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The administration says withholding these drugs could violate civil rights law. Still, its effort to assert that federal law preempts state bans on abortions is likely to be challenged in court.
A new federal rescue program that pays rural hospitals to shutter underused inpatient units and focus solely on emergency rooms and outpatient care hasn’t generated much interest yet.
Senate Democrats are expected to soon submit legislative language to the parliamentarian for review. The proposal would raise an estimated $203 billion over ten years in order to push out the start of Medicare insolvency from 2028 until 2031.
The maternity ward at Windham Hospital had been scheduled for permanent closure, but the state Office of Health Strategy denied the application. In Medicaid news, St. Anthony Hospital is allowed to sue Illinois over delayed payments. Also: "phantom" doctors, the Epic-Tata lawsuit and more.
In addition to allowing federal officials to negotiate the price that Medicare pays for some drugs, the bill would cap annual out-of-pocket drug costs for Medicare beneficiaries at $2,000. But before Democrats can pass the bill under special rules that prevent Republicans from staging a filibuster, they must get approval from the Senate parliamentarian.
The Health Affairs study looked at hospital readmission rates for Medicare patients and found that communities with more nursing home beds and physicians benefitted. Meanwhile, Modern Healthcare reports on questions over CMS' covid quality plan.
The operator pled guilty to an illegal body part selling scheme Tuesday. In other news, health insurers in Michigan are reported to be planning rate boosts next year by an average of 5.8% for small group policies. Also: St. Louis' inefficient 911 system, giant African land snails in Florida and more.
Even a decade in, the Affordable Care Act’s recommendations to simply cover preventive screening and care without cost sharing remain confusing and complex.
The Centers for Medicare and Medicaid Services announced last week that it will use payroll data to make sure nursing homes have enough staff. CMS also proposed that hospitals participating in the new "Rural Emergency Hospital" model must meet similar criteria to critical-access hospitals.
The proposal builds on a plan negotiated by moderate Democrats in November, which would have required the Department of Health and Human Services to negotiate prices within certain limits for up to 20 of the highest-cost drugs — plus insulin — in the Part B outpatient program and the Part D drug program, Roll Call reported.
Stat covers the latest push for transparency on health care pricing. Meanwhile, a study reported in USA Today reveals more than half of U.S. hospitals are failing to meet either of the two main requirements of the Hospital Price Transparency law aimed at consumer-friendly pricing.
Modern Healthcare warns negotiations between health providers and insurers may be "bloody" thanks to the impact of inflation, which rose for general goods more than health care in May. Separately, Medicare Advantage is chastised by government watchdogs for denying care and overcharging.
A Michigan Supreme Court ruling threw out charges that had been laid against officials involved in the Flint water lead contamination scandal. Meanwhile, scientists examining gas supplies in Boston homes found harmful compounds in natural gas leaking from stovetops.
The Government Accountability Office and the Health and Human Services inspector general’s office say seniors enrolled in the program are suffering and taxpayers are getting bilked for billions of dollars a year.
Researchers estimate that nearly a third of American covid deaths could would have been avoided if the nation had a universal health care system. Other industry news stories report on the cost of health disparities and the Supreme Court's decision related to dialysis.
Harvard Medical School researchers estimate that in 2020 alone, Medicare could have spent $3.6 billion less on generic acid-reflux, cancer and other drugs if purchased through Cost Plus Drug Company, a new online pharmacy backed by Mark Cuban. The analysis finds that other insurers could also benefit from the business model.
The money for the expanded federal program, announced by Vice President Kamala Harris, comes from the $1.9 trillion stimulus fund. Employee costs for health insurance screening, Medicare data problems, a HHS health IT task force, and more are also in the health industry news.
Hospitals participating in the 340B program will be able to recoup billions in drug payments that Supreme Court justices unanimously decided were improperly cut. The Trump administration reduced the Medicare subsidies, and the Biden administration defended the policy.
The U.S. health system now produces debt on a mass scale, a new investigation shows. Patients face gut-wrenching sacrifices.
Noble Health swept into two small Missouri towns promising to save their hospitals. Instead, workers and vendors say it stopped paying bills and government inspectors found it put patients at risk. Within two years — after taking millions in federal covid relief and big administrative fees — it locked the doors.
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