Energy & Commerce Republicans Announce Sweeping Health Hearing

Lawmakers will consider a plethora of health care bills aimed at increasing patient access to care and reducing red tape for providers, House Energy & Commerce Republicans announced Thursday (Oct. 12). The hearing comes as the lower chamber continues to struggle with its speaker selection process, all amid the ticking clock of a dwindling continuing funding resolution set to expire in just one month and health care extenders to deal with. The hearing is set for the morning of Thursday...
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CMS Issue: 
Inside CMS - 10/19/2023
CMS Volume: 
Vol. 26, No. 42
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HHS Recommends Marijuana Scheduling Change Using FDA Data

HHS has recommended to the Drug Enforcement Agency (DEA) that marijuana be moved from a Schedule I to a Schedule III drug under the Controlled Substances Act (CSA), a move that would allow it to be made available via prescription and increase its availability in medical research, winning immediate praise from Democrats who favor decriminalization. Bloomberg reported Wednesday (Aug. 30) that the recommendation was based on an extensive review of evidence on the control status of marijuana by FDA,...
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FDA Issue: 
FDA Week - 09/01/2023
FDA Volume: 
Vol. 29, No. 35
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Labs Pleased CMS Opening Process For Revising Medicare Pay Rates

Laboratories are pleased that CMS is opening the process of setting reimbursement for laboratory services, just as it is doing for physician services, which will give labs more say over pay rates. The change, which is part of the annual Physician Fee Schedule rule unveiled late last week, adds to the run of positive developments for labs that started when Congress replaced CMS' plan to change clinical lab fees based on technological changes in the patch to the Sustainable Growth...
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Newsletter Volume: 
Vol. 17, No. 28
Newsletter Issue: 
Inside CMS - 07/10/2014
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Moran Report: Outpatient Chemo Costs Higher Than Clinics

Patients who receive chemotherapy in hospital outpatient departments cost Medicare more than those who receive the same care in cancer clinics, according to a Moran Company report for the US Oncology Network and Community Oncology Alliance. The oncologists are using the report to fight CMS' proposal to pay the same rates for cancer care in physician offices and outpatient departments. The Moran report finds that outpatient chemotherapy spending per beneficiary was 25 percent to 47 percent higher than physician clinic...
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Menthol Rule Faces Indefinite Delay Despite FDA Promises

FDA’s proposed rule on banning menthol cigarettes will not be finalized in the near future, the White House confirmed Friday (April 26) after months of delays, in a decision likely tied to electoral concerns ahead of the pending 2024 presidential election, despite robust support from FDA leadership for the proposal. Although congressional Republicans and some other stakeholders have said a ban on menthol could shift sales away from legitimate businesses and onto the black market, the decision is facing backlash...
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Pfizer Offers Warranty Payment Approach For New Hemophilia Gene Therapy

Pfizer plans to allow payers to use a “warranty” approach to pay for its new costly gene therapy, the company announced after gaining FDA approval Friday (April 26) of Beqvez (fidanacogene elaparvovec-dzkt) for the treatment of adult patients with moderate to severe hemophilia B. In a statement Friday , Pfizer announced it will be “launching an innovative warranty program based on durability of patient response to treatment.” The wholesale acquisition cost for the treatment will be $3.5 million, making it...
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NIH RECOVER Opens Long COVID Dataset To Researchers Via Database

Authorized researchers will have access to data from thousands of adult long COVID patients who participated in the National Institutes of Health's $1.15 billion research initiative via a centralized data access system that agency officials hope will fast-track breakthrough treatments. Yet patient-advocates insist that more funding is crucial to fully leverage this data and advance research efforts. The NIH Researching COVID to Enhance Recovery (RECOVER) Initiative released observational research data from more than 14,000 adults with long COVID on Thursday...
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CBO, Paragon Float Entitlement Reform Ideas

The Congressional Budget Office highlighted several health-related policies the agency estimates would save hundreds of billions of dollars from 2023-2033 -- like lowering federal pay for Medicaid, reforming Medicare Advantage benchmarks, increasing Medicare Part B premiums and limiting provider taxes -- during Thursday (April 25) presentation at a conservative think tank-sponsored event on entitlement reform. The agency also noted that it still exploring the long-term effects of policies that would expand insurance coverage for anti-obesity medications and the diagnosis and...
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GOP Calls For CMMI Cost Eval After CBO Finds Mixed ACO Savings

Updated Story House Budget Committee Republicans are calling for an investigation into the Center for Medicare and Medicaid Innovation after a September Congressional Budget Office report highlighted mixed savings generated by accountable care organizations. But Senate Budget Chair Sheldon Whitehouse (D-RI) pointed to a new CBO estimate released Thursday (April 26) and argued the findings bolster his calls for boosting incentives to participate in primary care ACOs. The Republicans' concerns follow CBO’s findings last year that CMS’...
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FDA Seeks Input On Ways To Update Clinical Pharmacology Policies

FDA is soliciting comments on what policy topics should be developed, prioritized or implemented by the drug center’s Office of Clinical Pharmacology (OCP) to promote effective research on drug development. The request for comment is scheduled to be published in the Federal Register Friday (April 26). FDA says in the notice it is looking for “specific, actionable policy suggestions” from stakeholders in the field of clinical pharmacology that OCP staff can implement in the near term. Areas of particular...
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