Recent Stories
HHS rule excludes transgender protections in ACA plans, programs

The proposed rule would strip protections for transgender people from discrimination under the Affordable Care Act.
CMS to expand requirements for ACA navigators

The CMS will take more time to judge not-for-profit navigator groups tasked with Affordable Care Act enrollment outreach on their performance, which is tied to funding.
Verma exploring outcome-based ideas to tackle high drug costs

CMS Administrator Seema Verma stopped short of endorsing giving Medicare negotiating power, an idea popular with Democrats.
ONC: Patient access, online data use stagnated in 2018

The latest data come after the Trump administration proposed major rules to make it easier for patients to access electronic information.
CMS renews MA accrediting body's authority

URAC's accreditation authority lapsed last May, and the CMS didn't give a reason for the delay.
Medicaid waiver loophole sparks transparency concerns

The Government Accountability Office said the CMS does a poor job of making sure the public knows about major amendments to Medicaid waivers, including work requirements.
Medicaid and CHIP director to leave at end of May

Director Chris Traylor is departing due to family reasons. He was appointed to the post in January.
CMS holds off on CAR-T cancer treatment coverage decision

The agency's delay comes after providers criticized the initial proposal issued three months ago.
CMS' final drug price rule doesn't include price concessions

The final rule aims to boost transparency of drug costs in Medicare Part D, but doesn't include a proposal to pass on price concessions negotiated by the pharmacy to patients.
Trump administration looks to revive Arkansas, Kentucky Medicaid work requirements

The Trump administration wants a federal appeals court to revive Medicaid work requirements in Kentucky and Arkansas, saying they are policy experiments that support Medicaid's mission.
CMS seeks to limit 'spread pricing' by PBMs in managed care

The CMS issued a new guidance clarifying when PBM rebates must be included in calculating the medical loss ratio for Medicaid managed care.
HHS doles out rural grants to combat opioid abuse

HHS' grant awards are intended to deal with major gaps in care for opioid and substance abuse in rural areas.
FDA finalizes guidance to spur biosimilar availability

The guidance will help companies develop biosimilars that can be interchanged at the pharmacy without the need to contact a doctor.
Ascension urges Congress for help on biosimilar uptake

The major hospital chain asked lawmakers to remove barriers preventing more use of biosimilars.
Justice Department sheds light on limiting False Claims Act damages

The U.S. Justice Department explained in a new guidance how companies can cooperate and reveal potential False Claims Act violations early to minimize liability.