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Jump to Navigation LOGIN Username * Password * Remember me * Home * News * Daily News * Documents * Health Insider * Abortion Roundup * Special Opioid Report * Topics * Biden Health Agenda * Election 2024 * AI * Coronavirus * Abortion * Health Equity * Health Reform Debate * Opioids * Medicaid * Medicare * Rx Drugs * Medical Devices * Congress * ACOs * Emergency Response * The Courts * 21st Century Cures * Budget * Cybersecurity * Food Safety * Tobacco * User Fees * Waste and Fraud * FDA Week * Inside CMS * Inside Drug Pricing * Latest News * Documents * Health Exchange Alert * Latest News * Documents * Inside TeleHealth * About Us * About Us * Privacy Policy * Terms and Conditions * Login Help Monday, November 13, 2023 FREE TRIAL Receive 30 days of no-obligation access. SIGN UP HOME BREAKING NEWS DOCUMENT: SPEAKER MIKE JOHNSON RELEASES TWO-STEP CONTINUING RESOLUTION PROPOSAL TOP STORY PROGRESSIVES DEMAND CMS CRACK DOWN ON MA IN THE MIDST OF OPEN ENROLLMENT Members of the Progressive Caucus are calling on the Biden administration to strengthen its network adequacy requirements, rein in overpayments and crack down on inappropriate care denials in Medicare Advantage. POST-PANDEMIC NEWS Health Groups Launch Coalition Promoting Public-Private Collaboration Five major health groups representing the insurance industry, health systems, and physicians Thursday (Nov. 9) announced a new initiative that aims to translate the lessons learned during the COVID-19 pandemic into greater collaboration between the public and private health systems. First COVID Antigen Test Gets Clearance Through 510(k) Program More coverage → LATEST NEWS Ways & Means Republicans Blast No Surprise Act Implementation House Ways & Means Republicans blasted the Biden administration’s interpretation of the No Surprises Act in a letter to the secretaries of HHS, Treasury and Labor that follows up a September hearing and October roundtable attended by administration staff that focused on stakeholders’ complaints with the implementation. CMS Extends Medicare Diabetes Prevention Program’s PHE Flexibilities The option to participate virtually in the Medicare Diabetes Prevention Program will continue through December 2027, CMS announced recently, saying an extra four years will make the program more equitable for rural and underserved urban communities as well give the agency more time to review the impact pandemic-era flexibilities have on the MDPP. Hospitals Sue Over HRSA’s Reinstated Reqs For Off-Site 340B Facilities A group of 44 health systems are asking a Washington D.C. district court to make the Health Resources and Services Administration back away from registration requirements the agency says 340B participants must once again fulfill to register off-site locations, also known as child sites. Health Research Needs Large-Scale Trial Collaboration, Woodcock Says Health leaders including FDA Deputy Commissioner Janet Woodcock are concerned that researchers and funders of health research have not learned the right lessons from the COVID-19 pandemic and are failing to achieve the large-scale scientific collaboration that allows for advances like the swift development of COVID vaccines. States Move To Restrict Weight Loss Supplements, FDA Authority Limited As New York and other states move to restrict the availability of weight-loss and muscle-building supplements to children due to concerns about body image and eating disorder impacts, FDA shows no signs of acting on the issue, which advocates attribute to inadequate funding and authority from Congress. Medicaid Unwinding Advocates, Lawmakers Ask States To Pause All Procedural Terminations States should halt Medicaid disenrollments due to paperwork reasons until they can dramatically reduce the national 70% procedural disenrollment rate, three House Democrats and 10 advocacy organizations said following a report that found Medicaid enrollment has decreased more during the first six months of the unwinding than the previous largest drop from 1996 to 1998. More Unwinding News → HOT TOPICS HEALTH REFORM Urban Institute: