Government: Page 6

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    CMS opens applications for Rural Health Transformation Fund

    States have been anticipating more details about the program since July. Now, they will have until Nov. 5 to submit applications for a piece of the $50 billion pie.

    By Susanna Vogel • Sept. 16, 2025
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    Elijah Nouvelage / Stringer via Getty Images
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    A key CDC panel meets this week to discuss vaccines. Here’s what to know.

    A two-day meeting could prove an inflection point in HHS Secretary Kennedy’s efforts to overhaul U.S. vaccine policy, as hand-picked advisers are set to vote on guidelines for measles, hepatitis B and COVID shots.

    By • Sept. 15, 2025
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    Alamy
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    FTC warns healthcare companies about restrictive noncompete contracts

    Chair Andrew Ferguson has sent letters to large healthcare employers and staffing firms asking them to review their employment contracts as the FTC pursues targeted enforcement of illegal noncompetes.

    By • Sept. 11, 2025
  • Sen. Ron Wyden speaks to reporters following a regular Democratic policy luncheon on April 8, 2025. Wyden is holding up the nomination of Sean Plankey to become director of CISA.
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    Andrew Harnik via Getty Images
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    Wyden urges FTC to investigate Microsoft over Ascension cyberattack

    The influential senator argued the technology giant delivered “dangerous, insecure software” to the health system that contributed to a massive cyberattack last year.

    By • Sept. 11, 2025
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    340B incentivizes hospital-clinic M&A, drives higher health spending: CBO

    The nonpartisan scorekeeper’s report reinforces longstanding concerns about the 340B drug discount program, including that it incentivizes behaviors that increase health costs for federal and private payers.

    By • Sept. 10, 2025
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    CMS issues guidance on cuts to Medicaid state-directed payments

    The guidance is meant to give states more time to meet requirements laid out in the One Big Beautiful Bill Act. 

    By Susanna Vogel • Sept. 10, 2025
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    AHA accuses drug companies of colluding to impose 340B rebate plans

    The hospital lobby wants the Trump administration to investigate Johnson & Johnson, Eli Lilly, Sanofi, Novartis and Bristol Myers Squibb, citing the suspicious timing of their 340B rebate proposals.

    By • Sept. 9, 2025
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    FTC drops Biden-era noncompete ban but promises continued enforcement

    Industries “plagued by thickets of noncompete agreements” will soon see warning letters from the agency, its chairman said Friday.

    By Ryan Golden • Sept. 8, 2025
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    Joe Raedle via Getty Images
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    House Republicans probe CVS for alleged HIPAA violation

    In June, CVS sent a mass text to pharmacy customers in Louisiana urging them to contact their representatives to oppose a PBM reform bill. That may have been illegal, two Republican congressmen say.

    By • Sept. 8, 2025
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    States unprepared to implement Medicaid work requirements: report

    Implementing work requirements should be a “multi-year project,” researchers said, but states have just until next year to prepare.

    By Susanna Vogel • Sept. 8, 2025
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    At Senate hearing, lawmakers express dissatisfaction with RFK Jr.’s vaccine moves

    Robert F. Kennedy Jr. faced criticism Thursday even from Republican lawmakers over changes to federal vaccine policy as well as a leadership crisis at the CDC.

    By , Jonathan Gardner • Sept. 4, 2025
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    HHS expands access to catastrophic plans ahead of premium pain on ACA exchanges

    The move will give more Americans a coverage alternative with low monthly premiums come November’s open enrollment, but could come at the expense of people who remain in standard Affordable Care Act plans.

    By • Sept. 4, 2025
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    Courtesy of Medtronic
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    Renal denervation gets strong backing from cardiologists ahead of Medicare coverage decision

    Doctors told the CMS that more patients need access to the procedure, with one calling it the start of a new era in hypertension management.

    By Susan Kelly • Sept. 4, 2025
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    CMS tweaks AHEAD all-payer model for states

    The model will now run for one additional year and require providers to assume more downside risk.

    By • Sept. 4, 2025
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    HHS threatens crackdown on information blocking

    The HHS says it will commit new resources to targeting and punishing providers, health IT companies and other groups found information blocking, though the pledge is scarce on details.

    By • Sept. 4, 2025
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    Megan Quinn/Healthcare Dive
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    Lawmakers scrutinize AI’s role in prior authorization, mental healthcare in House hearing

    Witnesses said that more oversight is needed to help the industry overcome a “foundational trust deficit” currently blocking uptake of artificial intelligence in healthcare.

    By Susanna Vogel • Sept. 4, 2025
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    UnitedHealthcare, Humana are gaming Medicare Advantage risk adjustment, analysis finds

    The research from the Alliance for Community Health Plans adds to existing evidence that major insurers are unfairly profiting from MA’s risk adjustment system, driving billions of dollars in unnecessary costs.

    By • Sept. 3, 2025
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    DOJ sues ProMedica Health for ‘non-existent, grossly substandard’ care at nursing homes

    The government alleges executives at ProMedica pressured four facilities to increase admissions and cut staffing, even while patient care deteriorated.

    By Susanna Vogel • Sept. 3, 2025
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    Medicare saved record $2.4B from largest accountable care program last year

    ACOs are also improving in quality, according to the CMS data. Still, the Medicare Shared Savings Program has struggled with waning provider buy-in.

    By • Sept. 3, 2025
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    Over 1,000 HHS workers call for RFK Jr. to step down

    The letter cites turmoil at the CDC, which is reeling from the firing of Director Susan Monarez and the departure of at least four high-level leaders last week.

    By • Sept. 3, 2025
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    AI devices with no clinical validation tied to more recalls, study finds

    Public companies, which accounted for about half of AI-enabled devices on the market, had a higher rate of recalls and a lower rate of clinical evidence, according to a JAMA study.

    By Elise Reuter • Sept. 2, 2025
  • CVS pharmacy sign outside of Miami, Florida on Feb. 7, 2024
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    Joe Raedle via Getty Images
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    CVS agrees to pay Massachusetts $12M to settle Medicaid overbilling claims

    The retail pharmacy giant has also agreed to annually review its practices to ensure the state’s Medicaid program is getting the lowest possible prices for prescription drugs.

    By • Sept. 2, 2025
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    CDC panel to discuss COVID, hepatitis B shots in September meeting

    A federal register notice confirmed dates for the anticipated advisory meeting, which will follow an FDA decision to narrow COVID boosters' approval and comes as CDC leadership is in turmoil.

    By • Aug. 28, 2025
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    Top healthcare legislation to watch so far this year

    Federal lawmakers have proposed dozens of bills targeting core healthcare issues, including 340B, Medicaid, AI and site-neutral payments.

    By Healthcare Dive staff • Aug. 28, 2025
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    Deep Dive

    A $50B rural health fund was negotiated with hospitals in mind. Experts are split on whether it will help them at all.

    The fund was created to help Republicans secure critical votes for their reconciliation bill. But experts aren't quite sure how it'll work, creating a $50 billion dollar question with major ramifications for rural hospitals.

    By Susanna Vogel • Aug. 26, 2025