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Rep. Collins charged with securities fraud regarding Australian biotech company

August 13, 2018

Federal prosecutors in New York allege Rep. Chris Collins (R-N.Y.) participated in an insider-trading scheme to sell shares of an Australian biotechnology company before the company publicly disclosed a failed clinical trial.

CMS proposes methodology to calculate exchange insurers' 2018 risk-adjustment payments

August 13, 2018

CMS says under a newly proposed rule it intends "to adopt the risk adjustment methodology that HHS previously established for the 2018 benefit year which uses the statewide average premium in the payment transfer formula."

HHS announces recipients of Title X family planning grants

August 13, 2018

HHS says that it will award about $290 million in Title X family planning grants to all current grantees and 12 new organizations—including groups that are suing HHS over its new criteria for organizations seeking the grants.

Lawsuit claims Trump admin is violating Constitution by 'undermining' ACA

August 2, 2018

Four cities in a lawsuit claim that President Trump and his administration are violating the Constitution by not ensuring the Affordable Care Act is "faithfully executed."

DOJ is investigating drugmakers' alleged connections with terrorist group

August 2, 2018

The Department of Justice is looking into allegations that major pharmaceutical and medical device companies had unlawful connections to terrorist groups in Iraq, though the drugmakers claim that their dealings with the group were backed by the U.S. government.

Why these states are suing the Trump admin over its rule to expand association health plans

July 27, 2018

Democratic attorneys general from 11 states and the District of Columbia are challenging the Trump administration's final rule to expand the types of small employers and self-employed individuals that are permitted to form so-called "association health plans."

Court rules patent board can consider challenges to Allergan patent transferred to Native American tribe

July 26, 2018

A three-judge panel for the U.S. Court of Appeals for the Federal Circuit says the U.S. Patent Trial and Appeal Board has the authority to determine the validity of patents Allergan transferred to the Saint Regis Mohawk Tribe because the board's review process "is more like an agency enforcement action than a civil suit brought by a private party," and therefore "tribal immunity is not implicated."

CMS reinstates $10.4B in risk-adjustment payments to exchange insurers

July 25, 2018

CMS Administrator Seema Verma says a final rule the agency released yesterday "will restore operation of the risk adjustment program, and mitigate some of the uncertainty caused by" a federal court ruling that struck down CMS' methodology for calculating exchange insurers' risk-adjustment payments.

The cost of 'defensive medicine?' About 5% of your hospital bill.

July 25, 2018

Some policymakers say "defensive medicine," in which doctors provide medically unnecessary care in an attempt to avert possible malpractice lawsuits, drives more than a quarter of all U.S. health care costs, and though a new study finds that the phenomenon is real—it also suggests that defensive medicine is not nearly as big a cost driver as some claim.

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