Administration Makes First Offer in Drug Price Negotiation Process
Prescription Drugs
Administration Makes First Offer in Drug Price Negotiation Process
2024-02-01 19:18:37
by Dan McCue

WASHINGTON — The Biden-Harris administration on Thursday sent its initial offers to the makers of 10 prescription drugs that have been selected for price negotiations with Medicare under the Inflation Reduction Act. Medicare is federal health insurance for anyone 65... Read More

Pharma Firms Agree to Participate in Medicare Price Negotiations
Prescription Drugs
Pharma Firms Agree to Participate in Medicare Price Negotiations
2023-10-03 20:15:31
by Dan McCue

WASHINGTON — The White House announced Tuesday that all 10 drug companies whose products were selected for price negotiations with Medicare have agreed to participate in those talks. The companies, which include Bristol Myers Squibb, the maker of Eliquis, Boehringer... Read More

How a Government Shutdown Would Affect Federal Health Programs
Health
How a Government Shutdown Would Affect Federal Health Programs
2023-09-27 18:02:15
by Dan McCue

WASHINGTON — With uncertainty continuing to swirl around Capitol Hill, conversations have begun to focus not on if there will be a partial shutdown of the federal government come midnight on Saturday, but on how that almost inevitable shutdown will... Read More

PhRMA Sues Administration Over Medicare Drug Price Negotiation Rules
Litigation
PhRMA Sues Administration Over Medicare Drug Price Negotiation Rules
2023-06-21 19:06:28
by Dan McCue

WASHINGTON — PhRMA, the pharmaceutical industry’s largest lobbying group, sued the Biden administration on Wednesday asserting provisions of the Inflation Reduction Act that allow Medicare to start negotiating the prices of certain drugs are unconstitutional. The 59-page complaint, in which... Read More

Think Tank Weighs In on Medicare Payments for Ambulatory Services
Medicare
Think Tank Weighs In on Medicare Payments for Ambulatory Services
2023-06-07 20:51:25
by Dan McCue

WASHINGTON — As Congress considers proposals that would eliminate existing differences in Medicare payments for ambulatory services, a think tank is warning lawmakers to be on the lookout for unintended consequences. In a new paper published by the American Enterprise... Read More

Bill Aims to Expand Access to Emergency Med Care
In The News
Bill Aims to Expand Access to Emergency Med Care
2023-04-04 13:43:09
by Dan McCue

WASHINGTON — A bipartisan bill in the House aims to permanently expand access to emergency medical care for Medicare, Tricare and Medicaid beneficiaries.  Introduced by Reps. Jodey Arrington, R-Texas, and Vicente Gonzalez, D-Texas, the Emergency Care Improvement Act would head... Read More

Social Security On Course to Run Short of Cash Ahead of Projections
Social Security
Social Security On Course to Run Short of Cash Ahead of Projections
2023-03-31 19:35:04
by TWN Staff

WASHINGTON — The Social Security Trust Fund is projected to run short of cash by 2033, one year earlier than projected last year, according to a report released Friday. The report followed a meeting of the Social Security and Medicare... Read More

HHS Unveils Key Dates for Medicare Drug Price Negotiations
Medicare
HHS Unveils Key Dates for Medicare Drug Price Negotiations
2023-03-06 20:49:18
by TWN Staff

WASHINGTON — When the Inflation Reduction Act became law last year, it empowered the Health and Human Services secretary, for the first time ever, to begin negotiating certain prescription drug prices with drug manufacturers. The prices would go into effect... Read More

HHS Finalizes Physician Payment Rule Strengthening Access
Health
HHS Finalizes Physician Payment Rule Strengthening Access
2022-11-09 21:59:58
by TWN Staff

WASHINGTON — A proposed physician fee schedule for 2023 published this past week by the Centers for Medicare and Medicaid Services aims to increase access to behavioral health care, cancer screening and dental care. The Calendar Year 2023 Physician Fee... Read More

Schatz Urging Colleagues to Give Telehealth a Boost in Lame Duck
Health
Schatz Urging Colleagues to Give Telehealth a Boost in Lame Duck
2022-10-25 14:52:28
by Dan McCue

WASHINGTON — Sen. Brian Schatz, D-Hawaii, is urging his colleagues to take up legislation during the upcoming lame duck session of the 117th Congress to allow Medicare beneficiaries to more easily have virtual appointments with their doctors. Schatz has led... Read More

