Government: Page 2
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Tracking Steward's declineMassachusetts lawmakers call on regulators to review Steward-UnitedHealth deal
Antitrust agencies could be sympathetic toward the deal, given Steward’s financial distress and important hospital portfolio. But sympathy won’t shield the deal from scrutiny, an expert told Healthcare Dive.
By Susanna Vogel • April 10, 2024 -
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Confusion about Medicaid skewing coverage estimates, study finds
The number of people enrolled in Medicaid soared over the pandemic, but many enrollees may not have known their coverage had continued, new research suggests.
By Rebecca Pifer • April 10, 2024 -
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TrendlineSocial determinants of health
The focus on social determinants of health has only increased because of the impacts of the pandemic, with payers and providers trying to new ways to address the issues.
By Healthcare Dive staff -
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Michigan divvies out Medicaid contracts, with Centene, Molina seeing minor losses
However, the insurers could protest Michigan’s decision, potentially mitigating membership erosion.
By Rebecca Pifer • April 9, 2024 -
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North Carolina county seeks damages in HCA Mission lawsuit
Buncombe County is seeking to join a lawsuit from the state alleging HCA intentionally understaffed Mission’s emergency department, increased wait times and wasted taxpayer dollars.
By Susanna Vogel • April 9, 2024 -
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CMS caps broker payments in Medicare Advantage
The final rule issued last week prevents insurers from paying brokers additional fees for steering beneficiaries to their plans.
By Rebecca Pifer • April 8, 2024 -
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Physicians ask FDA to revoke approval of DNA test for opioid addiction
Providers said the test is based “on old genetic studies that have largely been abandoned” and could exacerbate the opioid crisis.
By Nick Paul Taylor • April 8, 2024 -
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Senate ramps up scrutiny of private equity ‘greed’ in healthcare
As private equity firms buy up hospitals and staffing agencies, lawmakers say they're increasingly concerned that patient care could suffer.
By Susanna Vogel • April 5, 2024 -
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CMS finalizes ACA network adequacy rule
Starting in 2026, plans sold in state-based exchanges will be required to meet time and distance standards for provider access that are already applied to plans sold federally.
By Rebecca Pifer • April 3, 2024 -
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Biden administration finalizes modest cut to 2025 Medicare Advantage rates
Despite heavy lobbying, insurers failed to see MA rates improve in the final rule, which codified a 0.16% decrease to benchmark funding.
By Rebecca Pifer • April 2, 2024 -
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School-based Medicaid billing concerns delay proposed rule
Concerns over negative impacts to students’ out-of-school public insurance benefits appear to be delaying the release of a federal education rule.
By Kara Arundel • April 2, 2024 -
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Biden administration finalizes rule cracking down on short-term plans
Democrat lawmakers and patient advocacy groups cheered the final rule for protecting patients from the skimpy plans, while free-market advocates slammed it as limiting coverage options for consumers.
By Rebecca Pifer • March 29, 2024 -
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New federal health IT strategy increases focus on public health, AI
The draft plan builds on its predecessor, which the health IT agency said drove “significant progress” in the use and exchange of electronic health information.
By Emily Olsen • March 28, 2024 -
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CMS streamlines Medicaid, CHIP renewal and enrollment in final rule
It’s the “most robust and meaningful” regulation streamlining Medicaid eligibility since the Affordable Care Act was implemented a decade ago, one lawyer said.
By Rebecca Pifer • March 28, 2024 -
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Overturning of Roe v. WadeSupreme Court weighs abortion opponents’ standing in mifepristone case
Reversal of the FDA’s expanded access could limit use of medication abortion even in states that have legal protections for the procedure in place.
By Delilah Alvarado • March 27, 2024 -
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Medicare’s GLP-1 spending is skyrocketing, even without weight loss coverage: KFF
Gross Medicare spending on the pricey drugs rose from $57 million in 2018 to $5.7 billion in 2022, according to a new analysis from the health policy group.
By Rebecca Pifer • March 27, 2024 -
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Change Healthcare cyberattackSenior lawmaker questions UnitedHealth over Change cyberattack
Rep. Jamie Raskin, D-Md., said UnitedHealth’s “rapid consolidation and vertical integration” has major consequences for the healthcare sector, including increased control of the health IT market.
By Emily Olsen • March 26, 2024 -
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OIG details errors with VA, Oracle EHR deployment
Three reports released last week outline scheduling and pharmacy problems with the electronic health record integration — including an error that may have contributed to a patient’s death.
By Emily Olsen • March 25, 2024 -
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As laboratory-developed test rule looms, experts warn patients may lose access to critical diagnostics
In testimony to Congress Thursday, industry and patient group leaders described the trade-offs expected from increased FDA oversight of laboratory-developed tests.
By Susan Kelly • March 22, 2024 -
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Change Healthcare cyberattackHospital groups question HHS about data breach reporting after Change attack
In a Thursday letter, the American Hospital Association urged the HHS’ Office for Civil Rights to reduce possible “duplicative” breach notifications from the Change cyberattack.
By Susanna Vogel • March 22, 2024 -
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Medicare to cover Novo’s obesity drug for some patients
Two weeks after the FDA updated Wegovy’s label, Medicare changed its stance to allow people with a history of heart disease to receive treatment, a shift that could further boost access to the fast-selling medicine.
By Ben Fidler • March 22, 2024 -
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CMS launches model to increase primary care investment in Medicare
Value-based care and physician interest groups said the model should create a more stable cash flow for providers.
By Rebecca Pifer • March 20, 2024 -
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MedPAC’s physician pay recommendations insufficient, provider groups say
The Medicare Advisory Payment Commission also suggests tying the rate of physician payment increases to the Medicare Economic Index — a move some industry groups support.
By Susanna Vogel • March 19, 2024 -
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Deep Dive // HIMSS24‘As fast as possible but no faster than is safe’: Hospitals, tech companies confront AI governance
Regulators seeking to erect guardrails around AI are facing a Sisyphean task, experts said at HIMSS. How do you oversee something that is constantly changing?
By Rebecca Pifer • March 18, 2024 -
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Change Healthcare cyberattack
CMS releases Medicaid payment flexibilities during Change cyberattack
The relief comes as 94% of hospitals reported financial impact from the outage, according to a survey from the American Hospital Association.
By Emily Olsen • March 18, 2024 -
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Government watchdog warns of Medicaid oversight gaps
The CMS doesn’t require states to report data on outcomes or care denials, and has made “delayed” progress on plans to analyze the information and make it public, according to the Government Accountability Office.
By Rebecca Pifer • March 18, 2024
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