Government: Page 50
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Moderna seeks FDA clearance for COVID-19 vaccine in young children
The biotech's shot would become the first available to children under 6, the last remaining age group currently ineligible for vaccination.
By Kristin Jensen • April 28, 2022 -
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Surprise BillingDOJ appeals surprise billing ruling in Texas
The Department of Justice intends to appeal a ruling siding with the Texas Medical Association, saying arbiters should not weigh any factor more heavily than others when resolving payment disputes between payers and providers.
By Samantha Liss • April 25, 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 -
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Biden admin drops challenge to Texas Medicaid waiver
The state's main hospital lobby called the waiver's survival, which was also praised by Republicans late last week, a relief.
By Rebecca Pifer • April 25, 2022 -
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DOJ cracks down on 'largest and most wide-ranging' COVID-19 fraud
Defendants — including doctors, medical business executives and fake vaccination card manufacturers — caused nearly $150 million in false billings to federal programs, the DOJ alleged.
By Rebecca Pifer • April 21, 2022 -
CMS underestimated hospital labor spending in payment adjustments, Premier says
Inpatient payment rates for fiscal 2023 released earlier this week also wouldn't adequately cover rising costs, according to the group purchasing organization.
By Hailey Mensik • April 21, 2022 -
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House Democrats urge Biden admin to curtail short-term plan access
The HHS is facing increasing pressure to limit enrollment in the cheap yet skimpy plans, which aren't required to comply with consumer protections under the Affordable Care Act.
By Rebecca Pifer • April 20, 2022 -
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Larger, less profitable hospitals more likely to have ownership change
In data released for the first time Wednesday, HHS also found changes in ownership over the past six years have been much more common in nursing homes than hospitals, with wide variations in ownership by state.
By Hailey Mensik • April 20, 2022 -
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Hospitals blast 'unacceptable' inpatient payment bump
Despite the 3.2% overall hike, the AHA argued that net payments to hospitals may decrease due to cuts in other areas, including uncompensated care.
By Shannon Muchmore • April 19, 2022 -
End of Medicaid continuous coverage may leave millions of children uninsured, analysis finds
Children are at highest risk in Texas, Florida and Georgia when states resume checking Medicaid eligibility after the public health emergency expires, Georgetown University researchers found.
By Susan Kelly • April 19, 2022 -
Supreme Court throws out Medicaid work requirement cases
The high court said the requirements were now moot given the Biden administration's dismissal of the policies, and sent them back to the trial court with instructions to dismiss prior judgments.
By Rebecca Pifer • April 19, 2022 -
ACA marketplace premiums decline for third consecutive year, Urban Institute finds
The marketplace is bucking the trend of sustained premium increases for job-based coverage, which provides insurance to a majority of nonelderly Americans.
By Samantha Liss • April 13, 2022 -
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Providence Health to pay $22M to settle claims of unnecessary neurosurgeries
Two neurosurgeons in Washington state were accused of operating on patients who were not appropriate candidates for surgery, causing excessive complications and negative outcomes.
By Susan Kelly • April 13, 2022 -
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HHS to request provider data on billing practices under new White House plan to ease medical debt
The department will use this information in grant determinations, and to shape data and policy recommendations to the public. It will also share potential violations with enforcement agencies.
By Rebecca Pifer • April 12, 2022 -
Medicare finalizes policy limiting coverage of Biogen Alzheimer's drug
Treatment with Aduhelm would only be covered for patients enrolled in a clinical trial under the policy, which largely follows a draft proposal released in January.
By Jonathan Gardner • Updated April 7, 2022 -
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FDA clarifies cybersecurity recommendations for device makers in new guidance
The draft guidance, which replaces a 2018 document, sets recommendations for how medical device companies should approach cybersecurity in premarket submissions.
By Elise Reuter • April 8, 2022 -
Sarah Silbiger via Getty Images
'Appropriate' transition period for COVID-19 test EUAs when public health emergency ends
The FDA is planning to give holders of EUAs for COVID-19 diagnostics and other devices 180 days notice of its intent to end their authorizations, in anticipation of U.S. public health emergency declarations stopping.
By Greg Slabodkin • April 8, 2022 -
Sarah Silbiger via Getty Images
Deep Dive
'Where's the patient?': Experts question FDA's final recall guidance
While the guidance encouraged the use of electronic communications in recalls, a change experts have advocated for, some questioned why the agency did not address more problems with the system.
By Ricky Zipp • April 7, 2022 -
Sergio Flores via Getty Images
FDA advisers grapple with how to update COVID-19 vaccines
About half of eligible Americans haven't received a booster and may be less protected should cases surge. Health officials hope to soon ready an updated shot, but experts on the committee struggled to identify the best approach.
By Ned Pagliarulo • Updated April 7, 2022 -
Anna Moneymaker via Getty Images
Biden proposes rule to fix ACA's 'family glitch'
The new regulation could help an estimated 200,000 uninsured people in the U.S. gain coverage, while 1 million could benefit from less expensive plans.
By Susan Kelly • April 6, 2022 -
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Facing opposition, Mass General Brigham pulls back surgery center plans
Although the system has withdrawn a proposal for three suburban surgery centers, it did secure recommendations for conditional approval for two other large-scale projects.
By Samantha Liss • April 5, 2022 -
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Nurses union fights in court for permanent COVID-19 protection rule
National Nurses United argued before a federal appeals court on Monday that an existing temporary emergency standard isn't enough to protect healthcare workers from the ongoing threat of COVID-19.
By Susan Kelly • April 5, 2022 -
Medicare Advantage plans will see 8.5% revenue bump in 2023
CMS is not changing the risk adjustment calculation, which is meant to compensate plans for treating sicker patients. That's despite calls for an overhaul in the wake of allegations of abuse of the system.
By Shannon Muchmore • April 5, 2022 -
Sarah Silbiger via Getty Images
5 FDA decisions to watch in the second quarter
Between April and June, the agency will advance key regulatory reviews in ALS and gene therapy as well as host an advisory meeting on cancer drugs.
By Ben Fidler , Ned Pagliarulo , Jacob Bell • April 4, 2022 -
Hospital lobby says merger guidelines don't need 'major revisions'
Antitrust regulators are angling to modernize the guidelines, which have not been updated in more than a decade, as the Biden administration increasingly cracks down on consolidation.
By Samantha Liss • March 31, 2022 -
Surprise Billing
Surprise medical bills rank as public's second-highest financial worry, survey finds
While 58% of the public said they're worried about being able to afford surprise bills, the majority of people with private insurance stated they knew nothing about the consumer protection law that went into effect in January.
By Rebecca Pifer • March 31, 2022
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