The new rule includes additional amendments designed to accelerate the use of virtual check-ins and Remote Patient Monitoring in the market. Here’s a look at why the rule is good but not gr...
https://medcitynews.com/2018/11/cms-virtual-care-and-remote-patient-monitoring-reimbursement/
Seema Verma, administrator of the Centers for Medicare & Medicaid Services, said it’s wrong to have ACOs that can only make profits but not risk any losses. “We want to put the accountabi...
CMS Administrator Seema Verma said the navigators that operate in the 34 states that use the federal marketplace — including many health and religious organizations — were ineffective and...
https://medcitynews.com/2018/07/trump-administration-slashes-funding-to-insurance-navigator-groups/
“The Supreme Court will ultimately decide if nearly 800,000 West Virginians with pre-existing conditions will lose their healthcare,” said U.S. Senator Joe Manchin (D-West Virginia)
https://medcitynews.com/2018/07/supreme-court-nominee-and-aca/
California Attorney General Xavier Becerra said attacks by the Trump Administration threaten healthcare for millions of Americans.
Seema Verma, administrator of the Centers for Medicare and Medicaid Services, refused to discuss the findings in any detail or comment on any individual states that performed poorly or excep...
In his plans to cut sky-high drug prices unveiled Friday, Trump said that increasing industry competition will help Americans save at the pharmacy counter.
https://medcitynews.com/2018/05/trumps-drug-cost-cutting-plans/
Hiring the president’s personal attorney matches a history of aggressively courting government officials by a corporation with much to lose in the debate over high drug prices.
https://medcitynews.com/2018/05/this-is-why-novartis-paid-trumps-lawyer-michael-cohen-1-2-million/
CHIP, which covers 9 million children from low-income families that earn too much to qualify for Medicaid, is mostly federally funded. But states operate the program within federal guidelines...
The pharma industry as a whole has cranked up political contributions and lobbying. Meanwhile, despite much talk about change, Congress and the Trump administration have done little to contro...
https://medcitynews.com/2018/05/pharma-pressure-on-drug-prices-and-political-acivity/
A 2-to-1 ruling by the U.S. 4th Circuit Court of Appeals invalidated a Maryland law meant to limit “price-gouging” by makers of generic drugs. The appeals court held that Maryland’s ...
President Donald Trump should name hedge fund manager Steve Cohen as Secretary for Veterans Affairs instead of Trump’s personal physician Ronny Jackson.
https://dealbreaker.com/2018/04/just-make-steve-cohen-v-a-secretary-and-get-it-over-with/
Here is a timeline of the most consequential events that have shaped the health law through the Trump Administration’s and GOP’s “repeal and replace” efforts in Congress.
https://medcitynews.com/2018/04/aca-timeline-illustrates-health-law-changed-since-trump-took-office/
Although the Senate handily passed a proposal authorizing Right to Try in August, the House vote failed to get a two-thirds majority with a vote of 259 to 140.
CMS has recruited more than 100 organizations to join the CMS Medicare Blue Button 2.0 developer preview program, which was announced at the HIMSS conference in Las Vegas this week.
https://medcitynews.com/2018/03/medicare-patients-claims-data-and-blue-button-api/
State public employee insurance programs were among the early adopters of providing financial incentives for participants to shop around for tests at lower costs. Now this approach is finding...
Insurers have until summer to decide if they want to continue to sell policies in the ACA marketplaces, but many start making preliminary decisions as early as April.
https://medcitynews.com/2018/03/insurers-say-premiums-will-go-up-in-2019/
The use of Medicaid demonstration programs accelerated during the 1990s. But in recent years the experiments have often reflected the political leanings of state officials or the party contro...
https://medcitynews.com/2018/02/medicaid-experiments-arent-being-properly-evaluated/
The new rule is expected to entice younger and healthier people from the general insurance pool by allowing a range of lower-cost options that don’t include all the benefits required by the...
FDA Commissioner Scott Gottlieb offered a window into the regulator’s priorities for drug and device development as part of its budget proposal.
https://medcitynews.com/2018/02/6-healthcare-priorities-highlighted-fdas-budget-proposal/
Will Health and Human Services Secretary Alex Azar use his authority to compel Idaho to follow the ACA and reject the Blues plans?
https://medcitynews.com/2018/02/blue-cross-of-idahos-new-plans-dont-comply-with-aca-rules/
The White House’s proposal, which comes after Congress passed a two-year spending deal last week, sets the tone for the administration’s focus on prescription drugs.
https://medcitynews.com/2018/02/trump-budget-and-high-drug-prices/
Enrollment in marketplaces fully or partially run by states, for example, showed a small overall increase of 0.2 percent over the previous year, while the 34 states that rely entirely on the ...
https://medcitynews.com/2018/02/states-running-aca-marketplaces-saw-open-enrollment-increases/
The Community Health Center program serves 27 million people at almost 10,000 nonprofit clinics nationwide, almost all of which are in low-income rural and urban areas.
With federal officials seemingly unwilling or unable to come up with legislation to control skyrocketing drug prices, that task is increasingly moving to the states. But so is pharma muscle a...
https://medcitynews.com/2018/02/battleground-drug-price-legislation-shifts-states-lobbying-phrma/
Most states rely on NEMT brokers or managed-care organizations to administer the transportation services. Other states run the service directly, paying providers on a per-ride basis, while so...
https://medcitynews.com/2018/02/states-eye-cuts-to-non-emergency-medical-transportation-programs/
Brenda Fitzgerald has resigned from the CDC amidst a Politico report that she invested not only in Japan Tobacco but also in Merck, Bayer, and Humana since taking office.
https://medcitynews.com/2018/01/cdc-director-quits-amidst-report-purchased-tobacco-pharma-stock/
The poll found that nearly half of Americans believed there is still a federal requirement for everyone to obtain health insurance, even though Congress’ tax bill last year repealed the pen...
KHN analysis showed that more than a dozen former drug industry employees now have jobs on Capitol Hill — often on committees that handle health care policy.
https://medcitynews.com/2018/01/khn-analysis-revolving-door-capitol-hill-drug-industry/
A government shutdown will have far-reaching effects for public health, including the nation’s response to the current, difficult flu season. It will also disrupt some federally supported h...
https://medcitynews.com/2018/01/government-shutdown-mean-healthcare-services/