Government: Page 68
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Mark Makela via Getty Images
Hospital mergers to get added scrutiny under Biden order
The hospital lobby is against the executive order, which calls on regulators to "enforce the antitrust laws vigorously" and reminds them to challenge prior bad mergers.
By Samantha Liss • Updated July 12, 2021 -
Permission granted by Biogen
FDA revises labeling of Biogen Alzheimer's drug to emphasize early treatment
The drug's already controversial OK was made more so for applying to an exceptionally broad patient group. Critics argued the original label would spur use in those unlikely to benefit and balloon Medicare spending.
By Ned Pagliarulo , Ben Fidler • July 8, 2021 -
Permission granted by Massachusetts Nurses Association
Are recent labor actions getting nursing unions what they want?
While nurses in Cook County, Illinois, struck a deal in recent days, those on a more than three-month strike against a Tenet hospital in Massachusetts protested at the chain's Dallas headquarters Wednesday.
By Hailey Mensik • July 7, 2021 -
Permission granted by Walgreens
Walgreens plans 9 more micro-fulfillment centers for prescription delivery
The facilities will use automation to save pharmacists time and help Walgreens speed its prescription fulfillment process, according to executives.
By Edwin Lopez • July 7, 2021 -
Cleveland Clinic-owned hospital system pays $21M to settle False Claims allegations
Along with an Akron General Health System whistleblower, the Cleveland Clinic Foundation voluntarily disclosed to the federal government its concerns with some compensation arrangements, the DOJ said.
By Rebecca Pifer Parduhn • July 6, 2021 -
Alex Wong via Getty Images
CMS unveils new ESRD payment model in health equity push
The tweaks to the end-stage renal disease model is the CMS innovation center's first direct effort to address health disparities, a key priority for the Biden administration.
By Rebecca Pifer Parduhn • July 2, 2021 -
Surprise Billing
First of surprise billing ban rules mum on arbitration details
The highly anticipated rule bans surprise out-of-network and balance billing beginning in 2022 for people in employer-sponsored or individual marketplace plans.
By Rebecca Pifer Parduhn • July 1, 2021 -
Oklahoma Medicaid expansion kicks in, making eligible 190K low-income Americans
HHS Secretary Xavier Becerra congratulated the deep red state and urged the 13 remaining states that have yet to expand Medicaid to reconsider.
By Rebecca Pifer Parduhn • July 1, 2021 -
Justin Sullivan via Getty Images
OpinionHealthcare workers are part of American infrastructure
Congress should provide grants that allow schools of medicine and nursing in rural, underserved areas to expand and organize, the American Hospital Association's chief nursing officer argues.
By Robyn Begley • June 30, 2021 -
Permission granted by Biogen
Congress pressures FDA, Biogen on Alzheimer's drug approval, price
The agency's decision-making process as well as Biogen's pricing of Aduhelm at $56,000 per year are both under the microscope as the repercussions of the controversial OK continue to be felt.
By Jonathan Gardner • June 29, 2021 -
SCOTUS will not hear hospitals' appeal against site-neutral payments
The rule barring hospitals from receiving higher reimbursements for outpatient services compared to other providers was widely challenged, but now stands with the high court's decision.
By Hailey Mensik • June 29, 2021 -
Biden administration aims to further rebuild ACA with proposed rule
The regulation would lengthen the annual open enrollment period, expand the role of navigators and nix Trump-era guidelines for waivers that were criticized for allowing states to skirt coverage requirements.
By Shannon Muchmore • June 29, 2021 -
Permission granted by E.A. Crunden
Lawmakers reintroduce diagnostic regulation bill that split industry
The VALID Act would create a risk-based regulatory framework for in vitro diagnostics and laboratory-developed tests. ACLA, whose members include Quest and LabCorp, is reviewing the bill but has objected to earlier drafts.
By Nick Paul Taylor • June 28, 2021 -
Go Nakamura via Getty Images
CMS does not have enough authority to ensure hospital safety during pandemics, OIG says
The watchdog recommended CMS develop regulations that allow it to require special surveys during public health emergencies and after issuing substantive new guidance. The agency agreed with the recommendation.
By Shannon Muchmore • June 28, 2021 -
Gabriel Kuchta via Getty Images
More hospitals poised to require COVID-19 vaccines
It's "a trickle that will become a torrent," Ashish Jha, dean at Brown University's School of Public Health, tweeted.
By Samantha Liss • June 28, 2021 -
Sean M. Haffey via Getty Images
San Diego sues Molina, Kaiser, Centene's HealthNet over alleged 'ghost networks'
Ghost networks, provider directories that list out-of-network physicians as in-network, cause consumers to think their coverage is more comprehensive than it actually is and can make access to care even more difficult.
By Rebecca Pifer Parduhn • June 28, 2021 -
Half of ambulance rides could result in surprise bill, KFF finds
A ban on surprise billing kicks into effect next year, but ambulances are exempt from the legislation, meaning patients will still be on the hook for those pricey, unexpected bills.
By Rebecca Pifer Parduhn • June 25, 2021 -
Retrieved from C-SPAN on February 23, 2021
Biden admin 'absolutely supportive' of telehealth once crisis ebbs, Becerra says
The HHS secretary also stressed that, though affordable virtual care should be available to all, the agency would double down to ensure accountability for quality of care.
By Rebecca Pifer Parduhn • June 24, 2021 -
Missouri judge blocks voter-approved Medicaid expansion
Despite of the win at the ballot box in 2020, the state legislature failed to make funds available to expand the program to about 230,000 low-income adults.
By Samantha Liss • June 24, 2021 -
Sarah Silbiger via Getty Images
FDA documents show how controversial Alzheimer's drug decision was reached
A group of statisticians who had argued for rejection were overruled, internal memos show, as high-ranking agency officials got behind an accelerated clearance for Biogen's drug.
By Jacob Bell , Ned Pagliarulo • June 23, 2021 -
Alex Wong via Getty Images
CMS releases $20M in grants to bolster state-based marketplaces
States with their own eligibility platforms have enrolled more than 3.8 million people in ACA plans so far for the 2021 plan year. Many are now eligible for lower out-of-pocket costs or reduced monthly premiums.
By Rebecca Pifer Parduhn • June 23, 2021 -
Getty / Edited by Healthcare Dive
LifePoint to acquire Kindred, adding long-term and rehab facilities to its footprint
The private-equity backed companies did not disclose terms, but jointly took in about $14 billion in combined revenue in 2017, the last year of publicly disclosed information about their operations.
By Ron Shinkman • June 22, 2021 -
Justin Sullivan via Getty Images
New York passes safe staffing law for hospitals, nursing homes
"This law doesn't state that ratios must be stipulated, but inevitably that's what it means," said Judy Sheridan-Gonzales, president of the New York State Nurses Association.
By Hailey Mensik • June 22, 2021 -
Courtesy of Siemens Healthineers
UnitedHealthcare skimping on COVID-19 test pay, California doctor group alleges
The California Medical Association says UnitedHealthcare still is not covering the cost of all COVID-19 diagnostic testing, despite state and federal guidelines that require the services to be provided at no cost to patients.
By Susan Kelly • June 22, 2021 -
Record 1 in 4 Americans now covered by Medicaid, CHIP
Nearly 10 million people enrolled between February last year, a month before the COVID-19 national emergency began, and January 2021 — a 14% jump from previous enrollment stats.
By Rebecca Pifer Parduhn • June 22, 2021
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