Government: Page 29
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Minnesota’s Medicaid program to block for-profit insurers from participation
The ban initially only affects UnitedHealthcare, which is the sole for-profit managed care organization with a Medicaid contract in the state.
By Rebecca Pifer Parduhn • May 29, 2024 -
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Nursing homes sue to block HHS staffing mandate
The plaintiffs slammed the rule as an overreach of authority that creates an “onerous and unachievable” mandate.
By Susanna Vogel • May 28, 2024 -
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House committee takes aim at healthcare consolidation, eyes site-neutral payments
Equalizing Medicare payment between sites of service to cut down on provider consolidation is a “no brainer,” one witness testified during the hearing.
By Rebecca Pifer Parduhn • May 23, 2024 -
Courtesy of Tandem Diabetes Care
Medicare adviser sets recommendations for diabetes device evidence
The panel found time in range was an “extremely important” metric, but members were divided on whether quality of life measures should influence coverage.
By Elise Reuter • May 22, 2024 -
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Overturning of Roe v. WadeNew online portal allows patients to report potential EMTALA violations
The federal government and states have sparred over whether providers must cover emergency abortion services since Roe v. Wade was overturned in 2022.
By Susanna Vogel • May 22, 2024 -
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Latest 340B ruling delivers blow to providers
Drugmakers are allowed to impose conditions on which pharmacies they dispense discounted drugs to in the 340B program, according to an appellate court.
By Sydney Halleman • May 22, 2024 -
Courtesy of H2O Therapeutics
FDA seeks AI tech to predict, detect Parkinson’s symptoms
By testing artificial intelligence and machine learning models, the agency hopes to come up with best practices for Parkinson’s measures from wearables and smartphones.
By Elise Reuter • May 21, 2024 -
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Change Healthcare cyberattack
Providers urge HHS to clarify Change data breach reporting requirements
More than 50 provider groups are asking the federal government to publicly state that UnitedHealth should handle data breach reporting stemming from the cyberattack on its subsidiary.
By Emily Olsen • May 21, 2024 -
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HHS agency launches program to automate cybersecurity at hospitals
The program will invest more than $50 million to create a software suite that can automatically find potential vulnerabilities that hackers could exploit and deploy fixes.
By Emily Olsen • May 20, 2024 -
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Senate Finance Committee tackles Medicare physician pay reform
On Friday, the committee released a white paper proposing Medicare adjust doctor reimbursement to account for inflation, a key goal for physician lobbies.
By Rebecca Pifer Parduhn • May 20, 2024 -
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Ascension hit with lawsuits days after ransomware attack
Most data breach lawsuits settle out of court rather than through litigation, an expert told Healthcare Dive.
By Susanna Vogel • May 16, 2024 -
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ONC to provide grants for AI, behavioral health projects
The agency seeks projects that evaluate and improve healthcare data used by AI and accelerate the use of health IT products among mental healthcare providers.
By Emily Olsen • May 15, 2024 -
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Kansas jilts CVS in new Medicaid contract awards
Kansas kicked CVS to the curb in favor of an Elevance plan, while awarding contracts to incumbents UnitedHealth and Centene. The contracts are worth roughly $4 billion annually.
By Rebecca Pifer Parduhn • May 15, 2024 -
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Judge dismisses FTC’s antitrust suit against Welsh Carson
Regulators sued the private equity firm for consolidating Texas anesthesia markets. Now, a judge is holding Welsh Carson blameless while allowing the suit against its portfolio company, U.S. Anesthesia Partners, to continue.
By Rebecca Pifer Parduhn • May 14, 2024 -
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US hikes tariffs on medical products from China
The rate hikes focus on areas where the Biden administration has sought to boost domestic production, such as medical supplies that were essential to the COVID-19 pandemic response.
By Elise Reuter • May 14, 2024 -
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Black Basta ransomware is toying with critical infrastructure providers, authorities say
The threat group has impacted more than 500 targets worldwide, including those in healthcare.
By David Jones • May 13, 2024 -
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House committee advances bill that would extend telehealth flexibilities
The legislation would extend some Medicare flexibilities through 2026. Lawmakers have until year-end to take action before the pandemic-era rules expire.
By Emily Olsen • May 9, 2024 -
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CMS proposes mandatory kidney care model with financial risk for hospitals
The model, if finalized, will test whether putting hospitals on the hook for kidney transplant access and quality might improve the nation’s shoddy system of organ procurement and transplantation.
By Rebecca Pifer Parduhn • May 9, 2024 -
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Medicare go-broke date extended to 2036, but warning bells continue ringing
The Medicare trustees’ new projection for insolvency is five years later than previous forecasts, but budget hawks warned action is still needed to shore up the insurance program’s finances.
By Rebecca Pifer Parduhn • May 7, 2024 -
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Medicaid redeterminationsMedicaid redeterminations losses exceeding predicted levels in some states
As of November, eight states had blown past their projected disenrollment of adults, while 12 states exceeded their projected disenrollment of children, according to new research from the Urban Institute.
By Rebecca Pifer Parduhn • May 6, 2024 -
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Deep Dive
Antitrust agencies are relying on consumers to report anticompetitive behavior. That trust might be misplaced.
Regulators want consumers to flag business practices harming market health in the healthcare sector, which could result in a tsunami of new tips — for good and ill, according to experts.
By Rebecca Pifer Parduhn • May 6, 2024 -
Kent Nishimura/Getty Images via Getty Images
Change Healthcare cyberattackChange Healthcare cyberattack: 5 technical takeaways from UnitedHealth CEO’s testimony
Change Healthcare was running on legacy technology, which magnified the ransomware attack’s impact and hampered recovery efforts, Andrew Witty said.
By Matt Kapko • May 6, 2024 -
Kent Nishimura/Getty Images via Getty Images
Change Healthcare cyberattack
Congress grills UnitedHealth CEO over Change cyberattack
Legislators slammed Andrew Witty over the company’s lack of cybersecurity practices and the impact of the breach, which may have compromised the data of a third of Americans.
By Emily Olsen • May 2, 2024 -
Ruben Sprich/Reuters
Change Healthcare cyberattackChange Healthcare, compromised by stolen credentials, did not have MFA turned on
Failing to turn on multifactor authentication, a common cybersecurity safeguard, “underscores pure negligence on the part of UnitedHealth,” one expert said.
By Matt Kapko • April 30, 2024 -
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Hospitals’ COVID reporting burden to lighten as pandemic-era policies expire
On Wednesday, hospitals will no longer be required to report COVID-19 admissions, capacity or occupancy data to the federal government.
By Susanna Vogel • April 30, 2024
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