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Anti-immigration rhetoric by the Trump administration may be a reason why the rate of children without insurance is on the rise for the first time since 2008, according to a new report. → Read More
HHS finally will allow a ceiling price rule for the 340B program to kick in after years of delays. The price cap will go into effect on Jan.1, 2019. → Read More
The CMS has issued four new examples on how states can use 1332 waivers to customize health insurance offerings. But a former agency official warns that using any of the new flexibilities could result in litigation. → Read More
The CMS has launched a new tool to make it easier for consumers to know their out-of-pocket costs for surgery. → Read More
CMS Administrator Seema Verma wants to reassure individual market enrollees that they won't lose access to care if a federal judge in Texas strikes down the Affordable Care Act. → Read More
The FDA wants to make substantial changes to the regulatory pathway through which most medical devices enter the U.S. market. The clearance procedure has been in place since 1976. → Read More
The CMS is seeking to improve quality of care at nursing homes via a new safety training effort. → Read More
The FDA hired a research firm to find out if its current process for approving or denying human testing request needs to be revamped. → Read More
The CMS wants to make sure it's using the right quality measures to track care given by home health agencies, which costs the agency around $18 billion every year. → Read More
More targeted enforcement activity and reduced regulatory burden led to a nearly $5 billion drop in improper Medicare payments in fiscal 2018. → Read More
Federal laws are preventing greater use of telehealth, according to a CMS report sent to Congress on Thursday. → Read More
The CMS has drafted a request for information on what barriers HIPAA regulations are posing for care coordination efforts. → Read More
States may soon have a new waiver option to use federal funds to pay for Medicaid beneficiaries' treatment at inpatient mental health facilities. The CMS has had a ban on reimbursing those providers for decades. → Read More
A federal initiative targeting pregnant Medicaid patients reduced medical costs for both mothers and their babies. → Read More
HHS Secretary Alex Azar said the Trump administration is reversing course on voluntary payment models and said more mandatory ones are in the works, including one for cancer care. → Read More
The CMS wants to make a series of smaller changes to an Obama-era rulemaking that revamped managed Medicaid policy two years ago. The proposals fall short of the overhaul that states expected. → Read More
The CMS is drafting a rule that would make it easier for states to stop offering Medicaid beneficiaries paid transportation to medical appointments, a move that could affect providers' revenue drastically. → Read More
HHS has finalized a pair of rules that allow more companies to opt out of covering birth control for their employees. → Read More
Children's hospitals could see their revenue dip if increased anti-immigration sentiment from the Trump administration causes an exodus from Medicaid. Chronically ill children on Medicaid primarily go to these facilities for their hospital stays. → Read More
The majority of state Medicaid agencies are planning to issue raises next year for providers thanks to the stronger economy. States are also seeing the first drop in Medicaid enrollment in a decade. → Read More