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Byline: Robert King Oncology practices are trying to figure out their next steps for value-based care as a popular payment model concludes in June with no successor in place, with [...]

Byline: Robert King A top federal watchdog believes the Department of Health and Human Services (HHS) needs to totally transform how it handles public health emergencies. The Government Accountability Office [...]

Byline: Robert King Signups on the Affordable Care Act's insurance exchanges reached a record-breaking 14.5 million people thanks in part to enhanced subsidies set to expire after this year. The [...]

Byline: Robert King The number of accountable care organizations participating in the Medicare Shared Savings Program (MSSP) modestly increased to 483 this year compared with 477 for 2021, sparking new [...]

Byline: Robert King A group of Democratic senators is happy the Biden administration is requiring commercial insurers to cover at-home COVID-19 tests for customers but questions why Medicare isn't doing [...]

Byline: Robert King The omicron variant should force Congress to fully pause cuts to Medicare payments made under sequestration, provider groups say. Several advocacy groups are pressing Congress to include [...]

Byline: Robert King A new analysis found that six of 13 major insurers are relying on mail, fax and online options for consumers to get reimbursed for at-home COVID-19 tests, [...]

Byline: Robert King The Biden administration is doling out $103 million in the hopes of reducing burnout among a heavily strained healthcare workforce. The Department of Health and Human Services [...]

Byline: Robert King President Joe Biden endorsed splitting up large parts of his $1.75 trillion Build Back Better Act to pass separately after centrist concerns doomed passing the package overall [...]

Byline: Robert King The Center for Medicare and Medicaid Innovation (CMMI) wants to replace or improve its risk adjustment methodology after concerns of Medicare Advantage plans upcoding to get higher [...]

Byline: Robert King Bristol Myers Squibb became the 12th company to restrict sales of drugs discounted under 340B to most contract pharmacies. The drugmaker announced last week that the policy [...]

Byline: Robert King House Democrats are ramping up pressure on the Biden administration to lower Medicare Part B premiums after the price for controversial drug Aduhelm was slashed in half. [...]

Byline: Robert King Most Medicare beneficiaries in Parts A and B are expected to be enrolled in Medicare Advantage plans by next year, but spending on the plans is going [...]

Byline: Robert King A top Medicare advisory board did not recommend any new payment hikes for acute care hospitals or doctors for 2023, stating that targeted relief funding has helped [...]

Byline: Robert King More than 14.2 million people have bought a plan on the Affordable Care Act's insurance exchanges as of Jan. 8, as the Biden administration makes a last-second [...]

Byline: Robert King A coalition of 115 House members is pressing the Biden administration to issue permanent protections for healthcare workers from contracting COVID-19. The House lawmakers wrote to the [...]

Byline: Robert King Insurer groups applauded the Biden administration's decision to narrowly cover Alzheimer's disease drug Aduhelm, as the industry has had concerns over the effectiveness of the controversial treatment. [...]

Byline: Robert King The Biden administration is proposing to have Medicare cover the controversial Alzheimer's disease medication Aduhelm, but only for patients in relevant clinical trials. The Centers for Medicare [...]

Byline: Robert King The Biden administration is reminding insurers they must fully cover contraceptive coverage after complaints of some payers denying claims for certain products. The Department of Labor released [...]

Byline: Robert King Bon Secours Mercy Health has been working since 2019 to diversify into alternative revenue sources and new digital platforms. But leadership with the nonprofit hospital chain admitted [...]

Byline: Robert King Insurers must cover at least eight at-home COVID-19 tests per covered individual starting on Saturday, per a new directive from the Biden Administration. The frequently-asked questions document [...]

Byline: Robert King More than 13.8 million consumers have signed up for 2022 healthcare coverage on HealthCare.gov and state-run marketplaces, according to the latest federal figures. The Department of Health [...]

Byline: Robert King Biogen's decision to halve the price of its controversial Alzheimer's drug Aduhelm has the Biden administration rethinking the 15% hike for Part B premiums for 2022. Department [...]

Byline: Robert King Major disruptions in the healthcare labor market cost hospital system AdventHealth an additional $440 million in operating costs last year. Leadership with the 38-hospital nonprofit system said [...]

Byline: Robert King The Supreme Court appears likely to narrowly uphold the Biden administration's health worker vaccine mandate but may limit which facilities are affected. Justices heard oral arguments Friday [...]