Administration Takes New Steps to Improve Nursing Home Quality
Health
Administration Takes New Steps to Improve Nursing Home Quality
2022-10-21 17:09:58
by Dan McCue

WASHINGTON — The Biden administration is taking new steps to increase accountability of bad actors in the nursing home industry, improve the quality of nursing homes and make them safer. The new initiatives follow up on President Joe Biden’s promise... Read More

HHS Encouraging Americans to Review Their Medicare Options During Open Enrollment
Health
HHS Encouraging Americans to Review Their Medicare Options During Open Enrollment
2022-10-14 15:57:49
by Dan McCue

WASHINGTON — Medicare Open Enrollment begins on Saturday, Oct. 15, and officials with the Department of Health and Human Services are encouraging Medicare recipients to review and compare their options due to beneficial changes stemming from the passage of the... Read More

Lensmaker Essilor to Pay $16.4M to Resolve Kickback Claims
Justice
Lensmaker Essilor to Pay $16.4M to Resolve Kickback Claims
2022-08-23 20:59:41
by Dan McCue

WASHINGTON — Lensmaker Essilor has agreed to pay $16.4 million to resolve allegations it caused claims to be submitted to Medicare and Medicaid that violated federal anti-kickback statutes.  Essilor, headquartered in Dallas, Texas, manufactures, markets and distributes optical lenses and... Read More

Justices Uphold HHS Language on Medicare Reimbursements
Medicare
Justices Uphold HHS Language on Medicare Reimbursements
2022-06-24 20:23:03
by Dan McCue

WASHINGTON — Though few likely noticed given the court’s overturning of Roe v. Wade, the Supreme Court also decided a highly technical case Friday regarding how the Department of Health and Human Services calculates a class of Medicare payments. The... Read More

Kagan Says Congress Must Fix Medicare Dialysis Rule ‘Broken’ by Her Colleagues
Medicare
Kagan Says Congress Must Fix Medicare Dialysis Rule ‘Broken’ by Her Colleagues
2022-06-21 23:06:53
by Dan McCue

WASHINGTON — Supreme Court Justice Elena Kagan on Tuesday called on Congress to “fix” the Medicare Secondary Payer Act after a majority of her colleagues ruled a group health plan did not violate the act by providing only limited benefits... Read More

HRSA Prepares Providers for End of Telehealth Flexibilities During COVID-19 PHE
Health
HRSA Prepares Providers for End of Telehealth Flexibilities During COVID-19 PHE
2022-05-18 16:07:54
by Alexa Hornbeck

WASHINGTON — The Department of Health and Human Services extended the COVID-19 public health emergency this week beyond the July 15 expiration to October. The eventual expiration of the declaration will lead to changes in certain flexibilities granted to Medicare... Read More

Medicare Limits Coverage of Aduhelm to Patients in Clinical Trials
Regulation
Medicare Limits Coverage of Aduhelm to Patients in Clinical Trials
2022-04-07 22:17:02
by Dan McCue

WASHINGTON — Despite pressure to go another way, Medicare on Thursday evening announced it will only cover the new Alzheimer’s disease drug Aduhelm for people participating in a clinical trial. The decision came as something of a surprise as Medicare... Read More

House Passes $35-a-Month Insulin Cap as Dems Seek Wider Bill
Health
House Passes $35-a-Month Insulin Cap as Dems Seek Wider Bill

WASHINGTON (AP) — The House has passed a bill capping the monthly cost of insulin at $35 for insured patients, part of an election-year push by Democrats for price curbs on prescription drugs at a time of rising inflation. Experts... Read More

Agonizing Choices as Dems Debate Shrinking Health Care Pie
Congress
Agonizing Choices as Dems Debate Shrinking Health Care Pie

WASHINGTON (AP) — Democrats are debating how to divide up what could be a smaller serving of health care spending in President Joe Biden's domestic policy bill, pitting the needs of older adults who can't afford their dentures against the... Read More

Centers for Medicare and Medicaid Service to Distribute Federal Funding to Rural Hospitals
Health
Centers for Medicare and Medicaid Service to Distribute Federal Funding to Rural Hospitals
2021-09-23 14:39:15
by Reece Nations

The Centers for Medicare and Medicaid Services is disbursing an initial amount of $2 million to four health care entities in four states to bolster access to their services in underserved communities. Funds will be distributed to participating hospitals in... Read More

White House Unveils Plan to Cut Prescription-Drug Prices
Prescription Drugs
White House Unveils Plan to Cut Prescription-Drug Prices
2021-09-09 19:41:12
by Dan McCue

