Government: Page 3
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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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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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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 cyberattackCMS 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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Q&A // HIMSS24Microsoft’s health VP takes on responsible AI
David Rhew talks about Microsoft's new AI governance network and federal regulators’ plan to more actively oversee the technology.
By Rebecca Pifer • March 18, 2024 -
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Change Healthcare cyberattackHHS opens investigation into Change Healthcare cyberattack
The Office for Civil Rights will focus on whether protected health information was breached and if UnitedHealth complied with privacy and security requirements.
By Emily Olsen • March 14, 2024 -
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Q&ACenter for Connected Health Policy’s Mei Kwong on what to expect for telehealth regulations
Some telehealth provisions could expire by the end of the year unless Congress makes them permanent.
By Brian T. Horowitz • March 14, 2024 -
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HIMSS24HHS artificial intelligence task force takes shape
The new group will stand up “assurance, monitoring, risk-management practices” around AI in healthcare, according to a top HHS official.
By Rebecca Pifer • March 14, 2024 -
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Continuous Medicaid enrollment linked to less postpartum coverage loss, study finds
States that have expanded Medicaid for a year after pregnancy might see similar coverage gains, researchers wrote.
By Emily Olsen • March 13, 2024 -
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Biden’s proposed budget for 2025 boosts cybersecurity funds, extends ACA subsidies
The budget request includes proposals for “Medicaid-like” coverage in non-expansion states and future penalties for hospitals that don’t implement cybersecurity standards.
By Emily Olsen • March 13, 2024 -
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Change Healthcare cyberattackWhite House meets with UnitedHealth, industry groups on Change cyberattack fallout
Officials called on payers to cut red tape and offer financial support to providers, including advanced payments.
By Emily Olsen • March 13, 2024 -
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Biden proposes strengthening Medicare’s drug pricing power
The administration seeks to significantly increase the number of drugs each year that would be subjected to price negotiations under provisions of the Inflation Reduction Act.
By Kristin Jensen • March 7, 2024 -
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House committee advances bill to block nursing home staffing standards
In a 26-17 vote, the House Ways and Means Committee passed a bill that would stop the CMS from approving Biden’s controversial proposed staffing minimum policy.
By Susanna Vogel • March 7, 2024 -
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Federal government probes healthcare private equity deals
The cross-agency investigation comes as scrutiny rises regarding corporate consolidation in healthcare.
By Susanna Vogel • March 6, 2024 -
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Dexcom receives FDA clearance for first OTC glucose sensor
The diabetes tech firm tailored its software to the 25 million people in the U.S. who have Type 2 diabetes and do not use insulin.
By Nick Paul Taylor • March 6, 2024 -
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Change Healthcare cyberattack
CMS rolls out provider flexibilities amid fallout from Change cyberattack
Provider groups argued the government should go further to financially bolster providers during the outage at Change Healthcare.
By Emily Olsen • March 5, 2024 -
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Elevance gains $190M on revised MA star ratings
It’s a positive development for the insurer, which sued the government earlier this year after its quality scores fell dramatically.
By Rebecca Pifer • March 5, 2024 -
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Hospital price transparency compliance dips: report
Lenient regulatory enforcement has led hospitals to disregard price transparency requirements, according to watchdog group Patient Rights Advocate.
By Susanna Vogel • March 4, 2024 -
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Molina loses Medicaid contract in Virginia
It’s the second recent Medicaid state loss for Molina, despite executives expressing confidence about the insurer’s ability to retain contracts.
By Rebecca Pifer • March 1, 2024 -
Courtesy of UnitedHealth Group
UnitedHealth under antitrust investigation by DOJ: reports
Regulators are reportedly looking into the massive healthcare conglomerate’s potential anticompetitive effects, including the relationship between its health insurer UnitedHealthcare and physician network Optum.
By Rebecca Pifer • Feb. 28, 2024 -
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Lobby-funded study argues Medicare Advantage rate cuts are worse than CMS expects
Medicare Advantage payment per month per beneficiary could drop by 1% next year if regulators finalize rates as proposed, according to the analysis backed by the Better Medicare Alliance.
By Rebecca Pifer • Feb. 27, 2024
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