Government: Page 86
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CBO finds COVID-19 puts Medicare trust fund insolvency just 4 years away
The pandemic has shaved two years off the expected lifespan of the hospital insurance fund, leading Medicare experts to urge Congress to act as soon as possible to save the program.
By Rebecca Pifer Parduhn • Sept. 4, 2020 -
Brian Tucker/Healthcare Dive
Final inpatient payment rule confirms price transparency push
CMS is also adding 24 technologies to receive add-on payments and finalizing a diagnosis-related group for CAR-T cancer therapies.
By Hailey Mensik • Updated Sept. 3, 2020 -
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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 -
CMS pitches coverage of breakthrough devices in tandem with FDA authorization
The proposal follows years of AdvaMed lobbying for products awarded the special FDA designation to gain Medicare reimbursement upon clearance or approval.
By Maria Rachal , Susan Kelly • Sept. 2, 2020 -
Abbott gets emergency authorization for rapid $5 COVID-19 antigen test
As the fourth company to get the FDA emergency nod, the medtech giant's scale makes it a "significant entry [that] could help democratize testing," said former agency head Scott Gottlieb.
By Nick Paul Taylor • Aug. 27, 2020 -
First platform in embattled VA-Cerner EHR project goes live
The $16 billion initiative has been dogged by delays, infrastructure problems and leadership turnover since 2018.
By Rebecca Pifer Parduhn • Aug. 26, 2020 -
Brian Tucker/Healthcare Dive
Hospitals slam 'disturbing' COVID-19 data reporting requirement threatening Medicare funding
The American Hospital Association quickly bashed the interim final rule, calling it "heavy-handed" and requesting it be reversed immediately.
By Shannon Muchmore • Aug. 26, 2020 -
Alex Wong via Getty Images
Trump admin delays final rule easing anti-kickback regs until next August
The American Hospital Association criticized the delay as "an extremely disappointing setback for hospital and health system efforts to continue to innovate coordinated care arrangements."
By Rebecca Pifer Parduhn • Updated Aug. 27, 2020 -
Courtesy of Fitbit
Fitbit launches new smartwatch as EKG feature awaits FDA's OK
The device, which includes a skin temperature sensor and a heart rate tracker, comes as wearables are being trialed as early warning devices for COVID-19.
By Rebecca Pifer Parduhn • Aug. 25, 2020 -
Dufour, Tia. (2020). "White House Press Briefing" [Photograph]. Retrieved from Flickr.
FDA ends pressure-packed weekend with emergency OK for blood-derived COVID-19 treatment
The emergency clearance for convalescent plasma came a day after public pressure from President Donald Trump to speed up treatments for the novel coronavirus, and without data from a placebo-controlled trial.
By Ben Fidler • Aug. 24, 2020 -
Permission granted by BioNTech SE
Many COVID-19 cost-sharing waivers set to expire by October: study
The Kaiser Family Foundation report raises concerns more privately insured individuals could soon be exposed to steep medical costs at a time of deep economic and public health instability, even as payers report record profits.
By Rebecca Pifer Parduhn • Aug. 21, 2020 -
Two-fifths of working-age adults lacked reliable insurance in first half of 2020, Commonwealth Fund says
People of color disproportionately lacked comprehensive coverage and were more likely to struggle financially with medical bills, the report found.
By Rebecca Pifer Parduhn • Aug. 19, 2020 -
Alex Wong via Getty Images
CMS urges resumption of essential procedures, organ transplants for ESRD patients
Medicare end-stage renal disease beneficiaries have 3.5 times heightened risk of COVID-19 infection, according to an HHS analysis of early claims data.
By Maria Rachal • Aug. 18, 2020 -
Jacob Bell/Healthcare Dive
FDA gives nod to COVID-19 saliva test that doesn't need special swab or collection device
While the agency called the method potentially groundbreaking, one public health expert cautioned that the assay must be performed in highly specialized labs and is not considered a rapid test.
By Nick Paul Taylor • Aug. 17, 2020 -
Patient-provider encounter trends have stabilized, but remain significantly lower than before COVID-19
Meanwhile, telemedicine encounters have settled in at rates much higher than pre-pandemic levels. However, they still make up just a fraction of visits, according to an analysis from The Commonwealth Fund.
By Ron Shinkman • Aug. 17, 2020 -
Payers win again, court rules Trump admin violated law in axing ACA cost-sharing payments
Judges said, however, that insurers able to raise premiums to offset the loss of the payments in 2018 should not receive the entire unpaid amount.
By Shannon Muchmore • Aug. 14, 2020 -
Oklahoma pulls Medicaid block grant application
The move comes after the state's voters narrowly approved Medicaid expansion last month and is a blow to the Trump administration's attempt to overhaul the program with block grants, long a conservative policy goal.
By Hailey Mensik • Aug. 14, 2020 -
As Congress eyes an inquiry into insurer profits, experts caution they may not last
"One thing that we can be certain of is that the lower level of claims cost experienced in the second quarter will not continue indefinitely," Bradley Ellis, senior director of North American insurance ratings for Fitch Ratings, said.
By Samantha Liss • Aug. 12, 2020 -
Biden VP pick Harris, early backer of 'Medicare for All,' later pivoted
Among the largest donors to Sen. Kamala Harris' primary run were workers, owners and political action committees associated with healthcare powerhouse Kaiser Permanente.
By Shannon Muchmore • Aug. 12, 2020 -
20 state AGs urge Trump admin to nix proposed tax breaks for health sharing ministries
Saying it would undermine the Affordable Care Act and encourage fraud, the attorneys general called a draft rule arbitrary and particularly dangerous amid the COVID-19 pandemic.
By Ron Shinkman • Aug. 12, 2020 -
New CMS value-based payment model aimed at rural hospitals, ACOs
The program will include upfront and capitated payments for providers as well as some regulatory flexibilities. It will require facilities to partner with state Medicaid agencies in an attempt to improve care coordination.
By Shannon Muchmore • Aug. 11, 2020 -
"White House Coronavirus Update Briefing". Retrieved from The White House.
State coronavirus testing plans diverge wildly, some intend slowdown by December
Monthly testing target reports submitted to HHS show Connecticut and Illinois seek to scale up, for example, while Louisiana and Maine predict lower volume by the end of the year.
By Maria Rachal • Aug. 11, 2020 -
OIG says hospitals overbilled Medicare $267M by improperly coding post-discharge services
The watchdog recommended CMS direct its recovery audit contractors to recoup overpayments made within the past four years.
By Ron Shinkman • Aug. 10, 2020 -
Telehealth claims dipped in May, but still up 5,680% from year ago: Fair Health
The latest insurance data found private claims for virtual care fell 33% from April, but are still wildly up amid lockdowns and the ongoing pandemic.
By Ron Shinkman • Aug. 7, 2020 -
Trump tries to revamp drug supply chain with latest order
A directive announced by the president Thursday would require government agencies to buy certain "essential" drugs from factories in the U.S. How easily such an order would be implemented isn't clear.
By Ben Fidler • Aug. 7, 2020 -
DOJ sues Cigna, alleging $1.4B in Medicare Advantage fraud
The payer used a medical assessment program to find health conditions that could raise risk scores of plan members, offering incentives to physicians who gave the exam, according to the lawsuit.
By Hailey Mensik • Aug. 6, 2020
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