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CMS drops payment rule | Texas docs sue HHS over surprise billing rule | PBM clawbacks sidestep state bans on spread pricing

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Friday, October 29, 2021
Friday, October 29, 2021
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Medicare issues ESRD rule with equity in mind

CMS's latest iteration of the end-stage renal disease payment model addresses health disparities for the first time.

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Texas docs sue HHS over surprise billing rule

The Texas Medical Association argues the surprise billing regulation unfairly favors insurers.

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PBM clawbacks sidestep state bans on spread pricing

PBMs have found other ways to game Medicaid reimbursements in Ohio and elsewhere, experts say.

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Ochsner Health can't fire unvaccinated employees while mandate is challenged in court, Louisiana appeals court rules

The 2nd Circuit Court of Appeals in Shreveport ruled a day before Ochsner Health’s deadline for its 32,000 employees across Louisiana and in a small part of Mississippi to be fully vaccinated or face dismissal.

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FDA paves way for Pfizer COVID-19 vaccinations in young kids

The Food and Drug Administration on Friday paved the way for children ages 5 to 11 to get Pfizer's COVID-19 vaccine.

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UMass Memorial Health network hacked; patient info exposed

More than 200,000 patients and health plan participants could have been affected by the breach between June 2020 and January, according to a federal database of cybersecurity incidents at medical facilities.

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ERs are swamped with seriously ill patients, although many don't have COVID

Months of treatment delays have exacerbated chronic conditions and worsened symptoms. Doctors and nurses say the severity of illness ranges widely.

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M&A action is about to go viral in Chicago hospital biz

The breakup of Amita Health will spark a new round of dealmaking: “This puts two M&A targets back out into the field.”

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Healthcare workforce platform ShiftMed raises $45 million

ShiftMed is one of several companies trying to capitalize on the nursing shortage by connecting in-demand workers with desperate employers. 

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Medicaid insurance

Medicaid issues, not Medicare's, get fixes in Biden budget

The budget blueprint Biden released would fulfill a campaign promise to help poor people locked out of Medicaid expansion across the South due to partisan battles.

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