Government: Page 55
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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 Parduhn • 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 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 -
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 Parduhn • June 28, 2022 -
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 -
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 -
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 -
Overturning of Roe v. Wade
Supreme 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 -
Colorado first state to launch public option via federal waiver
Through the waiver granted by the CMS on Thursday, Colorado can use federal funds to set up a government-run health plan, a long-held progressive healthcare goal.
By Rebecca Pifer Parduhn • June 24, 2022 -
SCOTUS rejects UnitedHealth appeal of Medicare Advantage overpayment rule
The justices declined to take up the case, leaving intact a lower court ruling that backed the 2014 CMS regulation requiring swift return of overpayments.
By Susan Kelly • June 22, 2022 -
Molina to pay $4.6M to settle False Claim Act allegations
The settlement comes after whistleblowers brought a suit against Molina and a former subsidiary, alleging care at Massachusetts-based behavioral health clinics was given by inadequately trained and unsupervised clinicians.
By Sydney Halleman • June 22, 2022 -
Medicare data errors impede health equity efforts, OIG says
The ability to assess health disparities and improve care delivery in communities of color hinges on the quality of race and ethnicity data that is currently falling short, the report said.
By Susan Kelly • June 21, 2022 -
Washington ups pressure on PBMs with more aggressive FTC policy, congressional ask for GAO study
The Federal Trade Commission has voted unanimously to adopt a policy statement to more closely examine fees and rebates paid to PBMs in exchange for preferred coverage of their drugs from payers.
By Rebecca Pifer Parduhn • June 21, 2022 -
Carol Highsmith. (2005). "The Apex Building" [Photo]. Retrieved from Wikimedia Commons.
Pharma under the microscope as FTC considers new ways to review acquisitions
At a two-day meeting, experts argued drug divestitures may not be enough to prevent market concentration. Economists and regulators also appeared worried by the effect of buyouts on innovation.
By Jonathan Gardner • June 17, 2022 -
Opinion
Expiration of healthcare subsidies will have domino effect, leading to higher prices and increased medical debt
Millions of Americans will experience dramatic price increases, become uninsured and likely accrue medical debt, GetInsured’s Heather Korbulic argues.
By Heather Korbulic • June 16, 2022 -
Apple Watch monitoring features for AFib, Parkinson's cleared by FDA
With the new feature, atrial fibrillation patients may have an easier way to track the frequency of the condition over time and see whether lifestyle changes may have positive effects.
By Nick Paul Taylor • June 16, 2022 -
FDA advisers recommend Pfizer, Moderna COVID-19 vaccines for youngest children
Independent experts unanimously supported use of both shots in children aged 6 months to 5 years old, clearing the way for an FDA decision.
By Ben Fidler • Updated June 15, 2022 -
Hospitals win SCOTUS case against 340B rate cuts
The Justices were unanimous in their decision, with Justice Brett Kavanaugh writing it was “a straightforward case.”
By Shannon Muchmore • June 15, 2022 -
Carol Highsmith. (2005). "The Apex Building" [Photo]. Retrieved from Wikimedia Commons.
RWJBarnabas Health scraps hospital acquisition deal
The nixed New Jersey deal marks another victory for the FTC, which stopped a separate hospital deal this year.
By Samantha Liss • June 14, 2022 -
Most Medicare Advantage enrollees like their plans, survey finds
As the program has soared in popularity, it has attracted the attention of federal investigators, including an HHS OIG report finding inappropriate prior authorization and claims denials.
By Susan Kelly • June 14, 2022 -
Deep Dive
Despite rosier trust fund outlook, time running out to stabilize Medicare funding, researchers warn
Though it’s tempting to interpret the recent Medicare trustees report as good news, academics are arguing lawmakers can’t wait until hospital trust fund insolvency is imminent before taking action to bolster the program.
By Rebecca Pifer Parduhn • June 13, 2022