Government: Page 60
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Opinion
Expiration of healthcare subsidies will have domino effect, leading to higher prices and increased medical debt
Millions of Americans will experience dramatic price increases, become uninsured and likely accrue medical debt, GetInsured’s Heather Korbulic argues.
By Heather Korbulic • June 16, 2022 -
Apple Watch monitoring features for AFib, Parkinson's cleared by FDA
With the new feature, atrial fibrillation patients may have an easier way to track the frequency of the condition over time and see whether lifestyle changes may have positive effects.
By Nick Paul Taylor • June 16, 2022 -
Explore the Trendline➔
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TrendlineSurprise 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 -
FDA advisers recommend Pfizer, Moderna COVID-19 vaccines for youngest children
Independent experts unanimously supported use of both shots in children aged 6 months to 5 years old, clearing the way for an FDA decision.
By Ben Fidler • Updated June 15, 2022 -
Hospitals win SCOTUS case against 340B rate cuts
The Justices were unanimous in their decision, with Justice Brett Kavanaugh writing it was “a straightforward case.”
By Shannon Muchmore • June 15, 2022 -
Carol Highsmith. (2005). "The Apex Building" [Photo]. Retrieved from Wikimedia Commons.
RWJBarnabas Health scraps hospital acquisition deal
The nixed New Jersey deal marks another victory for the FTC, which stopped a separate hospital deal this year.
By Samantha Liss • June 14, 2022 -
Most Medicare Advantage enrollees like their plans, survey finds
As the program has soared in popularity, it has attracted the attention of federal investigators, including an HHS OIG report finding inappropriate prior authorization and claims denials.
By Susan Kelly • June 14, 2022 -
Deep Dive
Despite rosier trust fund outlook, time running out to stabilize Medicare funding, researchers warn
Though it’s tempting to interpret the recent Medicare trustees report as good news, academics are arguing lawmakers can’t wait until hospital trust fund insolvency is imminent before taking action to bolster the program.
By Rebecca Pifer Parduhn • June 13, 2022 -
FDA staff supportive of Pfizer, Moderna COVID vaccines in young children
Agency scientists found the shots to be similarly effective in kids as in older teenagers and raised no major safety red flags, documents published ahead of a meeting of agency advisers this week show.
By Jonathan Gardner , Ned Pagliarulo • June 13, 2022 -
FTC hits UnitedHealth, LHC with another request for information on $5.4B buy
Marrying LHC, which manages a sizable share of the home health market, with Optum, one of the biggest physician groups in the country, has raised regulators’ eyebrows.
By Rebecca Pifer Parduhn • June 13, 2022 -
Surprise Billing
Hospital lobby urges CMS to delay enforcement of price estimate requirement
The contested provision in the No Surprises Act requires certain providers to assemble a comprehensive cost estimate for patients, including costs from other providers that could step in to provide care.
By Samantha Liss • June 9, 2022 -
CMS issues first price transparency fines to 2 Georgia hospitals
Regulators have been criticized for moving slowly to enforce the rules, which came into effect January last year amid fierce opposition from hospital groups.
By Rebecca Pifer Parduhn • June 9, 2022 -
HCA's purchase of 5 Utah hospitals from Steward on pause after judge's order
The court will now weigh whether to issue a preliminary injunction and will hear from both parties before deciding whether to block the deal.
By Samantha Liss • June 8, 2022 -
Carol Highsmith. (2005). "Apex Bldg." [Photo]. Retrieved from Wikimedia Commons.
FTC launches investigation into PBMs; CVS, UnitedHealth, Cigna and more hit with requests for data
Pharmacy groups cheered the news, which reversed a vote earlier this year by FTC commissioners not to investigate PBMs' pricing and contractual practices.
By Rebecca Pifer Parduhn • June 7, 2022 -
Leapfrog raises concerns about CMS proposal to suppress patient safety data
The CMS is the only source for this data, and without it the public will not have information on preventable complications such as bed sores, inpatient falls that result in a broken hip, or sepsis, Leapfrog executives said.
By Samantha Liss • June 6, 2022 -
Healthcare payrolls recovering, still lag pre-pandemic levels
Hospitals led growth in healthcare jobs in May as the industry slowly rebuilds its pandemic-shaken workforce.
By Susan Kelly • June 6, 2022 -
Payers to return $1B to enrollees after record years of rebates, KFF says
The amount reflects the third-straight year of large insurer rebates as payers experienced high profits from the COVID-19 pandemic.
By Sydney Halleman • June 3, 2022 -
Carol Highsmith. (2005). "Apex Bldg." [Photo]. Retrieved from Wikimedia Commons.
FTC sues to block 2 hospital mergers
Steward Health Care System said it is deeply disappointed by the Federal Trade Commission’s decision to challenge its sale to HCA Healthcare in Utah as it weighs next steps.
By Samantha Liss • Updated June 7, 2022 -
Trustees' report shows additional breathing room for Medicare solvency, though concerns remain
Stronger-than-expected economic recovery from COVID-19 pushed back Medicare's go-broke date by two years, though budget hawks are warning the sunnier outlook might rely on outdated assumptions.
By Rebecca Pifer Parduhn • June 3, 2022 -
Medicare premiums will remain unchanged after Aduhelm price cut spurs review
The HHS Secretary had hoped premiums could be cut for seniors sooner rather than later but there are "legal and operational hurdles" to changing premiums midyear, according to a statement released Friday.
By Samantha Liss • May 31, 2022 -
HHS asks for more information blocking authority from Congress
If Congress grants regulators the expanded authority, actors could be protected from steep fines for data-sharing practices the HHS previously said were acceptable under complex information blocking regulations.
By Rebecca Pifer Parduhn • May 27, 2022 -
Rollback of pandemic protections to test Medicaid managed care organizations
At question is whether insurers will be able to shift Medicaid members who lose coverage to subsidized marketplace plans.
By Samantha Liss • May 26, 2022 -
Healthcare spending could drop $11.4B next year if ACA premium subsidies expire, research finds
The looming coverage cliff would also hit providers financially, according to a new report. President Joe Biden has pushed Congress to extend the more generous financial aid provided by the American Rescue Plan.
By Rebecca Pifer Parduhn • May 26, 2022 -
North Carolina Republicans draft Medicaid expansion bill
The proposal, which signals growing support for expansion among state lawmakers after years of opposition, would add 600,000 low-income adults to the safety net insurance program.
By Susan Kelly • May 25, 2022 -
AHA urges DOJ to probe Medicare Advantage plans that deny care
The hospital lobby is pushing the Justice Department to punish Medicare Advantage organizations that routinely deny coverage to beneficiaries.
By Susan Kelly • May 23, 2022 -
Google hires former FDA digital health officer to global strategy post
In his new role, Bakul Patel will help Google build a unified digital health and regulatory strategy.
By Samantha Liss • May 19, 2022