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Community Health Plans Ask HHS For Assist On Medicaid Capitation Rates

The lobby representing community-based health plans is asking HHS for an assist in its efforts to ensure state payments to Medicaid managed care organizations reflect a sicker risk pool post-redetermination and reflect other issues that raise costs, including high-cost drugs like GLP-1s and new sickle cell therapies.

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Senate Judiciary To Mark Up Controversial Patent Reforms

The Senate Judiciary Committee next Thursday (Sept. 19) will mark up bipartisan bills that would reform the rules and procedures a tribunal under the United States Patent and Trademark Office must adhere to when reviewing patent validity and would restore patent eligibility to various inventions across multiple fields -- a move that has sparked strong objections from a drug-price reform advocacy group, which says the bills could to lead to higher prices.

Senators May Hold Steward CEO In Contempt After He Brushed Off Subpoena

The Senate health committee will vote next week on whether to hold Steward Health Care CEO Ralph de la Torre in contempt of Congress, a misdemeanor that could result in fines or imprisonment, following his refusal to heed a subpoena to testify Thursday (Sept. 12), committee leaders said.

FDA Denies Accelerated Approval Path For Moderna & Merck’s AI-Driven Melanoma Vaccine

FDA has declined to grant accelerated approval status for Moderna and Merck’s mRNA-4157 melanoma vaccine candidate, currently in a Phase 3 trial, which utilizes artificial intelligence (AI) to determine the formulation of the individualized vaccine.

HHS OIG Touts EMTALA Settlements, Highlights Complaint Process

Amid ongoing partisan controversy over hospitals’ obligations to provide abortions to patient experiencing medical emergencies under the Emergency Medical Treatment and Active Labor Act (EMTALA), HHS’ Office of Inspector General shared a blog post highlighting recent EMTALA enforcement actions over a range of alleged violations, including failures to provide appropriate screening and turning away patients in crisis.