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Almost immediately after HHS announced the rule, hospitals threatened legal action. On Wednesday, they filed suit. The rule would require the hospitals to reveal previously secret negotiations with insurers about the costs of procedures. The hospitals say the Trump administration is overreaching its authority with the requirement.
Former Vice President Joe Biden pitched a tax plan that includes a more moderate corporate tax increase in contrast with his progressive rivals. Biden “is committed to being transparent with the American people about the smart and effective ways he’d pay for the bold changes he’s proposing,” his campaign said. In other news, “Medicare for All” continues to be a landmine for Democrats. How did it get that way?
Opinion writers and editorials explore these and other health care issues.
A new study found that states that used “silver-loading” or “silver-switching” strategies to compensate for the cost-sharing reduction payment cuts offered lower premiums for subsidized enrollees. The Trump administration has solicited feedback on potentially banning silver-loading in 2021. In other insurance and costs news: bundled payments, penalties, health care sharing ministries and more.
Sens. Cory Booker (D-N.J.) and Ron Wyden (D-Ore.) in their letter to CMS Chief Seema Verma cited a recent study that revealed how an algorithm widely used by hospitals to determine who needs follow-up care misclassified black patients as being less sick than their equally ill white counterparts.
A coalition that includes major drugmakers like Pfizer and Johnson & Johnson is running ads featuring workers in hard hats and hiring former labor officials and well-known union lobbyists to deliver their message. Many see the pairing between pharma and the unions as an odd one, because members often struggle with the high costs of drugs. Meanwhile, the White House contends that House Speaker Nancy Pelosi’s drug plan will hurt innovation.
Some American cities with high HIV rates already have programs that pay the costs of PrEP for the uninsured, but the new program — called Ready, Set, PrEP — marks the first time the government is supplying the drug to patients not enrolled in Medicaid, the Veterans Health Administration or any other federal health program.
Dr. Stephen Hahn is a noted oncologist from Texas and was nominated by President Donald Trump to replace former FDA Chief Scott Gottlieb. He would be stepping into the job as the F.D.A. is confronting several crises, among them, the continuing outbreak of vaping-related lung diseases. Sens. Patty Murray (D-Wash.) and Mitt Romney (R-Utah) both aired concerns during the vote about Hahn’s commitment to tackling e-cigarettes.
Former Vice President Joe Biden says that Sen. Elizabeth Warren’s “Medicare for All” plan is out of step with what Democrats want and that South Bend Mayor Pete Buttigieg is riding the coattails of Biden’s public option proposal. Buttigieg pushed back on the accusations.
State fire investigators had previously determined that PG&E equipment started the Camp Fire, which killed 85 people. But the new report goes beyond that, alleging numerous serious violations of state rules for maintaining electric lines and specific problems with upkeep of the transmission line that started the fire.
Media outlets report on news from Idaho, Georgia, New York, Colorado, Illinois, Florida, Wisconsin, Ohio, Minnesota, and Washington.
One of the selling points of these particular diabetes monitors is that they allow people other than the person with diabetes — like the parent of a young child — to receive alerts when blood sugar drops too low. But in recent days, those alerts stopped working.
Michigan Gov. Gretchen Whitmer, a Democrat, is worried about coverage losses seen in other states. But the Republican-controlled Legislature would have to agree to the pause.
The revelation that lobbyists helped draft or made edits to the lawmakers’ opinion pieces shows that critics of “Medicare for All” are investing time and energy beyond the presidential debate over the policy issue.
The public option, of course, would be less disruptive than getting rid of private insurance all together, but an inexpensive and attractive plan could still shake up the industry landscape. Meanwhile, former Vice President Joe Biden says 2020 rival Pete Buttigieg “stole” his health care plan.
Media outlets report on news from California, Oklahoma, Utah, South Carolina, New York, Louisiana, Minnesota, Maryland, Florida, Ohio, Massachusetts, Arkansas, Nebraska and Texas.
And Pfizer and Novartis are leading the pack. The risks involved with drugmakers building their own manufacturing plants are big but so are the potential rewards. In other pharmaceutical news: a high-stakes bet on heart drugs, an invite-only club for biotech CEOs, President Donald Trump’s importation plan, and more.
Some plans can change dramatically year to year, experts say. The open enrollment for Medicare is coming to a close, but experts offer tips on how to navigate the tricky system in the last few days of the season.
CMS has been vocal in encouraging states to create more restrictions on their Medicaid programs. Many looked to work requirements, but those plans have faced major legal setbacks in courts. Tennessee could be leading the way on a new path. Medicaid news comes out of Missouri and New York, as well.
“You can’t take proper care of patients if you don’t document care,” said Stan Huff, chief medical informatics officer at Intermountain Healthcare in Utah. In searching through the records of immigrant deaths, Politico discovered troubling issues with malfunctioning software and failures to document patient care, among other things.