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The Latest Breaking News from CMS

Congressman seeks to plug ‘shocking loophole’ exposed by KHN investigation

A U.S. lawmaker is taking action after a KHN investigation exposed weaknesses in the federal system meant to stop repeat Medicare and Medicaid fraud and abuse.

Tribune News Service

End of COVID emergency will usher in changes across the US health system

The Biden administration’s decision to end the COVID-19 public health emergency in May will institute sweeping changes across the health care system that go far beyond many people having to pay more for COVID tests.

Tribune News Service

Struggling to survive, the first rural hospitals line up for new federal lifeline

Just off the historic U.S. Route 66 in eastern New Mexico, a 10-bed hospital has for decades provided emergency care for a steady flow of people injured in car crashes and ranching accidents.

Tribune News Service

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NOT REAL NEWS: A look at what didn't happen this week

Social media users shared a range of false claims this week

The Independent UK

Information blackout shrouds new reports of deaths, injuries and abuse at Montana State Hospital

BUTTE, Mont. — Jennifer Mitchell remembered getting a call nearly two years ago that her 69-year-old husband, Bill, had crashed his car and had been committed to the Montana State Hospital, the state-run psychiatric hospital for adults about 20 miles from their home in Butte.

Tribune News Service

Aggressive Medicare Advantage marketing floods TV and mailboxes with misleading ads. The Biden administration is cracking down

“These third-party groups have gotten very aggressive and creative.”

Fortune

Idaho dropped thousands from Medicaid in the pandemic’s first years. It offers a preview of what could happen nationwide

During the first two years of the COVID-19 pandemic, while the federal government was trying to prevent people on Medicaid from losing health coverage, Idaho dropped nearly 10,000 people from the safety-net program.

Tribune News Service

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Idaho dropped thousands from Medicaid early in the pandemic. Which state's next?

The federal agency that oversees Medicaid suggested Idaho wasn't trying hard enough to reach beneficiaries before letting their coverage lapse. Consumer advocates fear that could happen again.

WEKU

Red and blue states look to Medicaid to improve the health of people leaving prison

People leaving jail or prison are at extremely high risk of hospitalization and death, and policymakers from deep blue California to solidly red Utah think bringing Medicaid behind bars could help.

WEKU

Insurers, Republicans square off with Biden on Medicare ‘cuts’

WASHINGTON — The insurance industry and Republicans are using the debt ceiling fight and President Joe Biden’s vows not to cut Medicare to fend off changes to private Medicare Advantage plans, which are popular among the public but have faced criticism about their costs to the government.

Tribune News Service

Insurers, Republicans square off with Biden on Medicare 'cuts' - Roll Call

Medicare Advantage, a Medicare alternative primarily run by private health insurers, becomes a battleground in the war over federal spending.

Roll Call

LOCALIZE IT: Health facilities cited for COVID vaccinations

EDITORS/NEWS DIRECTORS:

The Independent UK

Health care vaccine mandate remains as some push for an end

A federal mandate for health care workers to get vaccinated against COVID-19 has been in place nationally for a year

The Independent UK

Medicare announces plan to recoup billions from drug companies

Drugmakers will be required to pay Medicare back for price increases that outpace inflation. The industry is expected to put up a fight over implementation.

WEKU

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Tribune News Service

End of public health emergency causes cascade of changes

WASHINGTON — The Biden administration’s plan to unwind the public health emergency tied to the COVID-19 pandemic will spur a whirlwind of changes related to telehealth, Medicaid, pharmaceuticals and other priorities.

Roll Call

End of public health emergency causes cascade of changes - Roll Call

The public health emergency created an array of health flexibilities, impacting everything from Medicaid to telehealth coverage.

Salon

They openly ripped off Medicare

Health plans will be allowed to pocket hundreds of millions of dollars in overcharges for audits before 2018

Chronicle Live

DWP announces big changes to the way child maintenance is paid

Plans to protect parents from abusive ex-partners come after coroner calls for reform following the tragic death of Emma Day

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Chicago Sun-Times

Medicare Advantage plans overcharged government hundreds of millions but get to hang onto the money

The federal Medicare agency will require next to nothing from insurers for excess payments they got from 2011 to 2017 and won’t impose big penalties until audits for 2018 and beyond are conducted, which could be years.

Chicago Tribune

Commentary: We shouldn’t get caught up in the hype over new Alzheimer’s drug

This month, the Food and Drug Administration approved a new drug, lecanemab, for the treatment of Alzheimer’s disease. The drug, sold under the brand name Leqembi, was developed by Japanese pharmaceutical company Eisai and will be marketed commercially in partnership with American pharmaceutical company Biogen. Biogen, notably, is the maker…

Salon

Did your health plan rip off Medicare?

Previously secret government audits reveal millions of dollars in overpayments to Medicare Advantage health plans

Insider UK

Energy transition presents Scotland's 'most significant' challenges and opportunities

Panel of experts at Insider breakfast event states that existing oil and gas industry must be supported in move to renewables

Tribune News Service

Commentary: Too soon to celebrate new Alzheimer’s drug

A treatment that improves Alzheimer’s disease would be a great advance, but Leqembi (lecanemab), which recently received accelerated approval from the FDA, is not that drug. Yes, lecanemab slows decline to an extent detectable on a test, but not to an extent that a relative or caretaker would notice. This…

The Independent UK

Feds to investigate nursing home abuse of antipsychotics

The federal government says it will begin a targeted crackdown on nursing homes’ abuse of antipsychotic drugs and misdiagnoses of schizophrenia in patients

Insider UK

'No dominant model' for hybrid work has yet emerged

A new survey of the financial and professional services sector finds most firms are not enforcing minimum number of office days

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