Government: Page 47
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California to manufacture its own insulin, Newsom says
Saying the medicine’s high cost “epitomizes market failures,” California’s governor announced a $100 million budget to create a production facility and develop affordable insulin products.
By Susan Kelly • July 11, 2022 -
Surprise Billing
1 in 5 Americans report still receiving surprise medical bills after federal ban
A Morning Consult survey highlights weakness in the surprise billing law, which does not protect consumers from balance bills related to labs and blood work in all instances.
By Samantha Liss • July 11, 2022 -
Trendline
Labor
Hospitals are navigating persistent labor shortages with the need to cut costs — a source of contention that could leave patients caught in the middle.
By Healthcare Dive staff -
CMS proposed payment rule includes major updates for ACOs
Changes to the Medicare Shared Savings Program would give some accountable care organizations more time to ramp up to performance-based risk and updated quality reporting.
By Shannon Muchmore • July 8, 2022 -
Overturning of Roe v. Wade
Biden to sign executive order aimed at protecting abortion access
The order asks HHS Secretary Xavier Becerra to submit a report within 30 days outlining additional steps the administration can take to legally protect abortion providers and patient access to other reproductive services.
By Sydney Halleman • July 8, 2022 -
CMS finds 'troubling' implicit bias in 3 payment models
CMMI has taken initial actions to address existing bias, and has started developing a guide to screen and mitigate it in various models, according to a new article in Health Affairs.
By Rebecca Pifer • July 8, 2022 -
Carol Highsmith. (2005). "The Apex Building" [Photo]. Retrieved from Wikimedia Commons.Overturning of Roe v. Wade
Lawmakers amplify calls for federal agencies to increase data privacy after Dobbs decision
Seventy-two Democratic members of Congress want the FTC to use its full power to guard patients from data brokers collecting and selling data that could be used to prosecute pregnancy-related crimes.
By Rebecca Pifer • July 7, 2022 -
Major payment vendor data breach, North Korean threat raise ransomware concerns for hospitals
A recently disclosed ransomware attack could have exposed patient data from more than 650 healthcare providers.
By Rebecca Pifer • July 7, 2022 -
Photo by Liza Summer from Pexels
'Phantom' provider lists limit Medicaid mental healthcare access, study finds
The Health Affairs research showed that inaccurate provider directories may create a barrier to treatment for a population that needs it most.
By Susan Kelly • July 6, 2022 -
Feds brokered record $5B in healthcare fraud cases last year
Cases ranged from improper psychiatric treatment to providing false Medicare claims and illegal kickback schemes.
By Rebecca Pifer • July 6, 2022 -
To aid rural hospitals, CMS proposes rule for new provider type
The rural emergency hospital designation is expected to help prevent facility closures and maintain access to crucial healthcare services.
By Susan Kelly • July 5, 2022 -
Overturning of Roe v. Wade
Democratic senators want stricter HIPAA rules to protect abortion patients
Sens. Catherine Cortez Masto and Michael Bennet are calling on the HHS to use its existing scope of regulatory power to beef up HIPAA’s privacy measures to better protect patients seeking reproductive healthcare.
By Rebecca Pifer • July 5, 2022 -
SCOTUS won't hear challenge to health worker vaccine mandate
Justices Clarence Thomas, Neil Gorsuch and Samuel Alito dissented in the court’s decision regarding the New York lawsuit.
By Hailey Mensik • July 1, 2022 -
CMS wants Tennessee to change Trump-approved Medicaid block grant plan
Regulators sent a letter to Tennessee requesting the state submit a new financing and budget neutrality model based on a traditional per member per month cap, instead of an aggregate cap, among other changes.
By Rebecca Pifer • July 1, 2022 -
CMS insurer price transparency rule has taken effect. Signs are good for compliance
UnitedHealthcare, Anthem and Centene are among the major payers already hosting machine-readable cost files onsite.
By Rebecca Pifer • July 1, 2022 -
Pfizer seeks full FDA approval of Paxlovid as questions about its benefits grow
A standard clearance could further broaden Paxlovid’s fast-rising use. But weaknesses are emerging too, among them unclear benefits in vaccinated people and a potential lack of potency against new variants.
By Delilah Alvarado • June 30, 2022 -
Biden signs law requiring more VA transparency on EHR rollout costs
The new law received bipartisan support as lawmakers become increasingly frustrated with the VA’s management of the seven-year-old program, which has been dogged by delays, growing spending and operational issues.
By Rebecca Pifer • June 30, 2022 -
AMA 'deeply disappointed' with SCOTUS EPA ruling
In its annual meeting in early June, the association labeled climate change a “public health crisis that threatens the health and well-being of all people.”
By Sydney Halleman • June 30, 2022 -
Overturning of Roe v. Wade
HHS issues guidance on when providers may be forced to share patient information
The HHS Office for Civil Rights issued privacy guidelines Wednesday clarifying how to protect patient health information following the Supreme Court's ruling ending the constitutional right to an abortion.
By Samantha Liss • June 30, 2022 -
HHS to send out more monkeypox vaccines as CDC activates emergency center
The distribution will take place on a four-tier basis with areas that have the highest case rates coming first. Within the tiers, priority will be based on the number of people at risk for monkeypox who have preexisting conditions.
By Shannon Muchmore • June 30, 2022 -
House hearing ups ante on Medicare Advantage reform
Lawmakers on both sides of the aisle are taking a harder look at coverage denials, fraud and waste in the popular program.
By Rebecca Pifer • June 29, 2022 -
Democrat governors urge Congress to prevent 'disastrous' coverage loss by preserving ACA subsidies
The 14 governors said they’re concerned many Americans will be forced to reduce insurance coverage or forgo it entirely if Congress allows the subsidies to expire.
By Rebecca Pifer • June 29, 2022 -
CMS launches voluntary incentive program aiming to cut cancer death rate
The Enhancing Oncology Model requires participating providers to offer services including patient navigation, 24-hour access to clinicians, a detailed care plan and screening for social needs.
By Susan Kelly • June 29, 2022 -
How the decision overturning Roe v. Wade is changing healthcare
Many provider groups protested the 6-3 decision, with the American Medical Association saying it was "deeply disturbed" by the court overturning Roe v. Wade, which was precedent for almost half a century.
By Shannon Muchmore • Updated July 5, 2022 -
Overturning of Roe v. Wade
Some state abortion laws put on hold as providers grapple with aftermath of Dobbs decision
In Louisiana and Utah, judges put temporary holds on abortion bans and set future court dates to litigate the issue. Other states still have trigger laws currently in effect.
By Shannon Muchmore • June 28, 2022 -
Overturning of Roe v. Wade
Following Roe ruling, Biden administration warns payers they must cover contraception
Historically, insurer compliance with this provision of the law has been inconsistent, but the stakes for women’s health are significantly higher given the Supreme Court’s decision on Friday.
By Rebecca Pifer • June 28, 2022