WASHINGTON -- The Biden administration on Thursday offered the first detailed look at actions the White House may take in conjunction with congressional action to lower prescription drug prices. The 29-page plan, released through the Department of Health and Human... Read More

Medicare May Expand Access to Dental Benefits, But Not All Dentists and Insurers Agree
Medicare
Medicare May Expand Access to Dental Benefits, But Not All Dentists and Insurers Agree
2021-09-01 19:57:04
by Alexa Hornbeck

WASHINGTON -- A hearing held by the U.S. Senate Special Committee on Aging centered around whether to expand Medicare to cover eyes, ears, and teeth, a proposal from Senate Democrats that could possibly cost over $359 billion over a decade. ... Read More

Health Summit Panel Debates Drug Pricing Proposals
Prescription Drugs
Health Summit Panel Debates Drug Pricing Proposals
2021-06-30 14:31:12
by Alexa Hornbeck

Policymakers and representatives of the pharmaceutical industry debated the cost of prescription drugs and the myriad of proposals on Capitol Hill to bring those prices down at last week's Milken Institute Future of Health Summit. Amitabh Chandra, a health care... Read More

Murray, Brown Urge Colleagues to Expand Primary Care Access for Women And Children
Health
Murray, Brown Urge Colleagues to Expand Primary Care Access for Women And Children
2021-06-02 22:23:08
by TWN Staff

WASHINGTON - Sens. Patty Murray, D-Wash., and Sherrod Brown, D-Ohio, are urging their colleagues to pass the Ensuring Access to Primary Care for Women & Children Act. This legislation is intended to expand access to primary care but it languished in... Read More

Barrasso, Cotton Target Bailout Bill to Stave Off Medicare Cuts
Barrasso, Cotton Target Bailout Bill to Stave Off Medicare Cuts
2021-03-24 14:54:16
by TWN Staff

WASHINGTON – Sens. John Barrasso, R-Wyo., and Tom Cotton, R-Ark., are urging their colleagues to support legislation that would address looming cuts to Medicare by redirecting a portion of the recently passed $1.9 trillion dollar COVID relief bill. The Protecting... Read More

Bennet, Kaine Urge Colleagues to Support Medicare-X Choice Act to Achieve Universal Health Care
Bennet, Kaine Urge Colleagues to Support Medicare-X Choice Act to Achieve Universal Health Care
2021-02-17 21:12:04
by Dan McCue

DENVER, Colo. - Sens. Michael Bennet, D-Colo., and Tim Kaine, D-Va., on Wednesday reintroduced their Medicare-X Choice Act by urging their colleagues to embrace it as a way of expanding both the Affordable Care Act and Medicare.  During a late... Read More

Reps. Schneider, McKinley Support Legislation to Prevent Cuts to Hospital Payments
Medicare
Reps. Schneider, McKinley Support Legislation to Prevent Cuts to Hospital Payments
2020-12-07 14:52:46
by Sean Trambley

WASHINGTON — Rep. Brad Schneider, D-Ill., and Rep. David McKinley, R-W. Va., introduced bipartisan legislation to prevent cuts to hospital payments through the duration of the COVID public health emergency.  The Medicare Sequester COVID Moratorium Act would delay the Medicare... Read More

CA-50: Ammar Campa-Najjar (D)
House Watch
CA-50: Ammar Campa-Najjar (D)
2020-10-31 20:40:27
by TWN Staff

About Campa-Najjar: Ammar Campa-Najjar was born in East San Diego County, the son of a Christian working-class mother who raised him with help from family and neighbors. From his first job as a church janitor to serving in the White... Read More

PA-17: Conor Lamb (D)
House Watch
PA-17: Conor Lamb (D)
2020-10-31 16:04:12
by TWN Staff

About Lamb: Conor Lamb is a Marine and former federal prosecutor who represents Pennsylvania’s 17th district. Lamb won a special election in March 2018 to represent the 18th district, and after Pennsylvania’s redistricting, Lamb went on to defeat incumbent Republican... Read More

IL-13: Betsy Dirksen Londrigan (D)
House Watch
IL-13: Betsy Dirksen Londrigan (D)
2020-10-30 23:46:02
by TWN Staff

About Londrigan: In 2018, Betsy Dirksen Londrigan came within less than one percent of the vote of unseating incumbent Rodney Davis. In Congress, she will oppose tax giveaways to corporations and the wealthy. She will support a labor union's right... Read More

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