Healthcare groups criticized CMS for giving them just a few weeks to review and comment on the proposed rule and excluding Medicare Advantage plans from the requirements. The changes will phase in from 2023 through 2024.
The request is part of the Federal Trade Commission's revamp of its merger retrospective program that they hope will bolster their enforcement of physician practice mergers and hospital acquisitions of physicians.
A number of prominent health systems have contributed millions of dollars to Heritage Group's third fund. Health systems may be leaning more on investment income given the tough operating environment the pandemic has created.
Providers, states, patient advocates and members of Congress opposed the rule because it would have ramped up federal oversight of how states fund their Medicaid programs and possibly led to significant funding cuts.
CMS on Thursday significantly changed how Affordable Care Act exchanges will run, including allowing states to waive some requirements and use web-based brokers to sell insurance by 2023, moves that insurers and other industry groups have said would essentially privatize the exchanges.
Healthcare cases made up more than 80% of the Justice Department's False Claims Act settlements in 2020, totaling $1.8 billion. The Justice Department cleared $2 billion in healthcare-related settlements every year for the last decade.
For more than two decades, Medicare Advantage has successfully relied on public-private partnerships to expand access to care, lower costs and improve outcomes for millions of Americans. It should be available to all.
The Food and Drug Administration will issue draft guidance encouraging developers to explain how they plan to upgrade artificial intelligence and machine learning software in medical devices, among other steps.