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Submission: On April 04 via manual from US — Scanned from DE
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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 Thursday, April 4, 2024 FREE TRIAL Receive 30 days of no-obligation access. SIGN UP HOME TOP STORIES ADMIN INCLUDES ROUTINE ADULT DENTAL SERVICES IN FINAL 2025 EXCHANGE RULE CMS Tuesday (April 2) finalized a 2025 exchange rule that would let states add routine adult dental services to their essential health benefits package, a proposal cheered by Affordable Care Act advocates and other stakeholders, require state-based exchanges implement network adequacy standards and other policies that align with the federal exchange, make permanent the special enrollment period available for people earning up to 150% of poverty, and more. CMS CODIFIES EHB DRUG STANDARDS BUT PUNTS ON LARGE GROUP, SELF-INSURED PLANS; REQUIRES PATIENT REPS ON P&T PANELS MEDICAID UNWINDING CMS SENDS STATES ‘ESSENTIAL REMINDERS’ FOR MEDICAID UNWINDING With the estimated number of disenrolled Medicaid and CHIP beneficiaries rapidly approaching 20 million, CMS unveiled a detailed slide deck reminding states of what not to do when processing Medicaid and Children’s Health Insurance Program (CHIP) renewals, among other unwinding-related materials. MEDICAID UNWINDING SPECIAL ENROLLMENT WINDOW EXTENDED THROUGH NOV. 30 LATEST NEWS Peptide Therapy Companies Sue FDA Over Compounding Bans FDA is facing a lawsuit over its decision not to allow pharmacy compounding of several peptides, including some commonly used by bodybuilders, brought by providers who prescribe them. Biden Touts Success In Pressuring Pharma To Lower Inhaler Prices President Joe Biden on Wednesday (April 3) touted his administration’s and Sen. Bernie Sanders’ (I-VT) success in pressuring three of four of the nation’s top inhaler manufacturers to cap out-of-pocket costs for patients at no more than $35 a month, saying the administration will look for more ways to get drug makers, who are already backed in a corner due to Medicare drug negotiations, to cut their prices. Admin Silent On Co-Pay Accumulators In Final Exchange Reg, Advocates Eye Legal Options A national patient group that recently won a suit against CMS’ 2021 exchange policy allowing insurers to avoid counting drug copay assistance toward patient out-of- pocket maximums is slamming the administration for refusing to enforce that decision and is exploring potential legal options for patients. FOCUS ON MA CMS Finalizes 3.7% 2025 MA Pay Bump As Plans Slam Rate As Cut CMS on Monday (April 1) released a 2025 Medicare Advantage and Part D rate notice that projects plans will see a 3.7% overall pay bump next year -- about a $16 billion increase from 2024 rates -- as calls to reform the MA program grow in number. HOT TOPICS HEALTH REFORM Advocates Praise, GOP Blasts Short-Term Plan Restrictions Medicaid GAO: Medicare, Medicaid Responsible For $100B In Improper Payments Health Equity FDA Used Current Standards, Despite Bias Concerns, To Clear First OTC Pulse Oximeter Medical Devices CMS Remote Monitoring Guidance Could Incentivize Rural Uptake Medicare HHS Seeks To Avert Shortages With Generic Drug Score Card, Hospital Incentives/Penalties INSIDE DRUG PRICING As Rx Price Negotiations Progress, HHS, CAP Tout Savings For Women, Latinos, GOP Constituents State Medicaid Agencies Grapple Case By Case With Costly Gene Therapy For MLD INSIDE TELEHEALTH E&C To Discuss Slew Of Telehealth Permanency Bills Next Week FCC To Vote On Restoring Net Neutrality This Month INSIDE CMS Telehealth Interstate Licensure Could Change Under A GOP President PhRMA, Infusion Centers Appeal Texas Court’s Dismissal Of IRA Case FDA WEEK NY State Bill Would Require Disclosure Of ‘Secret’ GRAS Designations CDC, FDA Working On Response To Human Infection With Avian Influenza HEALTH EXCHANGE ALERT Admin Limits Short-Term Plans, Punts On Fixed Indemnity Sanders: Novo Nordisk’s High Ozempic Price Off Kilter With $5 Production Cost MORE TOP STORIES Public Health Groups Sue FDA, HHS Over Menthol Rule Delay FDA and HHS are being sued by public health groups the African American Tobacco Control Leadership Council, Action on Smoking and Health and the National Medical Association for failing to finalize a rule that would ban menthol cigarettes and flavored cigars, after missing multiple estimated publication dates. FDA Files Supreme Court Cert Petition In E-Cigarette Regulation Case FDA is requesting the Supreme Court review an appeals court’s ruling that it must individually consider every marketing application for flavored e-cigarette products, rather than rejecting them en masse because of their impact on youth smoking. Biden Blames GOP For Lack Of ACP Funds, To Start Notifying Enrollees Program Will End Biden administration officials are blaming congressional Republicans for stalling necessary funding to keep the Affordable Connectivity Program, an integral broadband program for telehealth patients in marginalized communities, afloat, and disclosed enrollment data broken down into congressional districts that show millions of constituents from both parties will soon be notified the program is ending unless Congress acts. E&C Expected To Hold Hearing On Telehealth Permanency In Wake Of W&M The House Energy & Commerce subcommittee on health is expected to hold a hearing to discuss telehealth permanency April 10, lobbyists told Inside Health Policy. MORE NEWS Strict Health Data Privacy Laws In Washington, Nevada Now In Effect Frustrated By CMS’ Inaction, Pascrell May Push Bill Mandating UDIs In Claims Data Public Health Groups Disappointed By Further Menthol Rule Delay GAO Calls On FDA To Speed Up Rulemaking On BA/BE Studies GAO: FDA Must Boost Recruitment, Retention Of Clinical Trial Inspectors More news → DOCUMENTS CMS Proposes Fiscal 2025 Hospice Pay Rate Update CMS Proposes Fiscal 2025 Inpatient Psychiatric Facilities Prospective Pay Rule, Quality Reporting Updates CMS Proposes Fiscal 2025 Skilled Nursing Facility Prospective Payment System Rule CMS Issues Fiscal 2025 Inpatient Rehabilitation Facility Prospective Payment System Proposed Rule Dozens Of GOP Lawmakers Ask CMS To Reconsider Its Proposed 2025 MA Rates More documents → FEATURES * Daily News * Documents * Insider NEWSLETTERS * FDA Week * Inside CMS * Health Exchange Alert * Inside Drug Pricing * Inside TeleHealth TOPICS * Biden Health Agenda * Coronavirus * Abortion * Health Equity * Health Reform Debate * Budget * Congress * Cybersecurity * Emergency Response * Food Safety * Medicaid * Medical Devices * Medicare * Opioids * Rx Drugs * Spotlight on ACOs * The Courts * Tobacco * User Fees * Waste and Fraud * 21st Century Cures INSIDE HEALTH POLICY * Home * About * Terms and Conditions * Privacy Policy * Advertising on Inside Health Policy * About Inside Washington Publishers STAY CONNECTED © 2002-2024. 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