Drug Company Seeks to Alter 340B Terms
A pharmaceutical company proposes launching an effort to begin transforming the 340B prescription drug discount program from an upfront discount program to a rebate program. Last week, Johnson & Johnson told eligible 340B providers, including safety-net hospitals, that later this [...]
Federal Health Policy Update for August 30
The following is the latest health policy news from the federal government for August 23-30. Some of the language used below is taken directly from government documents. 340B Johnson & Johnson, the pharmaceutical, biotechnology, and medical technologies company, told health [...]
Federal Health Policy Update for August 22
The following is the latest health policy news from the federal government for August 16-22. Some of the language used below is taken directly from government documents. The Courts The federal government must include uninsured patients whom hospitals serve under [...]
Jury Still Out on Revised 2-Midnight Rule
A regulation that requires Medicare Advantage plans to comply with Medicare’s 2-midnight rule in the same manner as traditional Medicare as of 2024 is bringing mixed results for hospitals. Some hospitals report increased admissions – and inpatient revenue – as [...]
Court Rejects Non-Compete Ban
A federal court has rejected a Federal Trade Commission regulation that banned non-compete agreements between employers and employees under most circumstances. In a suit brought in Texas by the U.S. Chamber of Commerce, the Business Roundtable, the Texas Association of [...]
Federal Court Rejects Medicare DSH Regulation
The federal government must include uninsured patients that hospitals serve under state Medicaid waivers when calculating hospitals’ Medicare DSH payments, a federal court has ruled. In the case of Baylor All Saints Medical Center, et al. v. Xavier Becerra, federal [...]
Federal Health Policy Update for August 15
The following is the latest health policy news from the federal government for August 9-15. Some of the language used below is taken directly from government documents. Department of Health and Human Services To advance its implementation of the 2009 [...]
CMS Tinkers With ACO REACH Model
Medicare’s ACO REACH Model will undergo some changes when it heads into its 2025 performance year. To help ensure that the program controls costs and saves money, the Centers for Medicare & Medicaid Services will implement a series of [...]
Court Sides Yet Again With Providers on No Surprises Act
A federal appellate court has affirmed a lower court ruling that the manner in which federal regulations tell No Surprises Act dispute arbiters to evaluate competing fee claims unfairly favors health care payers over providers. At issue is a regulatory [...]
Federal Health Policy Update for August 8
The following is the latest health policy news from the federal government for August 3-8. Some of the language used below is taken directly from government documents. No Surprises Act A federal appeals court has upheld a February lower court [...]
