Thursday, June 30, 2022
High court rejects COVID-19 shot mandate case from New York
June 30, 2022
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The Supreme Court declined on Thursday to take up a case involving a COVID-19 vaccine requirement for healthcare workers in New York that does not offer an exemption for religious reasons.
The court’s action follows a decision in December in which the justices declined an emergency request to halt the requirement. At the time, doctors, nurses and other medical workers who said they were being forced to choose between their...
Wednesday, June 29, 2022
Explainer: Data privacy concerns emerge after Roe decision
June 29, 2022
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With abortion now or soon to be illegal in over a dozen states and severely restricted in many more, Big Tech companies that collect personal details of their users are facing new calls to limit that tracking and surveillance. One fear is that law enforcement or vigilantes could use those data troves against people seeking ways to end unwanted pregnancies.
History has repeatedly demonstrated that whenever people’s personal...
Monday, June 27, 2022
WHO panel: Monkeypox not a global emergency ‘at this stage’
June 27, 2022
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Declaring a global health emergency means that a health crisis is an “extraordinary” event requiring a globally-managed response and that a disease is at high risk of spilling across borders. WHO previously made similar declarations for diseases including COVID-19, Ebola in Congo and West Africa, Zika in Brazil and the ongoing effort to wipe out polio.
The emergency declaration mostly serves as a plea to draw more global...
CMS to begin new oncology payment model
June 27, 2022
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A new payment model targeted at improving Medicare cancer care will begin in mid-2023, the Centers for Medicare and Medicaid Services said Monday.
The voluntary model, known as the Enhancing Oncology Model, builds off the Oncology Care Model, which will end Thursday after six years.
The Center for Medicare and Medicaid Innovation will launch the new model on July 1, 2023, for a five-year test period.
Participating physician...
Thursday, June 23, 2022
Supreme Court to determine federal government’s right to dismiss whistleblower cases
June 23, 2022
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The Supreme Court will hear a case on whether the federal government has the authority to dismiss a False Claims Act case after declining to take action.
In August 2019, the Department of Justice dismissed a whistleblower case filed in 2012 by Dr. Jesse Polansky, a former employee of UnitedHealth Group subsidiary Executive Health Resources, that alleged hospital billing fraud. Polansky claimed his employer was billing the...
Wednesday, June 22, 2022
BI4ALL focuses on internationalisation and expects to grow 35% by 2022
June 22, 2022
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For 2022, the company forecasts are for growth in the order of 35%, with higher expression in the international market.
Lisbon, June 22nd, 2022 – BI4ALL, a leading Data Analytics and Artificial Intelligence services company, announces that is working hard on its international expansion plan and will open later this year a subsidiary in Switzerland,...
Tuesday, June 21, 2022
CMS proposes pay boost for ESRD facilities
June 21, 2022
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The Centers for Medicare and Medicaid Services proposes a 3.1% Medicare pay hike for dialysis providers next year and lays out plans for quality improvement in a draft regulation issued Tuesday.
The proposed rule would hike the base rate for dialysis services by $6.19 to $264.09. The regulation would increase payments to hospital-based end-stage renal disease providers by 3.7% and to freestanding facilities...
ICER’s 2022 “Barriers to Fair Access Assessment” Protocol – Healthcare Economist
June 21, 2022
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How does ICER plan to determine whether health plans offer fair access to pharmaceuticals? I summarized their approach last year as outlined in their white paper titled “Cornerstones of ‘Fair’ Drug Coverage: Appropriate Cost-Sharing and Utilization Management Policies for Pharmaceuticals.” Last month, final protocol for their “Barriers to Fair Access...
Friday, June 17, 2022
The looming insolvency of Medicare’s Hospital Trust Fund
June 17, 2022
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According to the Medicare Trustees Report released in early June, the Hospital Insurance Trust Fund, which pays for hospital services in Medicare Part A, is going to be insolvent by 2028—two years later than the estimate released last year. As a result, lawmakers will be tempted to discard insolvency as a nonurgent issue.
In reality, however, the report underlines just how urgent the problem is. Given the economic uncertainty,...
FTC opposition ends another hospital deal
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HCA Healthcare on Thursday called off its proposed acquisition of five Steward Health Care System hospitals in Utah amid opposition from federal regulators.
The Federal Trade Commission filed a lawsuit June 2 to block the proposed transaction, which would have reduced the number of health systems offering acute services from three to two in some markets. The acquisition would have ended Steward’s role as a direct competitor...
States extend Medicaid for new mothers — even as they reject broader expansion
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Until last year, Georgia’s Medicaid coverage for new moms with low incomes lasted 60 days.
That meant the Medicaid benefits of many women expired before they could be referred to other medical providers for help with serious health problems, said Dr. Keila Brown, an OB-GYN in Atlanta. “If they needed other postpartum issues followed up, it was rather difficult to get them in within that finite period of time,” said Brown,...