Nearly Half Of Uninsured Veterans Eligible For ACA Or Medicaid Coverage Medicaid Senate Finance Probes Use Of AI/ML In Medicare, Medicaid, CHIP Health Equity CMS Permanently Adds SDOH Risk Assessments To Telehealth Services List Medical Devices CMS Pressed To Review AI/ML Payment More Than Annually Medicare CMMI Stands By Medicare Accountable Care Goals Following CBO Report INSIDE DRUG PRICING Rx Pricing Groups To Schumer: Hold Vote On Finance, HELP PBM Bills Cassidy, OAC Float First Treating Obesity With GLP-1s, Then Other Interventions INSIDE TELEHEALTH CISOs Call On Congress To Slow Cyber Attacks In Health Care Bipartisan Bill Would Expand Access To Wearable Health Tech Under FSAs, HSAs INSIDE CMS Senators Urged To Regulate AI Risks While Boosting Health Care Uses CMS Says Value-Based Care Parameters Unclear To Patients, Providers FDA WEEK DOJ Files Court Statement Seeking To Protect Right To Travel For Abortions Generic Mifepristone Maker Files Appeal In Bid To Overturn WV Abortion Ban HEALTH EXCHANGE ALERT Protect Our Care Poll: Dems Have Upper Hand On Health Policy For 2024 Admin Touts 1.6M Healthcare.gov Enrollees In Week One MORE TOP STORIES Industry Concerned About Off-Label Info Sharing Guide, Seeks Comment Extension FDA’s updated draft guidance on when drug and drug makers can share information with health care providers about research into off-label uses of their products may impose unfair restrictions and expose companies to liability even when they try to follow the guidelines, industry sources say. Finance Passes Sweeping Bill As Lawmakers Tee Up Year-End Priorities The Senate Finance Committee on Wednesday (Nov. 8) unanimously voted to move a broad physician pay, mental health and drug pricing package out of committee, though numerous closely watched health care policies, such as site-neutral hospital pay, graduate medical education reforms and a major biosimilars measure weren’t included in the bill. Senate Finance Advances Integration, Behavioral Health Policies Senate Finance lawmakers unanimously advanced a major behavioral health legislative package to the floor Wednesday (Nov. 8), which included Medicare incentives to encourage primary care providers to integrate with mental health as well as a provision to make permanent the state option to circumvent the institutions for mental disease (IMD) exemption. House Rules To Consider Dozens Of Partisan Amendments To HHS Approps The House Rules Committee will take up a fiscal 2024 spending bill for HHS, Education and Labor on Monday (Nov. 13), when it will decide which of the dozens of filed amendments, many of them partisan in nature, can be considered on the floor -- but the move puts Congress no closer to reaching a budget agreement or avoiding a government shutdown. MORE NEWS Senate Finance Passes Extra Policies To Build On MEPA PBM Bill FDA Approves Lilly’s Weight Management Drug, Lilly Lobbies For Medicare Coverage Bill Braun Drafts Bill Setting Up CMS AI/ML Pilot To Stem Diagnostic, DME Fraud Wyden Continues Work With CBO On Biosimilar Measure Axed From PBM Bill Senate Finance Clears Telemental Health, Other Virtual Care Measures More news → DOCUMENTS FDA Clears First COVID-19 Home Antigen Test CMS Issues Slew Of Medicare Policy Changes To Improve Access To Behavioral Health CMS Issues Medicare Contract Year 2025 MA Policy Rule Finance Committee Releases Chairman's Mark Of The Mental Health, Drug Pricing, Extenders Package Ahead Of Markup CMS Seeks Input On Potential Medicare Transaction Facilitator More documents → THE INSIDER CMS PROPOSES 2025 MA POLICIES; SENATE FINANCE TO MARK UP WIDE-RANGING DRUG PRICING, MEDICARE BILL; ANOTHER STOPGAP FUNDING BILL LIKELY CMS on Monday proposed sweeping Medicare Advantage policies for contract year 2025 and the Senate Finance Committee on Wednesday will consider wide-ranging health care legislation unveiled last week, including bipartisan drug pricing reforms, proposals to integrate physical and mental health, and myriad other Medicare and Medicaid policies -- all as the Nov. 17 government funding deadline moves closer. 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