Burr Wants User Fee Policy Riders Included In Omnibus Appropriations

Correction: This story has been updated to explain that Burr opposes some policy riders in the Senate user fee bill. Sen. Richard Burr, the GOP point-person on FDA user fee negotiations, said Tuesday (Sept. 20) he wants to place many user fee policy riders in the omnibus appropriations bill that Congress is expected to take up during the lame duck session. However, those following the negotiations said it would be difficult to pass those riders once must-pass...
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Latest FDA User Fee News
FDA Issue: 
FDA Week - 09/23/2022
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Vol. 28, No. 38
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McKinsey: Health Care Companies Must Transform To Avert Cost ‘Storm’

The combined impact of inflation, staff shortages and COVID-19 could increase national health care expenditures by approximately $600 billion through 2027, research firm McKinsey & Company says in a new analysis that calls for a transformation in health care to get expenditures in check. The report recommends providers shift to value-based, in-home and ambulatory care, simplify operations to combat staff shortages, increase reliance on technology, and focus on preventive services and chronic care management: Health care leaders who want to...
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CMS Issue: 
Inside CMS - 09/22/2022
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Vol. 25, No. 38
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W&M To Mark Up Network Adequacy, Sexual Assault Bills

The House Ways & Means Committee on Wednesday (Sept. 2) will mark up bipartisan legislation to protect survivors of sexual violence from unexpected medical costs by barring cost-sharing or surprise billing for coverage of forensic exams. The committee also will mark up bipartisan bills that aim to improve transparency of covered benefits and network adequacy, including one that calls for a new star rating system that would reflect the network breadth of mental health and substance abuse services. “No one...
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Inside CMS - 09/22/2022
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Vol. 25, No. 38
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Arbitrator Calls PBM CVS Caremark’s Charge-Backs ‘Unconscionable’

A federal court in Arizona awarded $23 million to pharmacies owned by the AIDS Health Foundation to settle a years-long dispute with CVS Caremark over pharmacy reimbursement, and the PBM is no longer allowed to use the variable charge-backs that it used for those pharmacies. U.S. District Court of Arizona Judge Diane Humetewa confirmed an arbitration award, issued in November 2021, that found that CVS Caremark used its size to impose “unconscionable” contract terms on the pharmacies. The award entitled...
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CMS Sets Up SEP For Victims Of Sham Health Plan Marketer Fined By FTC

CMS tells Inside Health Policy that it has opened a special enrollment period on healthcare.gov for consumers who were misled into purchasing non-ACA compliant “sham” health plans by the health care marketing firm Benefytt. Last month, the Federal Trade Commission and Benefytt agreed to a corrective action plan that required the company put $100 million into a pool to provide consumers refunds, inform them about the complaint and let them cancel products, and to disclose the features of all...
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Inside CMS - 09/22/2022
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Vol. 25, No. 38
HEA Issue: 
Health Exchange Alert Weekly Report - 09/21/2022
HEA Volume: 
Vol. 10, No. 38
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