Government: Page 2


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    FTC broadens health breach notification rule to include apps

    Regulators have been pursuing more enforcement actions against health applications sharing consumers’ data. Friday’s final rule should give those actions more heft.

    By April 29, 2024
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    Deep Dive

    California, Oregon eye universal health coverage

    The states' proposals, which resemble Medicare for All, need approval from the federal government and face pushback from major health systems and insurers.

    By John Canham-Clyne • April 24, 2024
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    Trendline

    Social 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 Blog staff
  • Pro-abortion protestors in front of the U.S. Supreme Court
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    Overturning of Roe v. Wade

    HHS finalizes reproductive health data protections

    HIPAA-covered entities will be barred from disclosing patient records on abortion, IVF or other reproductive healthcare that could be used in an investigation.

    By April 23, 2024
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    Nurse staffing rule slammed by both industry and advocacy groups

    The rule places stricter staffing requirements on nursing homes than those initially proposed and offers exemptions for certain providers.

    By April 23, 2024
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    FTC votes to ban noncompetes, with far-reaching effects on doctors

    The agency estimates the final rule would lower healthcare costs by $194 billion over the next decade, while freeing up physicians to more easily move between employers.

    By April 23, 2024
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    Medicaid final rules hand hospitals win on supplemental payments

    In two final rules issued Monday, the CMS also moved to crack down on financing gimmicks used by states and hospitals to increase federal Medicaid funding — though not until 2028.

    By April 23, 2024
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    Novant, CHS fire back after FTC sues to block North Carolina hospital sale

    The health systems resisted regulators’ allegations that the deal would stifle competition in the Charlotte area.

    By April 19, 2024
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    Providers, drugmakers at odds over new 340B dispute resolution process

    PhRMA said the new rule “panders to 340B hospitals,” while the American Hospital Association and 340B Health said the rule would preserve the drug discount program’s integrity.

    By April 19, 2024
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    ACOs led by independent physicians save Medicare ‘substantially’ more money, CBO says

    Independent practices have clearer financial incentives to lower medical spending than hospitals participating in accountable care organizations, according to the Congressional Budget Office.

    By April 17, 2024
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    Change Healthcare cyberattack

    Lawmakers raise healthcare consolidation concerns after Change cyberattack

    Legislators also slammed UnitedHealth Group, which acquired Change Healthcare nearly two years ago, for not sending a representative to the House subcommittee hearing.

    By April 16, 2024
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    Telehealth company Cerebral to pay $7M fine over data sharing

    The Federal Trade Commission alleged the digital mental healthcare company had provided sensitive data to third parties and maintained “sloppy” security practices.

    By April 16, 2024
  • The sign of the Veterans Affairs Department is hung on the podium during a news conference at Veterans Affairs Department September 8, 2014
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    VA plans to resume Oracle EHR rollout by end of FY 2025, secretary says

    The agency needs a single electronic health record that’s more interoperable with the Department of Defense, VA Secretary Denis McDonough told lawmakers.

    By April 15, 2024
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    Florida issues Medicaid managed care awards booting out UnitedHealth, CVS and Molina

    Meanwhile, Centene, Elevance and Humana held onto statewide contracts. The reprocurement was especially positive for Centene, which had been expected to lose market share, analysts said.

    By April 15, 2024
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    Medicaid redeterminations

    More than 20M disenrolled amid Medicaid redeterminations

    Nearly a quarter of adults removed from the safety-net program since early last year said they are uninsured, according to KFF.

    By April 12, 2024
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    Regeneron
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    US sues Regeneron, alleging false price reporting on Eylea

    The Department of Justice accused Regeneron of defrauding Medicare by knowingly inflating the average sales price for its top-selling eye drug.

    By Kristin Jensen • April 11, 2024
  • The HHS in DC
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    Alex Wong / Staff via Getty Images
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    CMS proposes 2.6% payment increase for inpatient hospitals next year

    Regulators said payments to hospitals would increase $3.2 billion in 2025 under the proposed rule. However, the American Hospital Association called the hike “woefully inadequate.”

    By April 11, 2024
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    Tracking Steward's decline

    Massachusetts 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 Blog.

    By 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 April 10, 2024
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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 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 April 9, 2024
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    Alex Wong via Getty Images
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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 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 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 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 April 2, 2024