Byline: Robert King A collection of nursing and labor unions wants a federal court to step in and force the Biden administration to issue a permanent standard to protect healthcare [...]

Byline: Robert King AbbVie became the third drugmaker in recent months to restrict 340B-discounted drugs to contract pharmacies, the latest company undeterred at the prospect of federal fines. AbbVie announced [...]

Byline: Robert King Medicare Part B spending on lab tests slightly increased to $8 billion in 2020, fueled by $1.5 billion in new reimbursements for COVID-19 diagnostics. But the report [...]

Byline: Robert King The Biden administration has officially pulled a controversial model that would have tied prices for drugs reimbursed under Part B to prices paid by countries overseas. The [...]

Byline: Robert King The Biden administration is appealing a federal ruling that said drugmakers have the authority to restrict sales of 340B-discounted products to contract pharmacies. The Department of Justice [...]

Byline: Robert King The Biden administration is requiring healthcare facilities in states that aren't affected by a legal stay to fully vaccinate staff by Feb. 28, 2022. The Centers for [...]

Byline: Robert King More than 800 hospitals are urging the Biden administration to appeal a federal court ruling that drugmakers have the power to restrict sales of 340B-discounted drugs to [...]

Byline: Robert King Medicaid and Children's Health Insurance Program (CHIP) enrollment increased by more than 400,000 from May to June of this year, updated federal data show. The Centers for [...]

Byline: Robert King Moderate Sen. Joe Manchin, D-West Virginia's objections to the nearly $2 trillion social spending bill is forcing Democrats to try to pare down major healthcare policies in [...]

Byline: Robert King Health and Human Services expects to launch by July a nationwide suicide prevention hotline that changes from its 10-digit number to three digits: 988. HHS announced $282 [...]

Byline: Robert King Insurers gave out approximately $2 billion in rebates for 2020 to nearly 10 million consumers under the Affordable Care Act's (ACA's) medical loss ratio provision. The Centers [...]

Byline: Robert King The Biden administration is asking the Supreme Court to preserve its vaccination mandate for healthcare workers after legal challenges in several states. The Department of Justice (DOJ) [...]

Byline: Robert King President Joe Biden has admitted that Congress may not pass his roughly $2 trillion social spending bill by Christmas, leaving in flux several major healthcare policies that [...]

Byline: Robert King Standalone behavioral health services provider Acadia Healthcare announced its latest joint venture on Thursday, partnering with Fairview Health Services to create a new inpatient mental health and [...]

Byline: Robert King The Biden administration is searching for ways to get more safety-net providers to participate in value-based care to reach patients in vulnerable populations, officials said. Leaders with [...]

Byline: Robert King Roughly 40% of U.S. healthcare payments were tied to alternative payment models (APMs) last year, with Medicare Advantage claims representing the largest amount, a new survey found. [...]

Byline: Robert King The Biden administration needs to go after insurers that are flouting the Affordable Care Act's rules that prevent cost sharing for birth control, a pair of Senate [...]

Byline: Robert King The Department of Health and Human Services announced it has distributed $9 billion in relief payments to providers to plug financial shortfalls caused by the pandemic, with [...]

Byline: Robert King The latest version of a roughly $2 trillion social spending bill nixes nearly $8 billion in disproportionate share hospital cuts to facilities in states that don't expand [...]

Byline: Robert King The Biden administration released its 2022 unified agenda that details regulations it plans to release in the coming year. The agenda, released Friday by the Office of [...]

Byline: Robert King The Senate passed legislation late Thursday that delays nearly 10% in Medicare cuts set to take effect next year, giving providers a major boost. The Senate passed [...]

Byline: Robert King Nearly 13 million adults just before the pandemic had problems affording their prescriptions due to cost, a new study found. The study, published Wednesday by the Urban [...]

Byline: Robert King The President Joe Biden administration is doling out $30 million in unprecedented grants aimed at harm reduction strategies to combat opioid abuse, including funding for needle exchanges [...]

Byline: Robert King The Independence at Home payment model hasn't improved quality or generated statistically significant savings for Medicare over the past six years, a new study found. The study, [...]

Byline: Robert King The Biden administration wants to add a 'birthing-friendly' designation to facilities on the Centers for Medicare & Medicaid Services' (CMS') Care Compare website. The designation, announced Tuesday [...]