Law

Once again, the healthcare industry will be closely watching the Supreme Court on Thursday to see whether the high court delivers an opinion in the controversial case that could overturn the Affordable Care Act, throwing coverage for millions into question. There’s no guarantee the decision will come down Thursday as the court does not broadcast
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Dive Brief: The U.S. Preventive Services Task Force has finalized its position on screening for colorectal cancer, confirming that adults aged 45 years and up should be tested. USPSTF’s main recommendations are unchanged from the draft advice released in October, although it has tweaked aspects. Notably, USPSTF now recommends screening with Exact Sciences’ Cologuard every one
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There’s broad industry support for revamping the U.S.’ decades-old health privacy law to encourage patient access and care coordination, but provider groups are deeply worried about unintended consequences on the privacy and security of sensitive medical information if it becomes more widely available, implementing the changes during COVID-19 and squaring them with other data blocking
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Dive Brief: The nation’s most powerful hospital lobby is pushing antitrust regulators to go over UnitedHealth Group’s bid to acquire data analytics company Change Healthcare with a fine-tooth comb, alleging the sale could reduce competition for health IT services to providers. The American Hospital Association urged federal regulators to give the $13 billion acquisition a
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The coronavirus pandemic may necessitate temporary bumps in Medicare funding to providers, but an influential congressional advisory group recommended no massive hikes in payment for 2022, despite ongoing calls for additional aid from provider lobbies. Regardless of having just gone through one of the most atypical years in Medicare payment ever, the Medicare Payment Advisory
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Dive Brief: Congressional support for permanently expanding access to telehealth seems to be rising, though thorny questions persist around payment, timing and which flexibilities should be retained after the COVID-19 public health emergency expires. In a House subcommittee panel on telehealth Tuesday, lawmakers on both side of the aisle were supportive of the modality, especially
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Dive Brief: The Biden administration has asked the Supreme Court to cancel upcoming oral arguments around Medicaid work requirements, a controversial Trump-era policy linking coverage eligibility in the safety-net program to work or volunteering hours. Acting Solicitor General Elizabeth Prelogar in a motion filed Monday told the court the administration was currently in the process of
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Dive Brief: The nonprofit hospital sector is likely to receive a financial boost from the Biden administration, according to a new report from Fitch Ratings, calling the impact of planned policies “largely positive.” Fitch attributes the potential upside for hospitals to the administration’s intentions to bolster the Affordable Care Act, which could reverse losses in
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California consumer rights groups have high hopes for Xavier Becerra, President Joseph Biden’s nominee to lead HHS, while some lawyers suggest he might further aggressive antitrust efforts he took in the state as attorney general.  Becerra has made headlines since leaving the House of Representatives, in part by leading the efforts of blue states to
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Dive Brief: President Joe Biden in a Thursday executive order gave the Occupational Safety and Health Administration two weeks to issue revised guidance on workplace safety during the COVID-19 pandemic. The order also directed the agency, through the secretary of labor, to reconsider whether any emergency temporary standards on COVID-19, “including with respect to masks
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Dive Brief: President Joe Biden will declare a new enrollment period for the Affordable Care Act exchanges this week, an action health policy and patient advocates have been hoping for under the new leadership, as reported by The Washington Post and confirmed to Healthcare Dive by advocacy group Families USA. The administration will also begin
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Dive Brief: Consumers choosing insurance via the federal Affordable Care Act exchanges reached 8.25 million over the 2021 open enrollment period, about the same number as the year before, CMS said Wednesday. Because two fewer states are participating in the federal marketplace this year, adjusted year-over-year growth in plan selections was 7%, the agency said.
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Dive Brief: Union nurses and HCA Healthcare reached a tentative contract agreement that members at three Southern California hospitals will vote on Tuesday and Wednesday, effectively averting a 10-day strike planned to start Christmas Eve. The new contract includes greater transparency and communication on emergency preparedness plans from the hospitals to employees and guarantees the
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Dive Brief: HHS’ Office of Civil Rights has published the findings of an audit of more than 200 covered entities and business associates during 2019 and 2019, finding most surveyed met requirements regarding reporting breaches and notifying those whose information is involved required under HIPAA. But fewer complied with providing appropriate notices of their privacy
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Illinois health regulators denied a Chicago hospital’s bid to close its doors due to increased costs and lower utilization. All six board members present at Tuesday’s meeting voted against closure.  The plans to end services at Mercy Hospital and Medical Center on Chicago’s South Side drew outcry from the community as the facility serves some
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Dive Brief: The Democratic and Republican leadership of three House committees and one Senate committee said on Friday they agreed on a method to resolve surprise medical bills, increasing the chances a fix is included in year-end funding legislation Congress is hustling to finalize this week. Under the proposal, disagreements between health insurers and providers
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Dive Brief: HHS’ Health and Resources Administration has finalized a rule aimed at providing additional stability to the 340B drug program, allowing for a dispute resolution mechanism for hospitals that contend that drug companies overcharged them for medications. Any claim involving an overcharge of $25,000 or more may be submitted for dispute resolution. Drug companies
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Dive Brief: The U.S. Supreme Court said Friday it will hear arguments on whether Medicaid work requirements are legal. The demonstrations were a signature policy of President Donald Trump’s administration, which approved some states to tie Medicaid expansion eligibility to job training or work. Lower courts have ruled against work requirements, noting they do not
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