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747 Matching News Items
1.
The Supreme Court and the Future of Expert Preventive Care Recommendations
Health Affairs Forefront
May 30, 2024
Health Affairs Forefront
May 30, 2024
"[T]he Supreme Court weighs overturning a 40-year-old precedent underpinning the ability of agencies to develop detailed regulatory policy. Concurrently, the US Fifth Circuit [Court] of Appeals is weighing the constitutionality of the [ACA's] delegation of authority to various federal advisory bodies and an agency to determine preventive coverage requirements. Both cases involve significant questions of administrative and constitutional law that will impact not only the future of health care regulation, but how our government uses expert determination to decide the preventive care that must be covered through health insurance for over 150 million Americans."
2.
Recent Developments in No Surprises Act Implementation
Health Affairs Forefront
May 22, 2024
Health Affairs Forefront
May 22, 2024
"This article provides an update on recent administrative actions regarding implementation of the NSA, including [1] a status update on implementation of the advanced explanation of benefits (AEOBs) requirement; [2] guidance extending the Administration's enforcement discretion with regards to the qualifying payment amount (QPA); and [3] a report to Congress on QPA audits (posted for readers' reference on the Health Affairs website with permission from the [CMS])."
3.
The Growing Policy Wave of Medical Debt Cancellation: States Taking Action
Health Affairs Forefront
May 16, 2024
Health Affairs Forefront
May 16, 2024
"State and local officials are increasingly turning their policy focus to efforts to eliminate or prevent medical debt, complementing recent efforts at the federal level to tackle the crisis. [This] article highlights these efforts, underscoring the exciting policy boomlet currently underway. It also offers recommendations for further policy steps needed to eliminate, alleviate, and prevent medical debt."
4.
The Time Is Now for Federal Reform of Direct-to-Consumer Advertising of Prescription Drugs
Health Affairs Forefront
May 1, 2024
Health Affairs Forefront
May 1, 2024
"In combination with the Inflation Reduction Act's introduction of Medicare drug price negotiations, the Biden administration's reform of Medicare Advantage ads introduced precedent for monitoring direct-to-consumer advertising (DTCA). Yet, there is still room for reform, regulation, and improvement.... DTCA explicitly increases consumption of pharmaceutical products and, perhaps more insidiously, implicitly influences Americans' perception of drug efficacy.... Patient and consumer protection is desperately needed."
5.
From 'Price Controls' to Robust Public Conversation: How CMS Can Move Drug Price Negotiation Into the Light
Health Affairs Forefront
Apr. 30, 2024
Health Affairs Forefront
Apr. 30, 2024
"CMS is tasked with evaluating whether the evidence generated over a relatively long product lifecycle justifies the already-set price or if further discounting is warranted. This raises many questions.... [The authors propose a framework which] attempts to address each of these challenges while remaining true to the spirit of what [health technology assessments (HTA)] should accomplish -- credible, evidence-based decision making in the interest of population health and health-system sustainability."
6.
Final Rule Rescinds Regs That Would Have Expanded Formation and Use of Association Health Plans
Health Affairs Forefront
Apr. 30, 2024
Health Affairs Forefront
Apr. 30, 2024
"DOL notes that it is unaware of any AHPs that exist today in reliance on the 2018 regulations, limiting the impact of their rescission. The agency's decision to rescind the full 2018 AHP rule is intended to resolve any lingering uncertainty over that rule and ensure that the agency's guidance to the regulated community aligns with federal law."
7.
Administration Finalizes Rule To Support Reproductive Health Care Privacy
Health Affairs Forefront
Apr. 29, 2024
Health Affairs Forefront
Apr. 29, 2024
"The final rule modifies the Standards for Privacy of Individually Identifiable Health Information under [HIPAA] and the [HITECH Act].... The changes mainly prohibit covered entities and their business associates from using or disclosing PHI to investigate, identify, and penalize a person who seeks, obtains, provides, or facilitates lawful reproductive health care. The changes also require covered entities to presume that the provision of reproductive health care was lawful unless it is actually established that such reproductive care was not lawful. "
8.
Expanding Value-Based Payments: Fixing Design Flaws
Health Affairs Forefront
Apr. 23, 2024
Health Affairs Forefront
Apr. 23, 2024
"[CMS] has committed to having all Medicare beneficiaries in value-based payments (VBPs) by the end of this decade.... Yet, today only about one third of traditional Medicare beneficiaries are in an accountable care organization (ACO). The uptake of VBP has been slow, slower than many people have expected.... One answer is to more carefully design the VBP programs. In this article, [the authors] delineate three major design flaws in current programs that impede expansion of VBPs, and how they can be fixed."
9.
The Impact of Telemedicine on Utilization, Spending, and Quality, 2019–22
Health Affairs Forefront
Apr. 17, 2024
Health Affairs Forefront
Apr. 17, 2024
"A major impediment to long-term coverage of telemedicine has been concerns that it will increase spending or hurt quality.... [The authors] compared changes between 2019 and 2021-22 in utilization, spending, and quality for patients receiving care from health systems that used telemedicine at higher or lower rates."
10.
State Efforts To Improve Price Transparency
Health Affairs Forefront
Apr. 15, 2024
Health Affairs Forefront
Apr. 15, 2024
"[In] 2019, the federal government required first hospitals and then insurers to publish their negotiated prices.... [F]ederal price transparency rules specifically make state departments of insurance responsible for enforcing these rules against the insurers they regulate.... In this article, we examine state efforts to promote price transparency both before the enactment of federal price transparency rules as well as after it."
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