Government: Page 5

  • The HHS in DC
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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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    Trendline

    Social determinants of health

    The focus on social determinants of health has only increased because of the impacts of the pandemic, with payers and providers trying to new ways to address the issues.

    By Healthcare Dive staff
  • The HHS in DC
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    Alex Wong / Staff via Getty Images
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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
  • Elevance headquarters is a large white and brown building surrounding a grassy quad.
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    Permission granted by Elevance Health
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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
  • A photograph of the exterior of the Food and Drug Administration headquarters in Maryland.
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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
  • ign on Doorway for the Federal Trade Commission in Washington D.C.
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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
  • An illustration of a stethoscope in the shape of a dollar sign.
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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
  • The Federal Trade Commission's building sign.
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    Gromit702 via Getty Images
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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
  • a medicaid insurance card on top of a small American flag
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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
  • The Federal Trade Commission headquarters is pictured in Washington, D.C. The agency's proposed noncompete ban may face legal challenges on several grounds.
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    RiverNorthPhotography via Getty Images
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    John Muir, Tenet hospital deal collapses following FTC lawsuit

    John Muir Health will no longer acquire a California medical center from Tenet Healthcare, one month after regulators sued to block the deal over concerns it could drive up health costs in the region.

    By • Dec. 19, 2023
  • A picture of the exterior of the US Department of Health and Human Services. In front of the building is a black sign designating the building's name.
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    Alex Wong via Getty Images
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    Surprise Billing

    No Surprises Act dispute portal reopens again amid ‘challenging’ policy rollout

    The CMS has repeatedly stopped and restarted arbitration this year as court cases snarl regulatory efforts to resolve surprise billing disputes.

    By • Dec. 18, 2023
  • Telemedicine, technology, middle aged couple using laptop for video meeting with doctor. Husband and wife at home on the couch with child listening and talking to the doctor.
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    Lawsuit alleges New Jersey’s telehealth licensure rules hamper access to care

    The suit comes as relaxed pandemic-era licensure rules for virtual care expire. Standard regulations are onerous for patients who may not be able to access specialty care for rare conditions, the lawsuit said. 

    By • Dec. 18, 2023
  • An image of the White House.
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    CVS, Geisinger, others sign responsible AI in healthcare pledge

    The voluntary commitment from 28 healthcare organizations comes as interest in artificial intelligence continues to grow.

    By • Dec. 15, 2023
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    North Carolina AG sues HCA over degraded care quality at Mission Health

    Attorney General Josh Stein slammed staffing and service shortages at Mission Hospital after HCA acquired it in 2019. “Responsibility for this downward spiral rests entirely with HCA,” the lawsuit says.

    By • Dec. 15, 2023
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    Stock via Getty Images
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    CMS asks health plans, PBMs to ease up on independent pharmacies

    A new letter urges payers to put in place special payment arrangements with pharmacies before a new policy kicks in that could reduce how much pharmacies are paid upfront.

    By • Dec. 15, 2023
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    Health spending growth normalized in 2022 post-COVID, CMS says

    Healthcare spending grew 4.1% in 2022, faster than 2021’s growth but notably slower than 2020’s, according to government actuaries.

    By • Dec. 14, 2023
  • A healthcare worker looks at a laptop wile writing down information.
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    PeopleImages via Getty Images
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    ‘A long time in the making’: New ONC rule targets healthcare AI transparency

    The sweeping rule requires developers of certified artificial intelligence tools to detail information including how products are maintained and monitored, as well as known risks and inappropriate uses.

    By • Dec. 14, 2023
  • The U.S. Supreme Court is seen in spring through the branches of a tree.
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    Overturning of Roe v. Wade

    Supreme Court to rule on abortion pill access

    The court's decision on mifepristone, expected by June, could have far-reaching implications for the FDA. 

    By • Dec. 13, 2023
  • Centene's headquarters in Clayton, Missouri, a suburb outside of St. Louis.
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    Samantha Liss/Healthcare Dive
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    Centene tries to quell concerns of ACA overhaul during investor day

    The Affordable Care Act has been under fire from Republican presidential candidates heading into an election year. But “once you giveth you cannot taketh away,” said the head of external affairs for the major marketplace carrier.

    By • Dec. 13, 2023
  • Humana
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    Courtesy of Humana
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    Humana used algorithm to deny care to Medicare Advantage patients, lawsuit claims

    The insurer is the latest to be hit with a suit over its use of algorithms to appraise claims.

    By • Dec. 13, 2023
  • A picture of the US Capitol building with the American flag waving in front of it
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    House passes bill targeting price transparency, site-neutral payments, PBMs

    Hospitals have lobbied against the site-neutral payment policies included in the bipartisan legislation.

    By • Dec. 12, 2023
  • ONC head Micky Tripathi stands behind a podium.
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    Courtesy of HHS
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    TEFCA goes live in ‘Big Bang’ for health data exchange

    Five Qualified Health Information Networks, or QHINs, completed the onboarding process and are ready for data exchange, with more companies in the pipeline.

    By • Dec. 12, 2023