Elon Musk's "government efficiency" task force has fully infiltrated the critical information systems at the Centers for Medicare and Medicaid Services (CMS). The unsecured team could potentially compromise sensitive patient and payer information.
State officials and Congressional Democrats are moving to limit the legal scope of the...
The Trump administration has targeted DEI, or "diversity, equity and inclusion" programs within the federal infrastructure that were expanded and encouraged under the Biden administration. A multi-pronged effort is underway to rid the government of any mention of social justice initiatives, including within the Department of Health and...National News
President Donald Trump wasted no time after being sworn in on Monday to issue a sweeping executive order rolling back dozens of President Joe Biden's priorities. Republican lawmakers also have a number of healthcare program cuts, including the elimination of non-profit hospitals to fund the new administration's agenda.
The "initial...National News
As President-elect Donald Trump's election looms, hospitals and industry advocates are left wondering what will happen to one of the last rules implemented by his first administration: the hospital price transparency rule.
The first Trump administration's rule required hospitals to post coherent pricing information online. Still, it's...National News
The Centers for Disease Control and Prevention (CDC) published its early release of quarterly estimates from the National Health Interview Survey which found relatively low uninsured rates across the country from 2023 to June 2024.
The report included select estimates of healthcare statistics for the non-institutionalized U.S....
Humana's rough patch continues as it sues the U.S. Department of Health and Human Services over star ratings and revisits a potential merger with Cigna.
This month, Humana reached a $90 million settlement with the United States over allegations of fraudulent bids submitted to the Centers for Medicare and Medicaid Services (CMS) for...
Medigap, the Medicare supplement insurance that helps cover Part A and Part B cost-sharing, may be due for some reforming in the near future as several aspects of the program are causing issues that lower regulatory infrastructure can't fix on their own.
As medical debt is a major concern for one in five older adults, the Medicare...CMS Rules
On Monday, the Biden administration announced a new proposed rule by the U.S. Department of Health and Human Services (HHS) together with the Labor Department (DOL) and the U.S. Department of Treasury, that would expand access to contraceptive products by making them free to all women of reproductive age with private health...National News
On Monday, pharmaceutical giant Johnson & Johnson notified the U.S. Department of Health and Human Services (HHS) that it would pause its new rebate policy following threats to its participation in the 340B drug discount program by the Health Resources and Services Administration (HRSA).
Last month, Johnson & Johnson (J&J)...CMS Rules
Last week, a federal court in Texas issued a stay on a Centers for Medicare and Medicaid Services (CMS) final rule that would have increased oversight of agents and brokers contracting by Medicare Advantage plans. The stay will remain in effect for the duration of the lawsuit unless lifted by an appellate court.
The stay follows the...
The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) announced last month that it would investigate the use of prior authorization in denials for post-acute care by Medicare Advantage plans.
In the new audit, OIG plans to look into processes for reviewing prior authorization requests for post-acute...
Last Friday, the Supreme Court of the United States (SCOTUS) issued a ruling that will radically curb the ability for the federal agencies to oversee entities as a regulator, which could have a major impact on federal healthcare authorities like the Food and Drug Administration (FDA) and the Centers for Medicare and Medicaid Services...National News
In a direct challenge to decades of gun manufacturer lobbying, the U.S. Surgeon General has declared gun violence a public health emergency, which could lead to campaigns for public awareness and education in the style of the anti-smoking and anti-drunk driving campaigns.
U.S. Surgeon General Dr. Vivek Murthy released the...
The Fifth Circuit Court of Appeals affirmed a decision by the U.S. District Court for the Northern District of Texas that businesses may not be compelled to cover preventative medications under the Affordable Care Act but blocked that district court judge from implementing a nationwide injunction against federal agencies for enforcing...
Earlier this month, the U.S. Department of Health and Human Services (HHS) announced the first final rule that establishes federal regulations for Adult Protective Services (APS).
Adult Protective Services rules and regulations will now be under the purview of the Administration for Community Living (ACL). According to an HHS press...
While the benefits of generative AI seem obvious for the medical field, regulators and stakeholders are demanding intervention as the new technology sweeps across the industry.
Healthcare is unique as a data-driven industry with many potential applications for instant analysis. But as CNBC noted last month, it's also massively...National News
In a ruling that is expected to be appealed, a fourth federal judge sided with the government against pharmaceutical companies in upholding the Medicare Drug Price Negotiation Program.
This lawsuit was brought by Bristol Myers Squibb and Johnson & Johnson against the law that will require them to negotiate the prices of blood clot...National News
The U.S. Departments of Health and Human Services (HHS) and Labor (DOL) published a report on the home and community-based caregiver workforce.
The Office of the Assistant Secretary for Planning and Evaluation (ASPE) published the Issue Brief in response to an executive order from President Biden on increasing access to high-quality...
The Biden administration brought down the hammer on Medicare Advantage insurers and their brokers when the Centers for Medicare and Medicaid Services (CMS) released the 2025 Medicare Advantage Part D final rule last Thursday.
The rule increases regulatory scrutiny on prior authorization, network adequacy standards and marketing for...
UnitedHealth Group (UHG) this week is scrambling to remain the victim in the cyberattack that knocked subsidiary Change Healthcare offline for over three weeks, preventing payment for services to providers and disrupting prior authorization requests and pharmacy business nationwide.
On Tuesday, the company announced that it is now in...
