Government: Page 52
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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 Parduhn • July 8, 2022 -
Carol Highsmith. (2005). "The Apex Building" [Photo]. Retrieved from Wikimedia Commons.
Overturning of Roe v. WadeLawmakers 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 Parduhn • July 7, 2022 -
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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 Parduhn • July 7, 2022 -
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'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 -
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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 Parduhn • July 6, 2022 -
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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 -
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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 Parduhn • July 5, 2022 -
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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 -
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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 Parduhn • 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 Parduhn • July 1, 2022 -
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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 Parduhn • June 30, 2022 -
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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 -
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Overturning of Roe v. WadeHHS 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 -
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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 -
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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 Parduhn • June 29, 2022 -
Megan Quinn/Healthcare Dive
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 Parduhn • 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 -
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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 -
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Overturning of Roe v. WadeSome 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 -
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Overturning of Roe v. WadeFollowing 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 Parduhn • June 28, 2022 -
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Supreme Court rules in favor of HHS in Medicare disproportionate share payments case
The highest court upheld HHS' method of calculating Medicare payments to hospitals serving a high proportion of low-income patients, rebutting hospitals’ efforts to recoup potentially billions of dollars from the program.
By Rebecca Pifer Parduhn • June 27, 2022 -
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Overturning of Roe v. Wade‘Chaos’ from state abortion bans going into effect will have legal, criminal implications for providers
The effect of the Supreme Court’s opinion has been felt by providers, medical groups and hospitals across the country, including primary care doctors and emergency physicians.
By Shannon Muchmore • June 24, 2022 -
Megan Quinn/Healthcare Dive
Firearm-safety law is move toward acknowledging gun violence as public health issue, physicians say
Medical associations representing physicians voiced their support for the legislation and have recently strengthened their messaging on gun reform following mass shootings.
By Hailey Mensik • June 24, 2022 -
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Overturning of Roe v. WadeSupreme Court overturns Roe v. Wade, ending constitutional right to abortion
Most abortions are now banned in at least 13 states, as a flurry of laws restricting the procedure came into effect following the Supreme Court’s highly controversial decision.
By Sydney Halleman • June 24, 2022
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