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Under the watch of the attorney general, Northwell overhauls charity care policy
New York's largest health system will expand its financial assistance policies following a review from the state attorney general.
By Susanna Vogel • June 5, 2024 -
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House subcommittee lands on transparency for 340B reform
Based on the Oversight and Investigations hearing, political will in Congress seems slim to cut back the 340B program — without a clearer view of how hospitals are using the funds first.
By Rebecca Pifer Parduhn • June 5, 2024 -
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TrendlineSurprise Billing
Federal legislation banning surprise bills has hit a barrage of roadblocks, complicating efforts to protect consumers from unexpected out-of-network charges.
By Healthcare Dive staff -
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Scan Health Plan wins Medicare Advantage star ratings lawsuit
The insurer argued the CMS didn’t follow its stated methodology for calculating quality scores, causing its rating to drop and risking millions of dollars in payments.
By Emily Olsen • June 4, 2024 -
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Tracking Steward's decline‘We’re always running out of money’: Steward seeks new DIP financier ahead of June 14 to keep operations afloat
Attorneys for the Dallas-based health system said Steward isn’t interested in another quick-fix loan. This time, Steward wants $225 million to carry it through the Chapter 11 process.
By Susanna Vogel • June 4, 2024 -
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State healthcare cost caps could further pressure hospital operating margins: report
Policies in several states have limited provider rates and levels of reimbursement, as well as constrained operating flexibility, according to Fitch Ratings.
By Susanna Vogel • June 4, 2024 -
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Change Healthcare cyberattackHHS says providers can tap Change to issue data breach notifications after cyberattack
The update is a win for provider groups who have urged the agency to clarify which organizations need to report a data breach and notify patients after the cyberattack.
By Emily Olsen • June 3, 2024 -
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Medicare Advantage sales middleman sues HHS over rule capping broker compensation
AmeriLife’s suit joins at least two others from MA sales groups seeking revisions to the rule for threatening their business model. It also comes with a clock, given a looming deadline for marketing contract negotiations.
By Rebecca Pifer Parduhn • June 3, 2024 -
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Move over, Medicare Advantage — UnitedHealth, Centene flag higher Medicaid utilization concerns
Worries about higher-than-expected medical spending have reached Medicaid, as redeterminations spark turbulence in the program.
By Rebecca Pifer Parduhn • May 30, 2024 -
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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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