Government: Page 4

  • An illustration of sickled red blood cells blocking a blood vessel.
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    New CMS pilot to test payment scheme for pricey sickle cell gene therapies

    The CMS innovation center will coordinate insurance coverage across states to help patients access new treatments with multi-million-dollar price tags.

    By Ned Pagliarulo • Jan. 31, 2024
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    Sarah Silbiger via Getty Images
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    FDA extends deadline for comments on role of digital health in diabetes detection

    The agency is seeking answers on how digital health technologies could be used in the detection of prediabetes and Type 2 diabetes.

    By Nick Paul Taylor • Jan. 31, 2024
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    Trendline

    Labor

    Disputes between hospitals and workers are likely to continue even as the pandemic’s greatest impacts subside — a source of friction that could leave patients caught in the middle.

    By Healthcare Dive staff
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    Medicare ACO participation grows in 2024: CMS

    However, growth in Medicare's flagship shared savings model has plateaued over the past five years, according to government data.

    By • Jan. 30, 2024
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    LD via Getty Images
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    FTC sues to block Novant purchase of two CHS hospitals

    Regulators filed a lawsuit on Thursday to block North Carolina-based Novant Health from expanding its grip on healthcare in the state, warning a buy would increase costs.

    By • Jan. 25, 2024
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    Alex Wong / Staff via Getty Images
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    HHS releases voluntary cybersecurity goals for the healthcare sector

    The resources serve as a “step forward” as the agency looks to propose enforceable standards, HHS Deputy Secretary Andrea Palm said.

    By • Jan. 25, 2024
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    Senator probes MA exchanges’ marketing tactics

    The head of the Senate Finance Committee sent letters to several health insurance exchanges on Tuesday, as part of an inquiry into allegedly predatory Medicare Advantage marketing to seniors.

    By • Jan. 24, 2024
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    Sara Samora/Healthcare Dive
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    Lawmakers press Steward Health Care over reports of ‘grave financial distress’

    Lawmakers demanded the operator detail how it will "ensure the communities Steward’s hospitals serve are not abandoned" amid financial troubles.

    By • Jan. 24, 2024
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    Sponsored by Teleperformance

    Implementing high-tech, high-touch digital services to create more personalized, patient-centric care

    Improve the patient experience by addressing high interaction volume and channel complexity.

    By Jeff Hechemy, Executive Vice President – Healthcare at Teleperformance • Jan. 22, 2024
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    CMS finalizes rule tightening prior authorization turnaround for insurers

    Payers have new deadlines to issue prior authorization decisions — 72 hours for urgent requests and seven days for non-urgent ones — that should cut back coverage determination limbo for patients.

    By • Jan. 17, 2024
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    dventtr via Getty Images
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    MA spending to outstrip traditional Medicare by $88B this year: MedPAC

    MedPAC released the data Friday during a contentious meeting where members argued over the efficacy of Medicare Advantage.

    By • Jan. 16, 2024
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    HCA granted extension to respond to Mission lawsuit

    The for-profit is being sued for allegedly cutting back medical care at Mission Hospital since purchasing the North Carolina facility in 2019. 

    By • Jan. 12, 2024
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    ACA enrollment for 2024 reaches record high

    More than 20 million Americans have signed up for Affordable Care Act plans since open enrollment began in November. Sign-ups are expected to continue to grow.

    By • Jan. 11, 2024
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    Gromit702 via Getty Images
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    FTC bars data broker from selling sensitive location information, like clinic visits

    The Federal Trade Commission reached a first-of-its-kind settlement with a data broker that the regulator alleged sold data that could be used to track visits to medical or reproductive health clinics.

    By • Jan. 10, 2024
  • The HHS in DC
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    Alex Wong / Staff via Getty Images
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    HHS publishes updated provider conscience rule, rolls back Trump-era policy

    The department framed the rule as a “balance” that safeguards providers’ rights to religious freedom and patients’ access to care.

    By • Jan. 10, 2024
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    Providers push back on info blocking penalties

    Provider groups argued for changes in financial penalties and more information on an appeals process. 

    By • Jan. 8, 2024
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    HHS names first chief competition officer

    Stacy Sanders will work with regulators to tackle industry consolidation in an effort to rein in rising healthcare costs.

    By • Jan. 8, 2024
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    Elevance sues HHS over Medicare Advantage star ratings

    The payer is taking issue with how regulators calculated quality scores for 2024, after seeing a stars decline that could cause its bonus revenue to fall by $500 million.

    By • Jan. 8, 2024
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    Sarah Silbiger via Getty Images
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    FDA authorizes Florida to import drugs from Canada

    The clearance is a major shift for the agency, which described its decision as a “first step” in allowing Florida to bulk purchase lower-cost Canadian medicines. 

    By Jonathan Gardner , Ned Pagliarulo • Jan. 5, 2024
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    More hospitals, payers compliant with price transparency laws

    More than 90% of hospitals posted files at least partially compliant with price transparency requirements in 2023, according to a new report from Turquoise Health.

    By • Jan. 5, 2024
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    LD via Getty Images
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    Antitrust enforcements hit a high in 2022, with health deals impacted

    The 2022 report comes after regulators finalized merger guidelines this week that could have a chilling effect on healthcare M&A.

    By • Dec. 22, 2023
  • picture of a window inside a room where people sit at tables to enroll in healthcare insurance
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    Over 19M could enroll in ACA plans for 2024, CMS says

    Enrollment in the Affordable Care Act exchanges could be boosted by extended subsidies and the effects of Medicaid redeterminations.

    By • Dec. 21, 2023
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    dventtr via Getty Images
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    Shared Savings Program linked to net losses in traditional Medicare, study finds

    However, the program was associated with savings in Medicare Advantage and for the CMS overall.

    By • Dec. 20, 2023
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    Stock Photo via Getty Images
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    Steward Health Care hit with False Claims Act lawsuit

    The suit alleges a Steward-run hospital improperly billed Medicare for more than 1,000 false claims.

    By • Dec. 20, 2023
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    FTC, DOJ finalize merger guidelines that could impede healthcare M&A

    The new guidelines should give regulators sharper teeth in going after vertical and cross-market deals that have historically been difficult to challenge.

    By • Dec. 19, 2023
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    Medicaid redeterminations

    Biden administration urges 9 states to curb high child Medicaid, CHIP disenrollments

    Nine states account for about 60% of the decline in children’s Medicaid and Children’s Health Insurance Program enrollment from March through September, according to data from the CMS.

    By • Dec. 19, 2023