Weekly News Roundup for Apr 24, 2023

 

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Breaking News in Healthcare Reform

 

Snippets of news & commentary with a special focus on
health policy, Medicare for All & California

 

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“Friday’s order will allow mifepristone to remain available with no new restrictions while a court battle that could take months or longer plays out.”

Abortion Providers Relieved, Wary as High Court Preserves Pill Access

Reuters | Sharon Bernstein | April 24, 2023



“While MA plans are ostensibly held accountable to maintain appropriate ‘network adequacy’ … the industry has accepted, even encouraged, under the banner of affordability and, ironically, the catchphrase ‘value-based care,’ plans to develop narrow networks.”

Medicare Advantage is Not an Advantage for Many Seniors with Cancer

The Hill | Dr. Harlan Levine | April 21, 2023



“Investors are watching closely for how restrictions could influence sales, as Medicare is estimated to insure 85% of Americans who would be eligible for the drugs. Leqembi costs $26,500 per year.”

Exclusive: Lilly Expects US Medicare to Reverse Course, Fully Cover Alzheimer’s Drugs

Reuters | Deena Beasley, Julie Steenhuysen | April 21, 2023



“…because of her financial struggles … Tammy has been putting off long-term care for her mother. Where Tammy and Ada live in California, a home health aide would cost about $137 for one hour of care, according to an online calculator from AARP.”

The Cost of Senior Care is Rising While Caregivers are ‘Drowning’ Without Help

CNN | Amanda Musa | April 20, 2023



“Any health inequity that existed before seems to have been made larger during the pandemic.”

Racial Gap in US Stroke Deaths Widened During Pandemic

Associated Press | Mike Stobbe | April 20, 2023



“Beginning in plan year 2024, marketplace plans must use providers that comply with network adequacy standards….”

CMS Walks Back Limits on Non-Standardized Plan Options, Finalizes Marketplace Standards

Healthcare Dive | Sydney Halleman | April 18, 2023



“…the new price negotiation model gives Medicare an opportunity to stop paying excessively for drugs that do not offer clear benefits over less expensive treatment.” 

Most Drugs Likely to be Selected for Medicare Price Negotiation Have Low Therapeutic Benefit, Study Finds

Beckers Payers | Rylee Wilson | April 18, 2023



“Acting under the False Claims Act, two whistleblowers brought suit on behalf of the government alleging that SuperValu and Safeway bilked taxpayers of $200 million.”

Supreme Court Looks at Whether Medicare and Medicaid Were Overbilled Under Fraud Law

NPR | Nina Totenberg | April 17, 2023



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