By Emily Olsen • Nov. 19, 2024 -
Scott Olson via Getty Images
Eli Lilly follows J&J in suing Biden administration over 340B rebates
Major drugmakers are filing lawsuits against the HHS and HRSA to try to resuscitate plans to issue hospitals rebates instead of giving them upfront discounts on 340B drugs.
By Rebecca Pifer Parduhn • Nov. 18, 2024 -
Getty Images
Offering health insurance is becoming less lucrative
In the third quarter, the seven major publicly traded insurers’ medical loss ratios increased an average of 3.3 percentage points year over year — a major jump in medical costs.
By Rebecca Pifer Parduhn • Nov. 18, 2024 -
Getty Images
DEA, HHS issue another extension for telehealth controlled substance prescribing
The third temporary extension, which prolongs the pandemic-era flexibilities through the end of 2025, is a relief for telehealth groups who had raised concerns about access to medications.
By Emily Olsen • Nov. 18, 2024 -
Rebecca Noble via Getty Images
RFK Jr.'s path to HHS secretary
Trump nominates RFK Jr. to lead HHS
The nomination of a prominent vaccine skeptic to the head of the nation’s largest healthcare program is expected to alarm some public health experts.
By Sydney Halleman • Nov. 14, 2024 -
Alex Wong via Getty Images
Top CMS official urges Trump administration to treat Medicaid with care
“Do to others what you would want done to yourself,” Medicaid director Daniel Tsai said Thursday when asked about advice for his replacement in Trump’s HHS. Trump is expected to cut Medicaid eligibility and funding.
By Rebecca Pifer Parduhn • Nov. 14, 2024 -
Spencer Platt via Getty Images
CMS to lower importance of ‘call center’ metric in Medicare Advantage star ratings
Regulators’ assessment of customer support centers has spurred recent lawsuits from insurers. But the metric “is going to have a smaller weighting on star ratings moving forward,” the director of Medicare said.
By Rebecca Pifer Parduhn • Updated Nov. 15, 2024 -
Getty Images
Tenet CEO looks ahead to second Trump term
Saum Sutaria doesn't think the ACA marketplace is going anywhere under President-elect Donald Trump, noting beneficiaries are an “important part of the electorate” for the incoming administration.
By Susanna Vogel • Nov. 13, 2024 -
Mario Tama via Getty Images
J&J sues federal government for halting 340B rebate plan
The New Jersey-based drugmaker is trying to get the courts’ backing to pay hospitals rebates for two drugs in the 340B drug discount program, instead of offering upfront discounts.
By Rebecca Pifer Parduhn • Nov. 13, 2024 -
Getty Images
DOJ sues to block UnitedHealth’s $3.3B buy of home health firm Amedisys
The DOJ’s complaint is intentionally broad to maximize its chances of success, according to one expert. Still, the incoming Trump administration could throw cold water on the challenge.
By Rebecca Pifer Parduhn • Nov. 12, 2024 -
Getty Images
Many hospitals still aren’t complying with price transparency rule: OIG
In a sample of 100 hospitals, 34 didn’t meet requirements for publishing machine-readable files of their charges while 14 didn’t follow rules to post shoppable services.
By Emily Olsen • Nov. 12, 2024 -
Getty Images
MedPAC backs tying physician pay to inflation, but ducks specifics
During a meeting Thursday, commissioners debated different solutions to lackluster physician pay with one theme in common: linking doctors’ annual payment update to the Medicare Economic Index.
By Rebecca Pifer Parduhn • Nov. 8, 2024 -
Getty Images
HHS settles 2 ransomware investigations as attacks rise
The settlements mark the sixth and seventh healthcare ransomware enforcement actions from regulators.
By Emily Olsen • Nov. 7, 2024 -
Chip Somodevilla via Getty Images
How the healthcare industry is reacting to a second Trump term
Donald Trump’s first term as president was characterized by significant turbulence for government healthcare programs. Here’s how some of the most influential industry groups responded to the Republican’s reelection.
By Rebecca Pifer Parduhn • Nov. 7, 2024 -
Getty Images
MACPAC calls for greater transparency amid steep rise in Medicaid directed payments
Dramatic growth in an opaque Medicaid funding mechanism is exacerbating concerns about the program’s fiscal integrity — while spurring financial gains for the hospital industry.
By Rebecca Pifer Parduhn • Nov. 5, 2024 -
Photo illustration: Industry Dive; Joe Readle/Getty Images; Brandon Bell/Getty Images
As presidential election looms, disparate approaches to cyber policy come into focus
Government officials and security leaders are hoping the nation’s need for cyber resilience will transcend partisan politics regardless of the election results.
By David Jones • Nov. 5, 2024 -
Elise Reuter/Healthcare Dive
Michelle Tarver faces challenges as new CDRH leader. But patient groups, industry are optimistic.
Tarver is taking over as director of the Center for Devices and Radiological Health as the regulator grapples with questions around artificial intelligence in medical devices and racial bias in pulse oximeters.
By Elise Reuter • Nov. 4, 2024
Previous
