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CMS Extends State Unwinding Flexibilities Through June 2025

Flexibilities designed to help states and beneficiaries survive the millions of post-pandemic Medicaid eligibility renewals will continue through June 30, 2025, CMS announced Thursday (May 9), extending the expiration by one year and providing Medicaid directors some of the stability they’ve asked for.

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HHS OIG Spotlights Its Impact On Feds’ Response To MA Prior Authorization

The momentum behind federal efforts to stem Medicare Advantage organizations' (MAOs) inappropriate use of prior authorization -- bureaucratic pre-approval requirements for certain medical services -- has surged since the HHS Office of Inspector General (OIG) brought national attention to the issue through its work, according to a recent infographic from the watchdog.

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DOJ To Combat PBM Consolidation With New Health Care Task Force

A new task force launched by the Justice Department Thursday (May 9) aims to take a whole-of-division approach to tackling consolidation and collusion in the health care sector that is preventing Americans from affording and accessing the services they need, and DOJ officials said the group will tackle consolidation practices by pharmacy benefit managers in addition to payers and providers.

Hospitals: FTC Breach Notification Rule Requires UHG Notify Patients If Health Info Compromised

Hospital groups are demanding United Health Group (UHG) immediately inform patients and regulators if personal health information was compromised in the Change Healthcare cyberattack, suggesting such notification is required under the Federal Trade Commission’s controversial updated Breach Notification Rule and UHG should take on the task.

FDA, CDC, USDA Hike Spending On Avian Influenza, Including Vaccine Options

HHS and the U.S. Department of Agriculture announced a slate of new actions on highly pathogenic avian influenza (HPAI or H5N1) Friday (May 10), including additional funding from FDA to surveil the safety of the milk supply, from the Centers for Disease Control and Prevention (CDC) to analyze vaccine options, and from USDA to incentivize farmers to participate in the public health response.

GOP E&C Leaders Call Out ASPR Over Issues With National Stockpile

Republican leaders on the House Energy & Commerce Committee are criticizing the Administration for Strategic Preparedness and Response (ASPR) over the financial and procurement practices of the Strategic National Stockpile (SNS), asking for answers from ASPR on issues they say could impact a public health response.