CMS Refuses to Count Family Practice Residents Who Train in Family Practice Settings

Last Friday Eastern Maine Medical Center sued Health & Human Services over the way CMS counted the number of residents in its graduate medical education program.  According to the complaint, CMS refuses to count some of the hospital’s family practice residents. Guess why. Because their training occurred …

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HHS Asserts the Everybody-Does-It Defense

Anybody with children has heard the “everybody-does-it” excuse.  You know, you scold your child for eating junk food.  Before the words are out of your mouth, you hear, “All the other kids do it.” If that sounds familiar, your child may have a future as a lawyer for Health & Human Services.  …

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HHS RELABELS INVALIDATED 340B REGULATION AS “INTERPRETATIVE RULE”

Earlier this week HHS came out swinging in the latest round of its battle with the Pharmaceutical Research & Manufacturers of America (PhRMA) over the Affordable Care Act’s provisions on 340B and orphan drugs.  HHS reasserted its long-held position on its website, this time calling it an “interpretative …

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HHS POISED FOR ROUND TWO OF ORPHAN DRUG FIGHT

HHS isn’t ready to throw in the towel in the fight over expansion of the 340B program under the Affordable Care Act (ACA).  On Thursday HHS said in a court filing that it will appeal last month’s federal court ruling that struck down a regulation issued by the Health Resources & Services …

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Battle Over Cost of Drugs Ratchets Up

The battle over the rising costs of drugs, fueled by Gilead's Hepatitis C drug Sovaldi that costs $84,000 for a 12 week treatment regimen, intensified this week. Critics of the cost have taken to referring to the drug as the "1,000-a-day" pill. Earlier this week, the National Coalition on Health Care launched its …

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Finally…CMMI announces first dozen HCIA Round 2 Awards

After much delay, the Center for Medicare & Medicaid Innovation (CMMI) today announced a dozen awards under its Health Care Innovation Award (HCIA) Round two competition. The $1 billion funding competition sought proposals focused on reducing Medicare and Medicaid expenditures and proposing new payment models. …

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