Newsletters

06.27.24

Food for Thought: Expanded Opportunities for Nutrition as Medicine

A recent study published in JAMA estimated that more than six million people in the U.S. have diet-sensitive conditions and activity limitations that could benefit from medically tailored meals, a type of Medically Supportive Food and Nutrition (MSF&N) service.


06.26.24

CMS and ONC Issue Final Rule on E-Prescribing

On June 17, CMS and the Office of the National Coordinator for Health Information Technology (ONC) issued a final rule implementing new standards for e-prescribing under Medicare Part D.


06.26.24

Energy and Commerce Chair Releases Framework with Recommendations to Overhaul NIH

On June 14, House Energy and Commerce Committee (E&C) Chair Cathy McMorris Rodgers published a “framework for discussion” proposing reforms to the National Institutes of Health (NIH).


06.25.24

Fifth Circuit Rules Preventive Services Mandate Unconstitutional

In a keenly anticipated decision, Braidwood Management v. Becerra, the U.S. Court of Appeals for the Fifth Circuit ruled June 21 that the law requiring commercial health plans to cover without cost sharing certain preventive services recommended by the U.S. Preventive Services Task Force (USPSTF) ...


06.24.24

AI Litigation Update: Emerging Issues In Commercial Health Care Litigation

Artificial Intelligence (AI) is changing the landscape of the health care industry. But to date, litigation in this space has largely centered on the use of AI by health care payers in making coverage decisions.


06.24.24

Reimbursing Physicians and Pharmacists for Adult Vaccines: Excerpt from a Recent Study

This is an excerpt from a recently published study in AJMP Focus, “State Medicaid Coverage and Reimbursement of Adult Vaccines Administered by Physicians and Pharmacists as of 2022”, which was supported by Merck.


06.20.24

CMS Releases National Health Expenditure Projections for 2023–2032

On June 12, CMS’ Office of the Actuary released its National Health Expenditure (NHE) projections for 2023–2032.


06.20.24

Florida’s Ban on Gender-Affirming Care Impermissible, New 1557 Challenge Filed

Litigation continues on state laws and policies related to gender-affirming care.  


06.20.24

CFPB Proposes Rule to Remove Medical Debt from Credit Reports

The Consumer Financial Protection Bureau (CFPB) released a proposed rule on June 11 that it says would remove $49 billion in medical debt from the credit reports of 15 million people.


06.20.24

Key Takeaways for States, Providers and Plans on State Directed Payments and Separate Payment Terms

The Centers for Medicare & Medicaid Services (CMS) made sweeping changes to the regulatory landscape for Medicaid and the Children's Health Insurance Program in its recent set of final Medicaid access regulations (here and here), including significant changes to CMS’ oversight of ...