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CMS issues updated guidance on state-directed payment provision
The Centers for Medicare & Medicaid Services Feb. 2 revised its approach to determining grandfathering eligibility by redefining the 180‑day window around July 4, 2025, to be calculated using business days.
Let’s End Commercial Insurer Barriers that Reduce Access to Care
Many commercial health insurance policies and practices often disrupt, delay and deny medically necessary care to patients.
Gearing Up for a Busy Fall as We Urge Congress to Support Hospitals and Protect Access to Care
Congress returns to Washington, D.C., this week facing a long list of things to do,
Making our Voice Heard and Leading the Way to Advance Health in America
It is important for us to continue to exercise the principles of democracy that Washington and the Founding Fathers fought so hard for and speak up, asking hard questions of candidates in this election year and evaluating their thinking on the issues that affect our field.
HHS announces behavioral health program to assist homeless individuals
The Department of Health and Human Services today announced a new behavioral health
Survey finds prior authorization viewed as greatest hurdle in navigating health care
A KFF survey published today found that peopl
Department of Labor releases proposed rule on transparency of PBM fee disclosures
The Department of Labor has issued a proposed rule to improve transparency of fees collected by pharmacy benefit managers.
CMS finalizes changes to Medicaid provider tax waiver rules
The Centers for Medicare & Medicaid Services Jan. 29 issued a final rule regarding states non-uniform or non-broad-based provider tax, as authorized under special waivers.
HHS OIG releases bulletin on direct-to-consumer drug sales, RFI on need for regulatory changes
The Department of Health and Human Services Office of Inspector General Jan. 27 released a bulletin addressing how direct-to-consumer drug programs can sell prescription drugs to patients with federal health care program coverage at lower costs without violating the Anti-Kickback Statute.
CMS announces drugs selected for third round of drug price negotiations
The Centers for Medicare & Medicaid Services Jan. 27 announced 15 drugs under Medicare Parts D and B selected for the third round of price negotiations.