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- Feed Preview Health Policy Coverage - MedCity News
Financial Security, Lasting Relief: How the Inflation Reduction Act Restores Health to Patients and Hope to Their Doctors
For those who rely on these treatments, affordable medication access is a matter of health, freedom, and dignity, and their mechanisms and outcomes are non-partisan. The post Financial Secu...
Dear Mr. Buffett: Healthcare Isn’t Hopeless
Truth is, there are hugely positive tailwinds at our back. But the way we’ve been thinking about the problem is holding us back from solving it. Here’s why. The post Dear Mr. Buffett: H...
https://medcitynews.com/2024/10/dear-mr-buffett-healthcare-isnt-hopeless/
Why Harris’ Medicare at Home Plan is Good but Flawed
On the surface, it sounds positively delightful – who wouldn’t want to help dear grandma avoid the nursing home? But as is often the case with these sweeping government proposals, the dev...
Democratizing Access to Care: The Rise of Virtual Centers of Excellence
A new model of virtual care is emerging that promises to better democratize healthcare access for millions of Americans and revamp our care delivery system with a focus on value and efficienc...
Navigating the Government’s Medicare Advantage Prior Authorization Changes
The reintroduction of the “Improving Seniors’ Timely Access to Care Act” marks a critical step toward modernizing the prior authorization process within Medicare Advantage plans. So, wh...
Millions are Taking a Drug that Falls Short of its Promise to Lower Risk of Heart Attack
While fibrates are proven to lower triglyceride levels, which can serve as a biomarker for cardiovascular disease risk, several major clinical studies from the past 20 years have failed to sh...
Prediction: The Caregiving Question Harris and Trump Will Have to Address in the Presidential Debate
What should we expect in Tuesday’s debate? If past performance is any indication, probably a lot of hemming and hawing — but we should demand concrete plans for paid family leave, Social ...
Eliminating the AI ‘Black Box’ to Make Clinical Data Usable
As Gen AI continues to mature, there will be ways to employ these technologies thoughtfully and safely in healthcare today. The key is to continue to embrace new breakthroughs – with strong...
https://medcitynews.com/2024/09/eliminating-the-ai-black-box-to-make-clinical-data-usable/
Improve the Medicaid Provider Experience to Enhance Health Care
States can improve efficiency, reduce administrative costs, and, most importantly, enhance the quality of health care for its members by acting in these areas. The post Improve the Medicaid...
https://medcitynews.com/2024/08/improve-the-medicaid-provider-experience-to-enhance-health-care/
Here’s why CMS’s move to reimburse for virtual care and remote patient monitoring is good but not great
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/
Trump administration wants to overhaul Medicare accountable care organization program
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...
Trump administration slashes funding to insurance navigator groups months ahead of open enrollment for ACA
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/
Senate Democrats make protecting ACA rallying cry for opposition to Supreme Court nominee
“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) The...
https://medcitynews.com/2018/07/supreme-court-nominee-and-aca/
California Attorney General: Trump admin has gone ‘AWOL’ on ACA insured patients
California Attorney General Xavier Becerra said attacks by the Trump Administration threaten healthcare for millions of Americans. The post California Attorney General: Trump admin has gone...
CMS administrator declines to share her own conclusions on Medicaid ‘scorecard’
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...
Trump’s drug cost cutting plans include transparency, but critics doubt much will change
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. The post Trump’s drug cost cutt...
https://medcitynews.com/2018/05/trumps-drug-cost-cutting-plans/
This is why Novartis paid Trump’s lawyer Michael Cohen $1.2 million
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. The post T...
https://medcitynews.com/2018/05/this-is-why-novartis-paid-trumps-lawyer-michael-cohen-1-2-million/
What will be impact of Trump’s plan to rescind Children’s Health Insurance Program funding?
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...
A look at how one pharma company responded to the pressure on drug prices: Ramping up political activity
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/
Federal appeals court pours cold water on Maryland’s efforts to reign in prescription drug prices
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 ...
Just make Steve Cohen V.A. Secretary and get it over with
President Donald Trump should name hedge fund manager Steve Cohen as Secretary for Veterans Affairs instead of Trump’s personal physician Ronny Jackson. The post Just make Steve Cohen V.A...
https://dealbreaker.com/2018/04/just-make-steve-cohen-v-a-secretary-and-get-it-over-with/
This ACA timeline illustrates how the health law has been changed since Trump took office
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. The post T...
https://medcitynews.com/2018/04/aca-timeline-illustrates-health-law-changed-since-trump-took-office/
Right to Try legislation to ease rules on experimental drug access falters in House vote
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. The post Right to Try legisla...
Human API and CMS collaborate to help Medicare patients share claims data in new chapter for Blue Button
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. The po...
https://medcitynews.com/2018/03/medicare-patients-claims-data-and-blue-button-api/
Will incentivizing people to shop for lower priced tests, drugs whittle down America’s healthcare costs?
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...
Without congressional action, insurers say premiums will go up in 2019 due to uncertainty
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. The post Without congr...
https://medcitynews.com/2018/03/insurers-say-premiums-will-go-up-in-2019/
GAO: Medicaid experiments aren’t being properly evaluated to determine if they improve care, save money
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/
Trump administration proposed rule to bring back short-term health insurance options could weaken ACA
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...
6 healthcare priorities highlighted in FDA’s budget proposal
FDA Commissioner Scott Gottlieb offered a window into the regulator’s priorities for drug and device development as part of its budget proposal. The post 6 healthcare priorities highlight...
https://medcitynews.com/2018/02/6-healthcare-priorities-highlighted-fdas-budget-proposal/
Blue Cross of Idaho’s new plans don’t comply with ACA rules. What will HHS Secretary Alex Azar do about it?
Will Health and Human Services Secretary Alex Azar use his authority to compel Idaho to follow the ACA and reject the Blues plans? The post Blue Cross of Idaho’s new plans don’t comply ...
https://medcitynews.com/2018/02/blue-cross-of-idahos-new-plans-dont-comply-with-aca-rules/