Government: Page 6
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John Muir, Tenet hospital deal collapses following FTC lawsuit
John Muir Health will no longer acquire a California medical center from Tenet Healthcare, one month after regulators sued to block the deal over concerns it could drive up health costs in the region.
By Sydney Halleman • Dec. 19, 2023 -
Surprise Billing
No Surprises Act dispute portal reopens again amid ‘challenging’ policy rollout
The CMS has repeatedly stopped and restarted arbitration this year as court cases snarl regulatory efforts to resolve surprise billing disputes.
By Susanna Vogel • Dec. 18, 2023 -
Trendline
Social determinants of health
The focus on social determinants of health has only increased because of the impacts of the pandemic, with payers and providers trying to new ways to address the issues.
By Healthcare Dive staff -
Lawsuit alleges New Jersey’s telehealth licensure rules hamper access to care
The suit comes as relaxed pandemic-era licensure rules for virtual care expire. Standard regulations are onerous for patients who may not be able to access specialty care for rare conditions, the lawsuit said.
By Emily Olsen • Dec. 18, 2023 -
CVS, Geisinger, others sign responsible AI in healthcare pledge
The voluntary commitment from 28 healthcare organizations comes as interest in artificial intelligence continues to grow.
By Emily Olsen • Dec. 15, 2023 -
North Carolina AG sues HCA over degraded care quality at Mission Health
Attorney General Josh Stein slammed staffing and service shortages at Mission Hospital after HCA acquired it in 2019. “Responsibility for this downward spiral rests entirely with HCA,” the lawsuit says.
By Susanna Vogel • Dec. 15, 2023 -
CMS asks health plans, PBMs to ease up on independent pharmacies
A new letter urges payers to put in place special payment arrangements with pharmacies before a new policy kicks in that could reduce how much pharmacies are paid upfront.
By Rebecca Pifer • Dec. 15, 2023 -
Health spending growth normalized in 2022 post-COVID, CMS says
Healthcare spending grew 4.1% in 2022, faster than 2021’s growth but notably slower than 2020’s, according to government actuaries.
By Rebecca Pifer • Dec. 14, 2023 -
‘A long time in the making’: New ONC rule targets healthcare AI transparency
The sweeping rule requires developers of certified artificial intelligence tools to detail information including how products are maintained and monitored, as well as known risks and inappropriate uses.
By Emily Olsen • Dec. 14, 2023 -
Overturning of Roe v. Wade
Supreme Court to rule on abortion pill access
The court's decision on mifepristone, expected by June, could have far-reaching implications for the FDA.
By Delilah Alvarado • Dec. 13, 2023 -
Centene tries to quell concerns of ACA overhaul during investor day
The Affordable Care Act has been under fire from Republican presidential candidates heading into an election year. But “once you giveth you cannot taketh away,” said the head of external affairs for the major marketplace carrier.
By Rebecca Pifer • Dec. 13, 2023 -
Humana used algorithm to deny care to Medicare Advantage patients, lawsuit claims
The insurer is the latest to be hit with a suit over its use of algorithms to appraise claims.
By Susanna Vogel • Dec. 13, 2023 -
House passes bill targeting price transparency, site-neutral payments, PBMs
Hospitals have lobbied against the site-neutral payment policies included in the bipartisan legislation.
By Sydney Halleman • Dec. 12, 2023 -
TEFCA goes live in ‘Big Bang’ for health data exchange
Five Qualified Health Information Networks, or QHINs, completed the onboarding process and are ready for data exchange, with more companies in the pipeline.
By Emily Olsen • Dec. 12, 2023 -
HHS settles first phishing cyberattack investigation with Louisiana medical group
The agency found Lafourche Medical Group failed to conduct a risk analysis or regularly review its information system activity. The 2021 breach may have exposed the data of nearly 35,000 patients.
By Emily Olsen • Dec. 11, 2023 -
White House wants to set minimum cyber standards for hospitals, healthcare
The sector has faced a wave of ransomware linked to the critical CitrixBleed vulnerability, which has led to major attacks from LockBit and other threat groups.
By David Jones • Dec. 11, 2023 -
Senators probe private equity’s role in hospital operations
The inquiry comes as the White House this week said it would investigate private equity investment in healthcare as federal scrutiny of firms ramps up.
By Susanna Vogel • Dec. 8, 2023 -
Hospital lobbies push back on site-neutral provision in House bill
The American Hospital Association and the Federation of American Hospitals sent letters to Congress this week opposing a bill that would equalize payments for drugs administered in outpatient clinics.
By Rebecca Pifer • Dec. 8, 2023 -
Biden administration goes after drug patents in bid to lower prices
The White House is supporting a policy that would allow the U.S. government to sidestep patent protections for drugs developed with federal funding and that have prices deemed “extreme, unjustified, and exploitative.”
By Jonathan Gardner • Dec. 7, 2023 -
Michigan doubles fines for violence against healthcare workers
The Great Lakes state will issue harsher penalties next year in an attempt to deter workplace assault and harassment.
By Susanna Vogel • Dec. 7, 2023 -
HHS’ new cyber framework for hospitals includes stricter requirements, potential penalties
The agency’s plans include working with Congress to receive funding to support hospitals’ security infrastructures as the sector faces the growing threat of cyberattacks.
By Emily Olsen • Updated Dec. 7, 2023 -
Interstate travel for abortion care has doubled since 2020: Guttmacher
The data highlights how convenient access to abortion care has been eliminated in many states after the fall of Roe v. Wade last summer.
By Rebecca Pifer • Dec. 7, 2023 -
Clover Health exits ACO REACH
The beleaguered insurer will leave the accountable care program at the end of the 2023 performance year following disappointing results in Medicare direct contracting.
By Rebecca Pifer • Dec. 6, 2023 -
Veteran’s lawsuit alleges VA Oracle EHR delayed cancer diagnosis
The suit alleges an army veteran’s diagnosis was held up for months due to errors with the electronic health record.
By Emily Olsen • Dec. 6, 2023 -
CMS says states could lose funding over Medicaid redeterminations issues
The interim final rule comes as nearly 11.8 million people have been removed from the safety-net insurance.
By Emily Olsen • Dec. 5, 2023 -
Deep Dive
A Cigna-Humana merger could face a long regulatory delay. But it might get approved.
As rumors swirl that the two major health insurers are inching toward a merger, experts say antitrust agencies have grounds to block a deal — but may not be successful.
By Rebecca Pifer • Dec. 4, 2023