Price Transparency Not Living Up to Objective – Yet
The requirement that hospitals post transparent information about their prices is not yet leading consumers to do more price shopping before obtaining care. Instead, to the degree that hospitals are fulfilling the requirement at all, the data they share is [...]
Medicare Advantage Musical Chairs Continues
Even as the number of seniors enrolling in Medicare Advantage plans rises every year, the program’s stability is threatened by the withdrawal of those plans from the program. According to a new JAMA Network analysis, after years of just one [...]
Rate of Timely Prenatal Care Declines
The rate at which pregnant women start receiving prenatal care during their first trimester declined between 2021 and 2024, as did the rate of pregnant women who received late or no care. Meanwhile, the rate at which pregnant women initiated [...]
Federal Health Policy Update for February 19
The following is the latest health policy news from the federal government for February 13-19. Some of the language used below is taken directly from government documents. Congress Congress is not in session this week and will return on Monday, [...]
Feds Taking Another Shot at 340B Changes
Only a week after a federal court rejected for a second time its attempt to introduce a new approach to administering the 340B Drug Pricing Program, the Health Resources and Services Administration is going back to the drawing board and [...]
ACA Premium Subsidy Talks Over?
Negotiations seeking to strike a compromise in the elimination of enhanced subsidies for lower-income purchasers of health plans sold on Affordable Care Act insurance exchanges appear to have died a quiet death. Talks between Democratic and Republican negotiators focused on [...]
Federal Health Policy Update for February 12
The following is the latest health policy news from the federal government for February 6-12. Some of the language used below is taken directly from government documents. The White House The White House announced the launch of TrumpRx, a service [...]
CMS Proposes Major Changes in Exchange Plans
The Centers for Medicare & Medicaid Services has proposed sweeping changes in the health plans offered by Affordable Care Act marketplace exchanges. The changes, revealed in CMS’s proposed Notice of Benefit and Payment Parameters for 2027, affect both the regulations [...]
CMS Axes 340B Model
Following two defeats in federal court, the Centers for Medicare & Medicaid Services has ended its 2025 attempt to launch its 340B Rebate Model Pilot Program. The program, which would have introduced a new approach to the 340B prescription drug [...]
Docs Not Always Caring for Medicaid Patients
More than a quarter of all doctors enrolled to serve Medicaid patients in 2021 did not serve any Medicaid patients at all while another ten percent treated fewer than 10 Medicaid patients, according to a new Health Affairs study. Among [...]
