Government: Page 7
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Oz hints at impending CMS rule to force drug price transparency
The Trump administration hopes to issue a rule by the end of this year empowering regulators to “very forcefully” go after companies that don’t share information on drug costs, the CMS administrator said Tuesday.
By Rebecca Pifer • June 24, 2025 -
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Medicaid cuts would push struggling rural hospitals ‘over the edge’: report
Cuts to the safety-net program could push hundreds of rural hospitals into further financial distress and impact obstetrics care, according to a report from the Chartis Center for Rural Health.
By Sydney Halleman • June 23, 2025 -
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Health insurers, nudged by Trump administration, pledge reform to prior authorization
Major insurers have agreed to six commitments that should make accessing care easier for patients while removing administrative burden on providers. But, the pledges’ voluntary nature makes compliance an open question.
By Rebecca Pifer • June 23, 2025 -
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CMS slashes ACA sign-up periods, tightens eligibility in final rule
On Friday, the Trump administration finalized a rule that’s expected to cause between 725,000 and 1.8 million people to lose ACA coverage.
By Rebecca Pifer • June 23, 2025 -
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Medicare go-broke date pushed up three years in latest trustees report
The clock is ticking to stabilize Medicare, as a key trust fund underpinning the insurance program’s hospital benefit is now set to be depleted in 2033 instead of 2036.
By Rebecca Pifer • June 20, 2025 -
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ICHRA adoption grows as Congress mulls codifying the coverage into law
Though the vast majority of individual coverage health reimbursement arrangements remain among small employers, large employers are adopting the plans at a faster clip, the HRA Council found.
By Rebecca Pifer • June 18, 2025 -
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Supreme Court upholds Tennessee ban on youth gender-affirming care
Writing for the majority, Chief Justice John Roberts said the decision left treatment guidance with “the people, their elected representatives, and the democratic process.”
By Susanna Vogel • June 18, 2025 -
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Federal policies could reverse states’ historic coverage gains: report
The uninsurance rate for working adults fell from over 20% in 2013 to 11% in 2023. But federal policies like Medicaid cuts threaten that improvement, according to the Commonwealth Fund.
By Emily Olsen • June 18, 2025 -
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Federal judge strikes down NIH directives against DEI research
The American Civil Liberties Union called the ruling “a major victory for public health.” Federal officials are exploring their legal options, including an appeal.
By Laura Spitalniak • June 17, 2025 -
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GOP Medicaid cuts would cause thousands of preventable deaths: study
Medicaid provisions in Republicans’ reconciliation megabill would lead to between 8,000 and nearly 25,000 medically preventable deaths, according to new research in the Annals of Internal Medicine.
By Rebecca Pifer • June 17, 2025 -
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Humana’s cautious defense of Medicare Advantage
At the insurer's investor day, Humana struck a middle ground in defending the importance of the privatized Medicare program — which accounts for the bulk of its revenue — while allowing that there’s room for improvement.
By Rebecca Pifer • June 17, 2025 -
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Senate Republicans propose deeper Medicaid cuts in reconciliation bill
Hospital groups slammed the Senate’s version of the GOP legislation. The upper chamber “made a bad bill worse,” said Chip Kahn, CEO of the Federation of American Hospitals.
By Emily Olsen • June 17, 2025 -
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Could the FDA take an indirect approach to regulate LDTs?
Attorneys said many questions remain about the regulation of laboratory developed tests after the FDA lost its legal fight. A recent warning letter could be a clue to future enforcement.
By Susan Kelly • June 16, 2025 -
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Hundreds of rural hospitals at risk if Medicaid cuts pass, Democrats say
The data released by a group of Democrat lawmakers found 338 rural hospitals were at risk of closure, conversion or service cutbacks if Republicans’ reconciliation bill becomes law.
By Emily Olsen • June 16, 2025 -
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FDA to miss approval deadline for Kalvista drug due to ‘resource constraints’
A “heavy workload” and “limited resources” have left the agency unable to meet a June 17 deadline to approve a therapy Kalvista has been developing for hereditary angioedema.
By Ben Fidler • June 16, 2025 -
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Iowa passes law imposing tighter restrictions on PBMs
Last week, Gov. Kim Reynolds signed a law seeking to control rising prescription drug costs and protect rural pharmacies by targeting some of the drug middlemens’ most controversial practices.
By Susanna Vogel • June 16, 2025 -
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RFK Jr. reveals picks for influential vaccine panel
Days after firing all 17 members of the CDC's Advisory Committee for Immunization Practices, the HHS Secretary named a small new committee that includes multiple vaccine critics.
By Kristin Jensen • June 12, 2025 -
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Oregon’s new law is nation’s toughest against private equity in healthcare
Other states have passed laws bolstering oversight of healthcare deals this year, including Massachusetts, New Mexico, Indiana and Washington.
By Susanna Vogel • June 12, 2025 -
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HHS watchdog accuses CVS Medicare Advantage plan of upcoding
The vast majority of diagnoses codes that CVS subsidiary Coventry submitted to the CMS between 2018 and 2019 weren’t supported by patient documentation, the HHS Office of the Inspector General found.
By Rebecca Pifer • June 11, 2025 -
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Addiction treatment center to pay $1.9M to settle allegations it misled consumers
The civil penalty could almost quadruple if the FTC discovers Evoke Wellness, which allegedly poised as other treatment centers in a bid to nab new business, misrepresented its financial holdings.
By Rebecca Pifer • June 11, 2025 -
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Vaccine makers face fresh uncertainty after firing of CDC panel
The abrupt termination of the 17 panelists guiding the CDC’s vaccine recommendations could yield a new committee more aligned with Robert F. Kennedy Jr.’s skeptical views, analysts warned.
By Delilah Alvarado • June 10, 2025 -
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More than half of adults worry Medicaid cuts could hurt healthcare access: KFF
Concerns about the policies are split along party lines. Still, more than 30% of Republicans said they were concerned the cuts could negatively impact their ability to get and pay for healthcare.
By Emily Olsen • June 10, 2025 -
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PBM lobby sues Arkansas over law requiring drug middlemen to sell pharmacies
The Pharmaceutical Care Management Association is following in the footsteps of two of its largest members — Cigna’s Express Scripts and CVS’ Caremark — that have also sued Arkansas over its controversial law.
By Rebecca Pifer • June 10, 2025 -
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Public health scholars ask HHS to reject Georgia Medicaid work requirement extension
The American Public Health Association and dozens of other experts had harsh words for Georgia’s request to continue its controversial “Pathways to Coverage,” saying it enrolls fewer beneficiaries at a higher cost.
By Rebecca Pifer • June 6, 2025 -
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Nearly 11M would become uninsured under GOP reconciliation bill: CBO
The latest analysis from the nonpartisan budget scorekeeper found 7.8 million would lose coverage due to Medicaid cuts.
By Emily Olsen • June 5, 2025
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