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Are these 5 types of medical billing 'fraud by any other name'?

December 13, 2019


Elisabeth Rosenthal, a physician and editor-in-chief of Kaiser Health News, in a New York Times opinion piece recalls her husband's recent experience navigating the U.S. health care system and argues that "[m]uch of what we accept as legal in medical billing would be regarded as fraud in any other sector."

With just 3 days left in open enrollment, CMS data shows federal exchange signups are lagging

December 12, 2019


CMS on Wednesday released federal exchange plan signup figures for the sixth week of the Affordable Care Act's current open enrollment period, as well as data on the number of U.S. residents who were enrolled in federal and state exchange plans during the first six months of 2019.

CBO: Pelosi's Rx drug pricing bill would save feds a net $5B—and slow down drug development

December 12, 2019


A provision in House Speaker Nancy Pelosi's (D-Calif.) drug pricing bill that would allow the HHS secretary to negotiate prescription drug prices would save the federal government about $456 billion from 2020-2029, but the bill would raise federal spending in other areas, according a Congressional Budget Office report released Tuesday.

FDA can regulate e-cigarettes, appeals court panel rules

December 12, 2019


An appeals court panel on Tuesday ruled that FDA is able to regulate e-cigarettes just like it does traditional cigarettes, saying the products are "indisputably highly addictive and pose health risks, especially to youth, that are not well understood."

SCOTUS hears arguments in ACA risk corridors case

December 12, 2019


The Supreme Court on Tuesday heard oral arguments in a case that centers on whether the federal government owes health insurers $12 billion in risk corridors payments under the Affordable Care Act, and observers say a majority of the justices appeared likely to rule in the insurers' favor.

1 in 4 Americans have delayed care due to cost. (But many are still happy with their health care.)

December 11, 2019


A record number of U.S. adults say they have put off receiving medical care due to cost, yet many say they are satisfied with their overall costs for health care, according to Gallup's annual Health and Healthcare poll.

Why drugmakers aren't happy with the US' newly announced trade deal

December 11, 2019


The House Ways and Means Committee on Tuesday announced that Congress and the Trump administration have agreed on a renegotiated North American Free Trade Agreement between the United States, Canada, and Mexico that does not include a 10-year exclusivity period for biologic drugs that was backed by pharmaceutical companies.

Appeals courts lift injunctions on Trump admin's 'public charge' rule—but the policy remains blocked nationwide

December 11, 2019


Two federal appeals courts have lifted lower court injunctions blocking a final rule that would allow federal officials to consider whether immigrants are receiving or are likely to receive Medicaid or other public benefits when reviewing their residency applications, but separate injunctions blocking the rule nationwide remain in effect.

SCOTUS rejects case on Kentucky abortion requirements, leaving law in place

December 11, 2019


The U.S. Supreme Court on Monday declined to hear a case challenging a Kentucky law that requires physicians to show and describe ultrasound images to women seeking abortion care, meaning a lower court's ruling upholding the law remains in place.

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