Government: Page 42
-
Getty Images
Provider groups push back on planned nursing home staff mandates
Two hospital groups are arguing that federal staffing mandates are a “one-size-fits-all” approach to the labor crisis and that issuing mandates could reduce capacity by forcing nursing homes to shut their doors.
By Hailey Mensik • April 4, 2023 -
Courtesy of Grail
Illumina ordered to divest Grail by FTC on anticompetition concerns
The San Diego-based DNA-sequencing company, which also faces a challenge from European antitrust regulators, said it will appeal the FTC’s order.
By Susan Kelly • April 3, 2023 -
Getty Images
Medicare go-broke date pushed back to 2031
The date Medicare’s hospital trust fund is expected to run dry has been extended by three years, but stakeholders continue to urge action from Washington to address Medicare’s long-term solvency.
By Rebecca Pifer Parduhn • April 3, 2023 -
Biden administration announces appeal to ACA preventive mandate ruling
The Justice Department on Friday appealed a Texas judge's ruling that struck down part of the ACA requiring health plans to fully cover certain preventive medical services like HIV drugs and cancer screenings.
By Hailey Mensik • April 3, 2023 -
Getty Images
CMS increases MA rate bump for 2024
Risk adjustment changes will now be phased in over three years, after payers pushed back on the proposed payment rule.
By Shannon Muchmore • April 3, 2023 -
Getty Images
OpinionBiden’s latest drug price control plans threaten war on cancer, Alzheimer’s and more
Former Clinton health policy adviser Kenneth Thorpe argues that federal price control policies could wreak havoc in the industry.
By Kenneth E. Thorpe • March 31, 2023 -
Justin Sullivan via Getty Images
FDA approves Narcan for over-the-counter use
It’s the first time a naloxone-based therapy for opioid overdoses has been cleared for use without a prescription, potentially helping to improve access.
By Delilah Alvarado • March 30, 2023 -
Getty Images
Judge tosses ACA preventive care mandate
The Thursday ruling means that, effective immediately, health plans nationwide are no longer required to fully cover certain preventative medical services like cancer, HIV and diabetes screenings.
By Hailey Mensik • March 30, 2023 -
Spencer Platt via Getty Images
Warren calls on CMS to finalize MA payment change
Insurance and provider lobbies called on the CMS to delay the rule earlier this month, saying the methodology was flawed and arguing the 30-day comment period didn't give them enough time to analyze the proposed changes.
By Shannon Muchmore • March 29, 2023 -
Al Drago/Getty Images via Getty Images
AHIP, AHA join forces in amicus brief to SCOTUS False Claims Act case
The groups argue the expansion of the FCA would threaten the “legitimate business activities of every government contractor, hospital, healthcare provider, health insurance provider, and grant recipient in the nation.”
By Sydney Halleman • March 29, 2023 -
Courtesy of Express Scripts
Ohio AG sues ‘modern gangsters’ Cigna, Humana for alleged PBM price fixing
Ohio Attorney General David Yost filed suit on Monday against the payers' PBMs, along with Prime Therapeutics, for allegedly sharing pricing information and driving up drug prices.
By Hailey Mensik • March 28, 2023 -
Hannah Schoenbaum/AP
North Carolina becomes 40th state to expand Medicaid
The expansion puts an end to a decade-plus political battle in North Carolina over Medicaid and illustrates mounting support for the program.
By Rebecca Pifer Parduhn • March 27, 2023 -
Sarah Silbiger/Getty Images via Getty Images
FDA details plan to end emergency use authorizations
The agency is providing a 180-day transition period for devices that were exempted during the pandemic, and said companies that currently have an EUA should start preparing.
By Elise Reuter • March 24, 2023 -
Getty Images
OpinionHIPAA reform should protect patients, scale back silos around medical data
Lifespark chief executive Joel Theisen argues for an update of HIPAA that acknowledges an advanced technology landscape and gives providers a fuller picture of patient health.
By Joel Theisen • March 24, 2023 -
Chip Somodevilla via Getty Images
Moderna CEO defends price of COVID shot at Senate hearing
Stéphane Bancel said his company’s planned price hike covers the higher costs of commercial sales. Sen. Bernie Sanders called it part of industry’s “unprecedented level of corporate greed.”
By Christopher Newman • March 22, 2023 -
Getty Images
Deep DiveDelays in reporting led FDA to late cancer warning on breast implants, advocates say
Cases need to be better tracked, and the cancer risks should be discussed with patients prior to surgery, patient advocates and physicians said.
By Elise Reuter • March 22, 2023 -
Samuel Corum/Getty Images via Getty Images
DOJ drops appeal against UnitedHealth’s acquisition of Change
In a Monday filing with a federal appeals court, the DOJ-led group agreed to withdraw its suit against a ruling that had allowed the merger.
By Sydney Halleman • March 22, 2023 -
Getty Images
Surprise BillingArbiters instructed to resume No Surprises Act determinations
The CMS had previously paused and resumed earlier disputes between payers and providers after a Texas judge ruled against the federal government and vacated portions of the law that bans surprise billing.
By Sydney Halleman • March 21, 2023 -
Getty Images
Overturning of Roe v. WadeWyoming bans abortion pills
It is the first state to specifically prohibit the pills, which make up half of all abortions in the U.S. The ban comes before an expected decision by a Texas judge that could force manufacturers to pull one pill from markets nationwide.
By Rebecca Pifer Parduhn • March 20, 2023 -
istock.com/ablokhin
Sponsored by Tryten TechnologiesTransforming veteran healthcare: How telehealth is changing the game
Discover how telehealth is revolutionizing veteran healthcare, providing high-quality care regardless of location with essential use cases like video consultations, remote monitoring and telestroke.
By Matt Wall, Director, Business Development, Tryten Technologies • March 20, 2023 -
Alex Wong via Getty Images
CMS lays out plans for negotiating drug prices
The guidance fills in details for one of the central pharmaceutical provisions of the Inflation Reduction Act, signaling how the agency will use its new authority.
By Christopher Newman • March 16, 2023 -
Medicaid redeterminations
Majority of states plan to take their time with Medicaid redeterminations
Some states are proposing to unwind Medicaid coverage more slowly, while others are moving more quickly to focus on reducing budgetary costs, according to a survey from the Kaiser Family Foundation.
By Rebecca Pifer Parduhn • March 16, 2023 -
Stefani Reynolds / Stringer via Getty Images
MedPAC recommends physician pay bump, but not enough for provider groups
Updating base physician payment rates by 1.45% in 2024 as proposed by the group that advises Congress on Medicare policy is “grossly insufficient,” the Medical Group Management Association said.
By Hailey Mensik • March 16, 2023 -
Getty Images
US names first drugs to face price hike penalty
Under the Inflation Reduction Act, pharma companies owe rebates to Medicare for price increases they take that exceed inflation. But they won’t need to pay until 2025.
By Christopher Newman • March 15, 2023 -
Getty Images
FTC says health privacy key priority in 2024 budget request
The agency cited its need to take on bigger and more complex cases in areas like health privacy in its request on Tuesday for a $160 million funding boost.
By Rebecca Pifer Parduhn • March 15, 2023
Previous
