Medicaid work requirement lawsuit targets CMS exemption rules
A coalition of more than 20 states filed suit to vacate key parts of recent regulations implementing the Medicaid work requirement, arguing that CMS overstepped its bounds. Litigation filed in the U.S. District Court for Massachusetts states that key parts of a recently issued interim final rule with comment period (IFR) deviate from congressional intent…
Utilization review, HIPAA updates and more
Nick Hut talks with HFMA’s Kathy Stull about the Medicaid work requirement and 340B developments. Erika Grotto discusses utilization review with Kevin Coloton, CEO of HURC and HIPAA updates with Jon Bilotti, enterprise technology consultant at BCS365.
340B bill would levy various restrictions on participating hospitals
Legislative language overhauling the 340B Drug Pricing Program faces a long and uncertain path in Congress but would have significant implications if some of the provisions become law. A preliminary bill draft released by Sen. Bill Cassidy (R-La.) would tighten oversight of hospitals and contract pharmacies, increase transparency and require 340B discounts to be transferred…
Update: Litigation about the 340B program’s ‘patient’ definition could affect hospital savings
Note: This story is an update to prior coverage. Providers weighing in on potentially disruptive litigation involving the 340B Drug Pricing Program say a ruling in favor of the drug manufacturer would have substantial implications for the program. In a case brought by AbbVie Inc. against the federal government, the central question concerns the definition…
340B rebate model pilot advances as providers warn of added costs
The Health Resources and Services Administration (HRSA) continues to take steps toward implementing a rebate model for the 340B Drug Pricing Program. After soliciting comments on a planned model over a two-month period, HRSA sent an updated notice May 27 to the Office of Management and Budget (OMB) for a review that remains ongoing. That…
Annual Conference 2026, Day 2: With government retrenching, the impetus is on healthcare industry stakeholders to boost sustainability
Monday video recap: AC26 Day 2 Recap: Big Questions, Bold Conversations In this roundup: With government retrenching, the impetus is on healthcare industry stakeholders to bolster sustainability Insights from the ‘affordability czar’ Jordan reflects on HFMA’s history and what lies ahead Vitalic Health session looks at how technology can drive a better system Most health…
340B claims data requirements put hospital discounts under stress
June 18 update Eli Lilly has followed through with cutting off 340B discounts for certain hospitals that have yet to submit the required claims data (see the original story below), provider advocacy groups said Thursday. “As a result of Lilly’s decision to deny hospitals access to 340B pricing for the company’s products unless they submit…
Leveraging integrated workforce data is integral to transforming healthcare performance
With rising labor expenses, staffing challenges, and growing complexity in operations, leaders now look for innovative methods to maximize the benefits of workforce data and boost organizational performance. This white paper shares how to develop a workforce optimization cycle in your organization, along with insight into why it’s necessary and the risks of inaction.
Intelligent, trustworthy operating model key to the hospital of the future
AI and automation are becoming foundational to healthcare operations, with leaders focused on building proactive, data-driven systems that improve revenue cycle performance, reduce friction and support better decision making.
Hospital workplace violence escalates financial and workforce pressures
Incidents of violence in U.S. workplaces are disproportionately common in healthcare settings, especially in hospital emergency departments (EDs), and new data helps quantify the toll. It’s long been known that healthcare and social service workers are significantly more likely than workers overall to suffer a workplace violence injury. Bureau of Labor Statistics data suggest the…