Government: Page 65
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Surprise BillingAHIP backs HHS in surprise billing suit, pushes back against provider claims
Relying on the qualifying payment amount, or median in-network rate, helps center the payment dispute, creating a starting point for when payers and providers may need to turn to a third-party arbiter, the lobby argued.
By Samantha Liss • Jan. 19, 2022 -
Carol Highsmith. (2005). "Apex Bldg." [Photo]. Retrieved from Wikimedia Commons.
Antitrust regulators aim to revamp merger guidelines, signaling threat to health sector deals
The news sparked headlines about an attempt by regulators to target big tech, but it could have serious implications for healthcare for years to come.
By Samantha Liss • Jan. 19, 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 -
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Biden administration publishes long-awaited TEFCA interoperability framework
After TEFCA's many fits and starts, ONC head Micky Tripathi called its finalization a "milestone" marking the beginning of a "new era of electronic health information exchange in the U.S."
By Rebecca Pifer Parduhn • Jan. 18, 2022 -
WhiteHouse.gov
Biden administration to buy 500M more rapid COVID-19 tests to give to Americans
The announcement by President Joe Biden now brings the administration's total purchase to 1 billion test kits. Abbott Laboratories, iHealth and Roche have so far been awarded contracts for a combined 380 million tests.
By Greg Slabodkin • Jan. 14, 2022 -
Permission granted by Biogen
Medicare faces blowback over plan to limit coverage of Biogen's Alzheimer's drug
Biogen, along with allies in industry, plans to pressure Medicare to water down its policy, which limits coverage of Aduhelm and drugs like it to clinical trials.
By Jonathan Gardner , Jacob Bell • Jan. 14, 2022 -
Providers concerned about staffing shortages post-SCOTUS vaccination mandate ruling
Nursing facilities are particularly worried about the strain a vaccination mandate could have on their shrinking workforce, and are urging CMS to consider a regular testing option for unvaccinated workers.
By Rebecca Pifer Parduhn • Jan. 14, 2022 -
Permission granted by BioNTech SE
SCOTUS narrowly upholds health worker vaccine mandate
The court's liberal justices agree with the government that CMS has the authority to impose the requirement, just one of many healthcare organizations must comply with to be eligible for Medicare and Medicaid funding.
By Hailey Mensik • Jan. 13, 2022 -
Sarah Silbiger via Getty Images
FDA seeks feedback on draft device shortage guidance
A new document poses a series of questions for industry on the overall design and operation of the policy, and is intended to help manufacturers provide timely information about supply disruptions during public health emergencies.
By Nick Paul Taylor • Jan. 13, 2022 -
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Biden health officials defend COVID-19 testing policies amid diagnostics shortage
Acting FDA Commissioner Janet Woodcock and others were under fire from senators during a Tuesday hearing for not doing enough to increase the availability of tests.
By Greg Slabodkin • Jan. 12, 2022 -
Permission granted by Biogen
Medicare proposes to limit coverage of Biogen Alzheimer's drug
The program will only cover Aduhelm, which the FDA controversially approved last June, for patients enrolled in clinical trials.
By Jonathan Gardner , Jacob Bell • Updated Jan. 11, 2022 -
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Becerra orders CMS to reassess Medicare premiums after Aduhelm cost cut
It's an unusual step for HHS, given the plan year has already begun, and follows Biogen slashing the price of its controversial Alzheimer's drug in half.
By Rebecca Pifer Parduhn • Jan. 10, 2022 -
Win McNamee via Getty Images
Stakeholders urge Supreme Court to act fast on OSHA mandate
"We are asking for a stay before enforcement takes effect Monday," an attorney for the National Federation of Independent Businesses said.
By Ryan Golden • Updated Jan. 10, 2022 -
SCOTUS justices leave opening for healthcare worker vaccine mandate
The key question is whether the agencies enacting federal COVID-19 vaccine mandates — OSHA and CMS — had the authority to do so, or whether that power falls to the states.
By Hailey Mensik • Jan. 7, 2022 -
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Biden admin proposes stricter network adequacy, marketing standards for MA plans
CMS is looking to hold Medicare Advantage plans to a higher standard as their rolls swell, targeting their networks, marketing practices and spending; while improving dual-eligible and Part D costs and patient input.
By Rebecca Pifer Parduhn • Jan. 7, 2022 -
Supreme Court sets Jan. 7 hearing on vaccine mandate rules
The justices will hear arguments on the requirement that healthcare workers must be fully vaccinated amid a flurry of legal challenges.
By Hailey Mensik • Dec. 23, 2021 -
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Most COVID-19 medical device EUAs lack documented supporting data, JAMA study shows
The use of "low-quality data" is reasonable at the start of a crisis but FDA should consider raising the standard of evidence after multiple products come to market, according to the authors of the study.
By Nick Paul Taylor • Dec. 22, 2021 -
Biden administration to send military medical personnel to overwhelmed hospitals
As the omicron variant spreads rapidly, the White House is mobilizing federal agencies to assist hospitals and states in the latest wave of infection.
By Shannon Muchmore • Dec. 21, 2021 -
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Federal COVID-19 aid fueled huge jump in national health spending last year
The pandemic accounted for major changes in who paid for healthcare as job losses spurred changes in coverage types, while people deferred care and spent less out of their own pockets.
By Shannon Muchmore • Dec. 16, 2021 -
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HHS to funnel $9B in relief funds to providers
The federal government will reimburse smaller providers more favorably in this funding round, regulators said, acknowledging these facilities tend to operate on shakier financial footing compared to larger peers.
By Samantha Liss • Dec. 15, 2021 -
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SCOTUS blocks challenge to New York's health worker vaccine mandate
The lawsuit was filed by a group of doctors and other medical professionals protesting that the state's requirement for staff in hospitals, long-term care and other healthcare facilities does not allow for a religious exemption.
By Hailey Mensik • Dec. 14, 2021 -
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Flurry of doctor group buyouts helps fuel 'extraordinary' surge in health M&A
Companies across the healthcare spectrum are pursuing deals to strengthen operations after two years of pandemic-driven challenges, a new PwC report found.
By Susan Kelly • Dec. 14, 2021 -
Hospital price disclosure push coming up short, JAMA study finds
Researchers said lack of transparency on costs for services by independent providers that bill separately from hospitals is complicating CMS' effort to help patients shop around for the best value.
By Susan Kelly • Dec. 13, 2021 -
Sarah Silbiger via Getty Images
FDA seeks comment on 3D printing of medical devices at hospitals, doctor's offices
The agency's discussion paper lays out the benefits and challenges of creating 3D-printed devices in healthcare settings as well as a potential approach for regulatory oversight.
By Greg Slabodkin • Dec. 13, 2021 -
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Surprise BillingHospital, doctor lobbies sue HHS over implementation of surprise billing ban
Congress intended for an arbiter to be able to consider a constellation of factors when payment disputes arise, but the final rule severely limits what an arbiter can consider, the lawsuit claims.
By Samantha Liss • Dec. 9, 2021 -
Megan Quinn/Healthcare Dive
Senate passes legislation to avoid Medicare cuts in year-end sprint
The bill, which delays 2% cuts to Medicare rates through March and a separate round of 4% cuts to 2023, now heads to President Joe Biden's desk for his signature.
By Rebecca Pifer Parduhn • Updated Dec. 10, 2021
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