Government: Page 57
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Megan Quinn/Healthcare Dive
Hospital, payer, IT groups urge Congress to overturn ban on unique patient identifier
Industry groups are ratcheting up the pressure on Congress to nix a decadesold ban on using federal funding to create a UPI. Subcommittees, meanwhile, are continuing hearings for 2023 appropriations bills.
By Rebecca Pifer Parduhn • May 5, 2022 -
Brandon Bell via Getty Images
ER providers push for federal protection against rising health worker violence
Nurses have been bitten, punched and strangled with stethoscopes, "all while just trying to provide basic care to patients," Todd Haines, a member of the Emergency Nurses Association, said Wednesday on Capitol Hill.
By Hailey Mensik • May 5, 2022 -
Telemedicine reached disadvantaged communities during pandemic, study finds
The results surprised Johns Hopkins University researchers, who said it contrasted with earlier findings showing an inverse link between socioeconomic status and use of telemedicine in the pandemic.
By Susan Kelly • May 4, 2022 -
Surprise Billing
Air ambulance provider latest to sue over surprise billing ban
The central issue of the new lawsuit is the guidance the federal government has provided to third-party arbiters.
By Samantha Liss • May 2, 2022 -
Joe Raedle via Getty Images
Biden admin suspends Georgia plan to let private sector run ACA marketplace
CMS Administrator Chiquita Brooks-LaSure said the controversial plan would provide coverage to fewer people and no longer complies with federal law and other policies.
By Rebecca Pifer Parduhn • May 2, 2022 -
Permission granted by Bristol-Myers Squibb
Bristol Myers wins FDA approval for first drug to treat inherited heart condition
Bristol Myers paid $13 billion to acquire the drug's maker, MyoKardia, and expects it to become a blockbuster. But a tricky dosing regimen, as well as safety concerns, could challenge the pharmaceutical giant's lofty forecast.
By Jonathan Gardner • April 29, 2022 -
Medicare Advantage plans denied some members needed care, OIG finds
The report calls for improved oversight of MA and urges the CMS to update audit protocols and issue new guidance on medical necessity reviews performed by the plans.
By Samantha Liss • April 29, 2022 -
Stefani Reynolds / Stringer via Getty Images
'Very false and misleading' criticisms over direct contracting stoked model controversy, stakeholders say
Political ire around direct contracting that came to a head earlier this year was rooted in a "real lack of understanding," one CEO of a physician group said at NAACOS' spring conference.
By Rebecca Pifer Parduhn • April 29, 2022 -
Sergio Flores via Getty Images
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 -
CrackerClips via Getty Images
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 Parduhn • 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 Parduhn • 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 -
Stefan Zaklin via Getty Images
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 Parduhn • 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 -
Mario Tama via Getty Images
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 Parduhn • 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 -
Anna Moneymaker via Getty Images
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 Parduhn • 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 -
Sarah Silbiger via Getty Images
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
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