Molina, Elevance, Centene win big with Medicaid contracts in California

The managed care organizations already held Medicaid contracts with the state, but the overhaul in counties served is causing one payer to consider appealing the proposed contracts.

By Rebecca Pifer Parduhn • Updated Aug. 29, 2022

HHS tells governors it ‘won’t hesitate’ to tap DOJ for states violating EMTALA

The department urged state governors to request federal funding, including Medicaid funds, to expand abortion access, including for pregnant people traveling from states that restrict or prohibit abortion.

By Sydney Halleman • Aug. 26, 2022

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Surprise Billing

Federal legislation banning surprise bills has hit a barrage of roadblocks, complicating efforts to protect consumers from unexpected out-of-network charges.

By Healthcare Dive staff

Judge blocks part of Idaho law, allowing physicians to perform abortions in emergencies

The ruling sides with the Biden administration, delivering a partial win for the DOJ in its first legal challenge since the Supreme Court ruled to overturn the constitutional right to an abortion.

By Samantha Liss • Aug. 25, 2022

Medicare Advantage lobby rebuts senator’s inquiry into ‘potentially deceptive’ marketing tactics

The Better Medicare Alliance is arguing that marketing materials for MA plans are already subject to “careful regulation” and adhere to a 53-page set of federal guidelines.

By Rebecca Pifer Parduhn • Aug. 24, 2022

Moderna follows Pfizer in asking FDA to approve updated COVID shot

The companies are moving quickly to supply vaccines targeting currently circulating omicron variants in time for the Biden administration's planned fall vaccination campaign.

By Kristen Jensen • Aug. 24, 2022

Texas judge blocks HHS guidance on emergency abortion care

The ruling, which sets back the Biden administration’s efforts to protect abortion access nationwide, comes just days before Texas’ trigger ban will go into effect, toughening abortion penalties in the state.

By Rebecca Pifer Parduhn • Aug. 24, 2022

4 California healthcare organizations reach $71M False Claims settlement

The organizations allegedly pocketed Medicaid adult expansion program funds meant to be returned to the state, according to a DOJ release.

By Hailey Mensik • Aug. 23, 2022

15M Medicaid enrollees risk coverage loss when COVID-19 health emergency ends, HHS reports

A disproportionate number of those who stand to lose coverage are children and young adults, according to the agency.

By Susan Kelly • Aug. 23, 2022

Fauci plans to step down in December

Anthony Fauci will leave his post as the director of the National Institute of Allergy and Infectious Diseases and as the president’s chief medical adviser.

By Samantha Liss • Aug. 22, 2022

CMS aims to mandate state quality reporting for Medicaid, CHIP

The proposed rule would require states to report on quality measurements for the two growing programs for the first time.

By Susan Kelly • Aug. 22, 2022

Biden admin adds 1.8M extra doses to monkeypox vaccine supply as New York urges more aid

Additional doses come amid rising demand, especially in hard-hit areas like New York where legislators are urging the Biden administration to invoke the Defense Production Act to produce more shots.

By Rebecca Pifer Parduhn • Aug. 19, 2022

CDC, amid criticism for COVID-19 response, plans reorganization as public health threats grow

The shakeup includes the creation of new offices, staffing moves and steps to expedite data releases, CDC director Rochelle Walensky informed staff on Wednesday.

By Rebecca Pifer Parduhn • Aug. 18, 2022

The promise of payer transparency

A new price transparency rule lends itself to creating a more equitable, cost-effective market for medical coverage, Clarify Health chief analytics and privacy officer Niall Brennan argues.

By Niall Brennan • Aug. 17, 2022

Payers, hospitals pleased as Biden signs sweeping health bill into law

The three-year continuation of enhanced subsidies for Affordable Care Act plans should help millions afford coverage and create some revenue stability for payers and hospitals in a tricky operational environment.

By Rebecca Pifer Parduhn • Aug. 17, 2022

FTC tells states to avoid shielding hospital mergers from antitrust enforcement

A report released Monday compiles research that shows arrangements, called Certificates of Public Advantage, result in higher prices, lower quality of care and lower wage growth for employees.

By Samantha Liss • Aug. 16, 2022

Pharma prepares to continue fight as drug pricing bill passes House

Analysts have highlighted ways in which drugmakers might seek to sidestep the law, which President Joe Biden is expected to sign Tuesday.

By Christopher Newman • Aug. 16, 2022

Philips CEO Frans van Houten to step down in October amid recall woes; Jakobs named successor

The leadership change comes amid the company’s ongoing recall problems, including negotiations on a consent decree with the Department of Justice.

By Ricky Zipp • Aug. 16, 2022

House passes bill extending ACA subsidies, allowing Medicare drug price negotiations

The bill, which passed on party lines in a 220-207 vote, will now head to President Joe Biden’s desk. He is expected to sign it into law this week.

By Sydney Halleman • Aug. 15, 2022

CDC, HHS release environmental index as federal government ramps up climate oversight

The index analyzes cumulative environmental factors at the individual census tract-level so local public health officials “can identify and map areas most at risk for the health impacts of environmental burden,” the HHS said.

By Sydney Halleman • Aug. 11, 2022

US takes step to expand monkeypox vaccine supply

The FDA authorized a new plan that could lead to a five-fold increase in available doses. European health officials may follow the agency's lead. 

By Kristin Jensen • Aug. 10, 2022

Hospitals still fall short on price transparency, consumer group says

Hospitals pushed back on the Patient Rights Advocate report, which found that just 16% of hospitals were fully compliant with the price transparency law.

By Susan Kelly • Aug. 10, 2022

HHS investing $60M to boost rural healthcare workforce

The latest funds build on $16 billion invested by the Biden administration to bolster rural healthcare last year, according to the HHS.

By Hailey Mensik • Aug. 9, 2022

Lilly criticizes Indiana abortion law, indicating it may look elsewhere to hire

After Indiana’s governor signed a near-total abortion ban into law, the drugmaker said it will rethink future hiring in the state.

By Delilah Alvarado • Aug. 8, 2022

CMS moves toward guidance on health equity, climate change

The CMS published feedback from commenters as the federal government and the Biden administration ramp up oversight of social issues.

By Sydney Halleman • Aug. 8, 2022

Senate passes bill extending ACA subsidies, adding Medicare price negotiations

The Inflation Reduction Act looked dead just weeks ago until Sen. Joe Manchin, D-W.Va., announced late last month that he had successfully negotiated with Democrats to pass it.

By Sydney Halleman • Aug. 8, 2022