by Jordana Choucair | Jun 22, 2022 | Payers
The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that proposes to update payment rates and policies under the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for Calendar Year (CY) 2023. The rule proposes to increase the...
by Jordana Choucair | Jun 22, 2022 | Payers
he Supreme Court ruled 7-2 that an employer-sponsored health plan can designate all dialysis providers as out-of-network. In 2018, DaVita sued Marietta Memorial Hospital alleging that its plan violated federal law by not having an in-network option for dialysis and...
by Jordana Choucair | Jun 22, 2022 | Payers
Senators Jeanne Shaheen and Susan Collins introduced legislation to reduce insulin prices and cap monthly copays at $35 or 25 percent of the list price — whichever is lower — for both commercial and Medicare plans. The bill would block pharmacy benefit managers from...
by Jordana Choucair | Jun 22, 2022 | Providers
CVS announced that it is expanding its Project Health initiative into two new regions and adding four new mobile units in 2022. The provider plans to host more than 1,600 screening events in 45 states and Puerto Rico over the course of this year. The events are hosted...
by Jordana Choucair | Jun 22, 2022 | Public Health/Prevention
The Senate cast a key vote to advance newly released bipartisan gun safety legislation. The legislation resulted from negotiations among 10 Republicans and 10 Democrats, and it is expected to have more than enough votes to overcome the 60-vote threshold to clear a...
by Jordana Choucair | Jun 21, 2022 | Life Sciences
The Centers for Disease Control and Prevention (CDC) recommended Saturday that children as young as 6 months old receive COVID-19 vaccines developed by Pfizer-BioNTech and Moderna. The move follows unanimous votes earlier from the CDC’s Advisory Committee on...
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