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W&M To Pay For 2-Year Telehealth Extension, Other Health Extenders With PBM, Clinical Lab Offsets

The House Ways & Means Committee on Wednesday will mark up legislation to stretch out several pandemic-era telehealth flexibilities through 2026 and extend certain other Medicare hospital bonuses into 2025, and pay for the initiatives by reforming pharmacy benefit manager policies, phasing in changes to clinical lab pay over a longer period and extending adjustments to hospice pay.

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Wisconsin PDAB Bill Fails, Dems Vow To Reintroduce

Wisconsin Democrats plan to reintroduce a bill that would have created a prescription drug affordability board (PDAB) in the state next session, after the bill failed again this year.

FDA Grants Breakthrough Device Designation To At-Home HPV Test Eligible for ACA Coverage

FDA granted breakthrough device designation Tuesday (May 7) for an at-home diagnostic test for high-risk human papillomavirus (HPV), an alternative to traditional in-office screening the company expects to be covered by insurance plans as preventative care.

Whitehouse May Tout Hybrid Primary Care Pay Concept At Wednesday Hearing

The Senate Budget Committee will hold a hearing Wednesday (May 8) that is expected to highlight draft legislation by Chair Sheldon Whitehouse (D-RI) calling for CMS to accelerate the transition from fee-for-service to value-based pay by creating “hybrid” payment models.

Nursing Homes Could Face State Probes Under Adult Protective Services Rule

Nursing facilities could be subject to state investigations into cases of adult neglect and maltreatment, according to a final rule the Administration for Community Living unveiled Tuesday (May 7), though the Biden administration declined to nationally mandate which entities states must investigate and left the details up to local Adult Protective Services (APS).

Senate HELP Eyes Maternal Health Aid As CDC Reports Better Outcomes

The Senate health committee recently parsed ways lawmakers can help stem the ongoing maternal and infant mortality crisis -- coming as a new report from the Centers for Disease Control and Prevention shows some significant progress in reductions to those deaths.