Government: Page 6
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Medicaid cuts could have ‘far-reaching’ healthcare, economic impacts: study
Coverage losses linked to the massive tax and policy law could drive up excess deaths and preventable hospitalizations by 2034, according to the study in JAMA Health Forum.
By Emily Olsen • July 16, 2025 -
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Medicare targets site neutrality, price transparency in hospital outpatient rule
The proposed rule would send an additional $8 billion to hospitals next year, but includes a number of other policies hospital groups have criticized.
By Sydney Halleman , Emily Olsen • July 16, 2025 -
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Judge nixes Biden-era rule removing medical debt from credit reports
It’s a victory for the credit reporting industry and a loss for advocates of reducing medical debt. The Trump administration had declined to defend the rule in court.
By Rebecca Pifer • July 15, 2025 -
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CMS proposes rule aligning Medicare physician payment with ‘Big Beautiful Bill,’ MACRA
The sweeping regulation proposes notable changes to how Medicare pays physicians, but overall results in a modest bump to reimbursement in 2026.
By Rebecca Pifer • July 15, 2025 -
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CMS proposes covering renal denervation for hypertension
The proposed determination recommends Medicare coverage for both radiofrequency- and ultrasound-based renal denervation.
By Susan Kelly • July 11, 2025 -
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Alignment Healthcare wins partial victory in Medicare Advantage star ratings case
A judge agreed that the CMS should recalculate the scores for one Alignment plan in Arizona. Now, all of the insurer’s MA members are in plans rated four stars or higher.
By Rebecca Pifer • July 10, 2025 -
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CVS Omnicare ordered to pay $949 million in government fraud case
CVS plans to appeal the judgment, which comes after a jury ruled that its long-term care pharmacy benefits manager illegally charged Medicare, Medicaid and Tricare for prescription drugs for almost a decade.
By Rebecca Pifer • July 9, 2025 -
Courtesy of Thermo Fisher Scientific
Deep DiveThe Trump administration wants to onshore drug manufacturing. Technologists are answering the call.
Looming threats to the pharmaceutical supply chain have brought fresh attention to onshoring. Experts say innovation is happening, but slowly.
By Susanna Vogel • July 9, 2025 -
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Judge temporarily blocks megabill’s Planned Parenthood Medicaid funding ban
The restraining order prevents the Trump administration from enacting a provision of the massive tax and policy law that would cut Medicaid funding for Planned Parenthood.
By Emily Olsen • July 8, 2025 -
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Court orders HHS to restore webpages related to ‘gender ideology’
A federal judge ordered the government to reinstate critical documents as soon as possible, but left the door open for the Trump administration to take a second crack at removing the data.
By Susanna Vogel • July 8, 2025 -
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Medical groups, pregnant doctor sue RFK Jr. over vaccine changes
The complaint argues Kennedy’s actions to remove the COVID vaccine from the CDC's immunization schedule for pregnant people and healthy children were unlawful.
By Delilah Alvarado • Updated July 8, 2025 -
Tasos Katopodis via Getty Images
Historic Medicaid cuts to come as Trump signs domestic policy bill
President Donald Trump passed the GOP's tax megabill into law on Friday, setting into motion $1 trillion in Medicaid cuts despite objections from hospitals, doctors, insurers and other stakeholders in the healthcare industry.
By Emily Olsen • July 4, 2025 -
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Deep Dive
340B could have a new cop on the beat. Hospitals are worried.
The HHS wants to move oversight of the controversial drug discount program to the CMS, which has a more aggressive history with 340B than its covered providers would prefer. “It could be truly devastating,” one expert said.
By Rebecca Pifer • July 2, 2025 -
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DOJ charges more than 300 in $14.6B healthcare fraud bust
Matthew Galeotti, head of the Justice Department’s criminal division, called the operation “the beginning of a new era of aggressive prosecution and data-driven prevention” of healthcare fraud.
By Susanna Vogel • July 1, 2025 -
Tasos Katopodis via Getty Images
Senate passes Trump’s spending bill with massive Medicaid cuts
After a marathon “vote-a-rama,” the Senate narrowly passed the legislation 51-50, with Vice President JD Vance casting the tiebreaking vote.
By Emily Olsen , Susanna Vogel • Updated July 2, 2025 -
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CMMI to add prior authorization for some Medicare services
Beginning next year, the CMS will launch an AI-powered prior authorization process for some services as it seeks to cut funding for what it deems medically unnecessary care.
By Susanna Vogel • July 1, 2025 -
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FDA stops Olympus devices from entering the US
The agency said it issued the import alerts because it “continues to have concerns related to outstanding Quality System regulation violations by Olympus.”
By Nick Paul Taylor • June 30, 2025 -
Caroline Colvin/Healthcare Dive
Supreme Court allows states to cut Medicaid funding for Planned Parenthood
The judgment comes in a dispute over a South Carolina policy, but is expected to have sweeping implications nationwide.
By Susanna Vogel • June 30, 2025 -
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Supreme Court upholds ACA preventive services mandate
The high court preserved a key portion of the Affordable Care Act that requires private insurers to cover a range of preventive healthcare services without cost sharing.
By Emily Olsen • June 27, 2025 -
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Congress should reconsider breaking up pharmacy benefit managers, experts say
Many popular proposals to reform the PBM industry are missing the forest for the trees, drug market experts said in Washington, D.C. Instead, Congress should go after the root issue: the oligopoly enjoyed by the Big Three PBMs.
By Rebecca Pifer • June 27, 2025 -
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CVS Caremark to pay $95M in Medicare fraud case
A federal judge ruled in favor of a whistleblower, finding CVS’ pharmacy benefit manager Caremark overbilled Medicare for generic drugs.
By Sydney Halleman • June 26, 2025 -
Elijah Nouvelage via Getty Images
CDC panel, newly remade by RFK Jr., questions vaccine evidence
New members of the ACIP panel raised questions about the evidence supporting COVID vaccines, and signaled plans to look at other established shots, like those for measles and hepatitis B.
By Delilah Alvarado • June 25, 2025 -
Mario Tama / Staff via Getty Images
Medicaid, SNAP cuts could lead to nearly 500,000 lost healthcare jobs: report
A large portion of the 1.2 million jobs that could be lost nationwide in 2029 would come from the healthcare sector, like roles at hospitals, physician offices, pharmacies and long-term care providers.
By Emily Olsen • June 25, 2025 -
Kayla Bartkowski / Staff via Getty Images
RFK Jr. details some workers reinstated at HHS
The department reinstated more than 700 workers at the CDC and over 200 employees at the NIH after massive layoffs this spring, HHS Secretary Robert F. Kennedy Jr. told lawmakers on Tuesday.
By Emily Olsen • June 24, 2025 -
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Cassidy calls for delay to CDC vaccine meeting, challenging RFK Jr.
The GOP senator objected to Secretary Kennedy's recasting of the influential advisory panel, which has sparked criticism from medical groups and Democratic lawmakers.
By Delilah Alvarado • June 24, 2025
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