Medicare proposes 2.6% bump to hospital outpatient pay next year
Healthcare Dive » Policy & Regulation News
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1w ago
The sweeping payment rule also solidifies continuous eligibility requirements for children in Medicaid and CHIP, and holds hospitals to higher obstetric care delivery standards in a bid to improve maternal mortality ..read more
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Federal Trade Commission to sue three largest PBMs: WSJ
Healthcare Dive » Policy & Regulation News
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1w ago
Antitrust regulators are poised to file suit against CVS Caremark, Express Scripts and Optum Rx over how they negotiate discounts for drugs, including insulin, according to the report ..read more
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Judge pauses CMS rule capping compensation for Medicare Advantage brokers
Healthcare Dive » Policy & Regulation News
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1w ago
Texas Judge Reed O’Connor’s decision suggests he could overturn at least part of the rule, which is meant to curb predatory plan marketing to seniors ..read more
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FDA’s lab developed test rule could be first check on agency’s power post-Chevron
Healthcare Dive » Policy & Regulation News
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1w ago
The Supreme Court’s decision to overturn the Chevron doctrine would make it easier to challenge agency regulations, such as the LDT final rule ..read more
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CMS proposes 2.9% cut to physician pay for 2025
Healthcare Dive » Policy & Regulation News
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1w ago
Regulators said Medicare’s budget neutrality requirement is to blame for the reduction, which was quickly decried by provider groups. However, it’s likely Congress will step in to mitigate the drop ..read more
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ONC proposed rule targets interoperability for public health, payers
Healthcare Dive » Policy & Regulation News
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1w ago
The sweeping rule includes provisions to improve public health data sharing — a serious pain point during the COVID-19 pandemic —  as well as to boost security in health records and speed prior authorization ..read more
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CMS’ first No Surprises audit targets Aetna, finds some noncompliance
Healthcare Dive » Policy & Regulation News
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1w ago
The findings are a “big deal,” according to one expert, as CVS’ health insurer didn’t follow some “major requirements that are essential to ensuring that the IDR process runs smoothly ..read more
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House committee tells FDA to suspend lab developed test rule
Healthcare Dive » Policy & Regulation News
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1w ago
Lawmakers said the final rule carries “the risk of greatly altering the United States’ laboratory testing infrastructure ..read more
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Senators introduce bipartisan healthcare cybersecurity legislation
Healthcare Dive » Policy & Regulation News
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1w ago
The bill would create a special liaison within the Cybersecurity and Infrastructure Security Agency to help coordinate the government’s response during cyber incidents ..read more
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UnitedHealthcare, Neighborhood Health Plan win Rhode Island Medicaid contracts
Healthcare Dive » Policy & Regulation News
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1w ago
The state’s managed care organizations handle health benefits for 90% of its Medicaid beneficiaries each year ..read more
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