Government: Page 45
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Feds drill down on medical cards
With consumers increasingly tapping medical credit cards to pay for healthcare costs, the Biden administration is zeroing in on regulations to police such financial services.
By Lynne Marek • July 10, 2023 -
Courtesy of Teladoc
Judge throws out class action lawsuit against Teladoc
A New York judge ruled that Teladoc had detailed risks of its $18 billion Livongo acquisition and that, while the company may have been optimistic regarding its operations, it did not falsify facts or statements.
By Brian T. Horowitz • July 10, 2023 -
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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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CMS to return $9B to 340B hospitals under new plan
Hospital groups said the proposed rule is an important step toward restitution for years of 340B underpayments, but they criticized regulators for proposed rate decreases and a lack of additional interest payments.
By Rebecca Pifer Parduhn • July 10, 2023 -
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Home health industry group sues CMS, HHS over payment cuts
The National Association for Home Care and Hospice said regulators used “an illogical and invalid methodology” in a new payment model.
By Emily Olsen • July 7, 2023 -
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Biden admin rolls back Trump-era expansion of short-term health plans
The proposed rule released Friday would limit short-term plan duration to up to four months. Stakeholders have been waiting for President Joe Biden to restrict access to the bare-bones coverage since he assumed office.
By Rebecca Pifer Parduhn • July 7, 2023 -
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FDA grants Eisai’s Leqembi full approval, opening door to wider use of Alzheimer’s drug
The broader approval is expected to push insurers, namely Medicare, to increase coverage of amyloid-targeting therapies.
By Jacob Bell • July 6, 2023 -
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Patients continue to utilize telehealth for mental healthcare: Fair Health
Stakeholders await final post-pandemic telehealth guidelines after mental healthcare utilization increased during the COVID-19 pandemic.
By Susanna Vogel • July 6, 2023 -
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Opinion // Medicaid redeterminationsMore funding for cultural outreach is imperative to curb procedural Medicaid disenrollments
Investing in appropriate outreach as states resume eligibility checks is both humane and economically efficient, argues Jackie Leung, a public health researcher and professor at Linfield University.
By Jackie Leung • July 6, 2023 -
Carol Highsmith. (2005). "The Apex Building" [Photo]. Retrieved from Wikimedia Commons.
FTC intervenes to correct Medtronic’s ‘erroneous assertions’ in antitrust case
The FTC filed an amicus brief because it said Medtronic made “wrong” arguments with “broad implications for antitrust enforcement.”
By Nick Paul Taylor • July 6, 2023 -
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Georgia’s Medicaid work requirements pricier, more restrictive than full expansion
By only enacting a partial expansion, the state is forgoing $1.1 billion in federal funding and harming access to coverage, according to a new report.
By Rebecca Pifer Parduhn • June 30, 2023 -
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SCOTUS affirmative action ruling sets back physician diversity efforts, healthcare groups say
Medical leaders including the HHS argue the ruling against race-conscious admissions policies could roll back gains in the number of minority physicians and ultimately hurt health outcomes.
By Emily Olsen • June 29, 2023 -
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DOJ charges dozens in multiple states for $2.5 billion healthcare fraud
The multi-state bust that targeted 78 individuals represents “one of the largest healthcare fraud schemes ever prosecuted by the Justice Department,” Attorney General Merrick Garland said.
By Susanna Vogel • June 29, 2023 -
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MA beneficiaries with chronic conditions have lower utilization, spending, industry-backed report finds
The Better Medicare Alliance-funded analysis compared beneficiaries with hypertension, hyperlipidemia and diabetes across MA and traditional Medicare and found that spending was “consistently higher” among FFS beneficiaries.
By Emily Olsen • June 28, 2023 -
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State legislatures around US grapple with how to handle nursing shortages
At least 18 states have introduced or advanced safe staffing bills this year in an effort to reduce nurse burnout and improve the quality of patient care, but hospital groups are resisting.
By Susanna Vogel • June 28, 2023 -
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HHS finalizes info blocking penalties for IT vendors, kickstarting enforcement
Having a stick in place to enforce compliance three years after the original rule is expected to more firmly move the needle on interoperability in U.S. healthcare.
By Rebecca Pifer Parduhn • June 28, 2023 -
Carol Highsmith. (2005). "The Apex Building" [Photo]. Retrieved from Wikimedia Commons.
FTC proposes updates to merger review that could slow healthcare dealmaking
A new rule proposed by antitrust regulators would ask companies to provide additional information about planned mergers to help the Federal Trade Commission keep pace with increased deal volume and complexity.
By Emily Olsen • June 28, 2023 -
Permission granted by American Medical Association
The AMA’s new president on how abortion restrictions, AI, burnout impact physicians
Newly-elected Jesse Ehrenfeld is taking the reins at the American Medical Association at a time of pressing changes for doctors.
By Emily Olsen • June 28, 2023 -
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AHA ramps up criticism of site-neutral legislation
Site-neutral payments ignore key differences between hospital outpatient departments and physician offices, the hospital lobby argued this week in a new report and briefing on Capitol Hill.
By Susanna Vogel • June 27, 2023 -
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Telehealth groups applaud CONNECT reintroduction in Senate
It’s the second time the bill has been reintroduced in Congress, as proponents of virtual care look to solidify COVID-19 gains in telehealth accessibility and use before temporary flexibilities run out at the end of 2024.
By Rebecca Pifer Parduhn • June 22, 2023 -
North Carolina places Friday Health Plans into receivership as insurtech shuts down
A number of states have already moved to take control of the insurer, which announced it was winding down operations earlier this month.
By Emily Olsen • June 22, 2023 -
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State Medicaid spending fell below pre-pandemic levels during continuous enrollment
An analysis by KFF found state spending on Medicaid fell during the COVID-19 pandemic even as enrollment soared. But spending will likely increase as the federal government begins to pare back its increased contribution.
By Emily Olsen • June 21, 2023 -
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HHS warns industry about resurfaced ransomware group after attack on cancer center
The department sent a cybersecurity notification to the sector about TimisoaraHackerTeam after an attack on a U.S. cancer center that “significantly reduced” its capability to treat patients.
By Emily Olsen • June 21, 2023 -
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Biden taps Aledade executive Mandy Cohen to succeed Walensky as CDC director
Cohen was previously secretary of North Carolina’s Department of Health and Human Services, and drew praise for her leadership during the COVID-19 pandemic.
By Brian T. Horowitz • June 20, 2023 -
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MedPAC recommends return to lower telehealth payments
The group that advises Congress on Medicare policy also suggested more closely setting payment rates across outpatient facilities for some services, which hospital lobbyists oppose.
By Emily Olsen • June 16, 2023 -
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OpinionBiden administration should not wait to provide access to non-opioid pain management
A surgeon and assistant professor argues that the CMS and providers must collaborate to enhance access to non-opioid pain alternatives.
By Nirav Amin • June 16, 2023
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