Government: Page 63
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Deep Dive // HIMSS22
'The promise it really brings': talking TEFCA with Sequoia Project CEO Mariann Yeager
ONC's main partner in creating a nationwide framework for data exchange shared details on timeline, buy-in and the vision for TEFCA on the sidelines of HIMSS22.
By Rebecca Pifer Parduhn • March 15, 2022 -
Site that lets consumers compare hospital prices goes live
Turquoise Health's online search platform lists prices for medical procedures and rates the transparency efforts of nearly 6,000 hospitals.
By Susan Kelly • March 15, 2022 -
Explore the Trendline➔
Getty Images
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 -
Carol Highsmith. (2005). "Apex Bldg." [Photo]. Retrieved from Wikimedia Commons.
Grassley pushes for PBM probe
The senator wants FTC commissioners to come up with a more targeted focus for the study and suggested narrowing a review to the impact on consumers and their out-of-pocket costs.
By Samantha Liss • March 14, 2022 -
Deep Dive
Threats, obscenities, homicide: Healthcare workers stressed by pandemic face elevated violence
Millions of healthcare workers across the country are becoming inured to workplace violence, which can range from verbal abuse and threats to physical attacks and even homicide.
By Hailey Mensik • March 9, 2022 -
OSHA stepping up hospital inspections for COVID-19 mitigation efforts
The agency will ramp up investigations at healthcare facilities that previously received pandemic-related citations or complaints to make sure they're effectively prepared and able to prevent the rise of potential variants.
By Hailey Mensik • March 9, 2022 -
Pricier care correlated with lower mortality, but only in competitive hospital markets, study finds
Patients admitted to more expensive hospitals in competitive markets had a 35% lower chance of mortality, but higher costs weren't correlated with better outcomes in less competitive areas, NBER found.
By Susan Kelly • March 7, 2022 -
National Institute of Allergy and Infectious Diseases. (2020). "Novel Coronavirus SARS-CoV-2" [Micrograph]. Retrieved from Flickr.
FDA warns about unauthorized versions of rapid COVID-19 tests from 3 manufacturers
The manufacturers have all received emergency use authorizations for antigen tests. But the FDA has learned some unauthorized versions of their diagnostics have entered the country.
By Nick Paul Taylor • March 3, 2022 -
Biden discusses drug prices, mental health services in annual address
The president also announced a "test to treat" program that would allow people to receive a COVID-19 test at a pharmacy and immediately receive free antiviral pills, such as Pfizer's Paxlovid or Merck's molnupiravir.
By Shannon Muchmore • March 2, 2022 -
HHS received almost 300 info blocking claims since April, with majority lodged against providers
It's unclear what percentage of the claims are substantiated, though 77% of the possible claims of information blocking are against healthcare providers.
By Rebecca Pifer Parduhn • March 1, 2022 -
Healthcare sector on alert for cyber threats in wake of Russia's invasion of Ukraine
AHA is especially concerned that some hospitals were collateral damage after Russia targeted Ukraine in a 2017 cyberattack that quickly spilled worldwide.
By Samantha Liss • Feb. 28, 2022 -
CMS redesigns controversial Medicare direct contracting model
The decision to retain the direct contracting model — albeit with numerous changes and a new name — was met with mixed reactions from stakeholders.
By Rebecca Pifer Parduhn • Feb. 28, 2022 -
HHS sets out plans to make medical device, diagnostics supply chains pandemic-proof
The department wants to shore up the public health supply chain by investing in personal protective equipment, durable medical equipment and testing.
By Nick Paul Taylor • Feb. 28, 2022 -
DOJ moves forward with suit to block UnitedHealth's acquisition of Change
The lawsuit alleges that if UnitedHealth acquired Change, the payer would be able to gain a competitive advantage by seeing "very competitively sensitive" data from other insurers.
By Shannon Muchmore • Feb. 25, 2022 -
Carol Highsmith. (2005). "Apex Bldg." [Photo]. Retrieved from Wikimedia Commons.
FTC seeks public comments on pharmacy benefit managers' impact on patients, pharmacies
After a failed bid to launch a formal inquiry into PBMs, the FTC now says it wants to collect comments from the public to study a wide array of PBM practices.
By Samantha Liss • Feb. 25, 2022 -
Rhode Island's largest health systems abandon merger after FTC sues to block union
Lifespan and Care New England's boards decided "not to pursue litigation," according to a joint statement released Wednesday.
By Hailey Mensik , Samantha Liss • Feb. 24, 2022 -
Surprise Billing
Texas judge throws out piece of surprise billing rule in win for providers
The ruling tosses out the part of the rule that instructs arbiters must begin with the presumption that the qualifying payment amount, or median in-network rate, is the appropriate out-of-network amount to be paid to providers.
By Samantha Liss • Feb. 24, 2022 -
Carol Highsmith. (2005). "Apex Bldg." [Photo]. Retrieved from Wikimedia Commons.
FTC sues to block Rhode Island's largest health systems from merging
Regulators allege a union between Lifespan and Care New England would increase prices and diminish quality as the combined system would control at least 70% of the state's hospital market.
By Samantha Liss • Feb. 18, 2022 -
Carol Highsmith. (2005). "Apex Bldg." [Photo]. Retrieved from Wikimedia Commons.
FTC to vote on investigation into PBMs' drug pricing practices
The agency's commissioners will weigh Thursday whether to investigate PBMs and their relationship to drug prices and "practices that may disadvantage independent or specialty pharmacies," according to the meeting agenda.
By Samantha Liss • Feb. 17, 2022 -
Retrieved from FTC.
FTC fails to get enough votes to launch study into PBM practices
Numerous pharmacists urged commissioners to probe the practices of PBMs, which they allege harm their independent pharmacies and threaten to drive them out of business.
By Samantha Liss • Feb. 17, 2022 -
Q&A
FDA digital health chief talks new role with agency, AI tech
Bakul Patel, chief digital health officer for the Center for Devices and Radiological Health, will help FDA meet its strategic priorities and set regulatory policies for new technologies such as AI and machine learning.
By Elise Reuter • Feb. 17, 2022 -
AstraZeneca notches win in ongoing 340B legal fight
The decision vacates a violation letter HHS sent to the drugmaker that argued it was illegally restricting discounts on drugs providers delivered through contract pharmacies.
By Shannon Muchmore • Feb. 17, 2022 -
Molina plans steep reduction in marketplace enrollment
The payer is expected to lose two-thirds of its marketplace enrollment by the end of the year, according to executives.
By Samantha Liss • Feb. 16, 2022 -
Nonprofit hospitals may provide less community benefit than for-profits in some states, study suggests
The results raise questions about the magnitude of tax subsidies nonprofits receive, and whether policymakers should better tie subsidies to facility performance in providing community benefit.
By Hailey Mensik • Feb. 16, 2022 -
DOJ has until Feb. 27 to sue to block UnitedHealth's $8B Change acquisition
The companies said they would give the DOJ 10 days notice before completing the merger, during which the DOJ could launch a lawsuit to block it. On Feb. 17, UnitedHealth and Change gave the regulators that notice.
By Rebecca Pifer Parduhn • Updated Feb. 22, 2022 -
Califf confirmed as FDA chief in close vote, ending protracted vacancy
Several Democratic lawmakers opposed Califf over his industry ties and the FDA's past policies on opioid painkillers, drawing out the confirmation process and making the final vote close.
By Jonathan Gardner • Feb. 15, 2022