Policy Coverage - MedCity News https://medcitynews.com/category/channel/politics-channel/ Healthcare technology news, life science current events Wed, 11 Jun 2025 16:16:03 +0000 en-US hourly 1 https://wordpress.org/?v=6.7.1 228111745 ‘We Dissent’: NIH Workers Protest Trump Policies That ‘Harm the Health of Americans’ https://medcitynews.com/2025/06/we-dissent-nih-workers-protest-trump-policies-that-harm-the-health-of-americans/ https://medcitynews.com/2025/06/we-dissent-nih-workers-protest-trump-policies-that-harm-the-health-of-americans/#respond Wed, 11 Jun 2025 16:16:00 +0000 https://medcitynews.com/?p=137570

The letter is an extraordinary rebuke of the Trump administration’s actions against the NIH, which include: terminating hundreds of grants funding scientific and biomedical research; firing more than 1,000 employees this year; and moving to end billions in funds to partner institutions overseas.

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In Axing mRNA Contract, Trump Delivers Another Blow to US Biosecurity, Former Officials Say https://medcitynews.com/2025/06/in-axing-mrna-contract-trump-delivers-another-blow-to-us-biosecurity-former-officials-say/ https://medcitynews.com/2025/06/in-axing-mrna-contract-trump-delivers-another-blow-to-us-biosecurity-former-officials-say/#respond Mon, 09 Jun 2025 19:20:16 +0000 https://medcitynews.com/?p=137511

The Trump administration has cancelled $766 million in contracts to develop mRNA vaccines against potential pandemic flu viruses. In addition, since President Donald Trump took office, at least half of the security council’s staff have been laid off or left. This is dangerous say former health security officials.

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Making Insurance Cover IVF Could Actually Reduce Access https://medcitynews.com/2025/06/making-insurance-cover-ivf-could-actually-reduce-access/ https://medcitynews.com/2025/06/making-insurance-cover-ivf-could-actually-reduce-access/#respond Sun, 08 Jun 2025 13:38:00 +0000 https://medcitynews.com/?p=137426

President Trump’s plan to fix IVF might look bold in a headline. In reality, it doesn’t create a single new embryology lab. It doesn’t hire one more specialist. It won’t change the fact that right now, only people with plenty of money can afford IVF, and throwing subsidies at a market that’s already bottlenecked only shifts who pays.

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Debunked Episode 16: Will Trump Administration’s Drug Pricing Policies Lead to the End of PBMs? https://medcitynews.com/2025/06/debunked-episode-16-will-trump-administrations-drug-pricing-policies-lead-to-the-end-of-pbms/ https://medcitynews.com/2025/06/debunked-episode-16-will-trump-administrations-drug-pricing-policies-lead-to-the-end-of-pbms/#respond Thu, 05 Jun 2025 18:02:36 +0000 https://medcitynews.com/?p=137441

UH Group replaces its CEO, the payer’s alleged nursing home practices, the future of pharmacy benefit managers, and the healthcare implications of the budget bill are part of the latest episode of the Debunked Podcast with MedCity News Editor-in-Chief Arundhati Parmar and Samir Batra, managing partner of Health Innovation Pitch.

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The GOP’s Budget Plan Is a Crisis in the Making for Hospitals https://medcitynews.com/2025/06/gop-trump-healthcare-medicaid-hospital-budget/ https://medcitynews.com/2025/06/gop-trump-healthcare-medicaid-hospital-budget/#respond Wed, 04 Jun 2025 21:38:04 +0000 https://medcitynews.com/?p=137412

If enacted, the GOP’s spending bill could kick more than 10 million Americans off Medicaid. Experts are worried about the major spike in uncompensated care that hospitals would have to provide — and they’re warning that this change will result in major revenue losses for hospitals, facility closures, higher premiums for commercially insured patients, and worse public health.

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The National Security Stakes of Pharmaceutical Tariffs https://medcitynews.com/2025/06/the-national-security-stakes-of-pharmaceutical-tariffs/ https://medcitynews.com/2025/06/the-national-security-stakes-of-pharmaceutical-tariffs/#respond Wed, 04 Jun 2025 13:09:00 +0000 https://medcitynews.com/?p=136884

Healthcare supplies have a direct correlation to the safety and national security of Americans as any disruption to availability jeopardizes the health of our nation. Americans cannot forego access to lifesaving medications.

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The Age of Action: Seizing CMS’s Call to Reimagine Medicare https://medcitynews.com/2025/06/the-age-of-action-seizing-cmss-call-to-reimagine-medicare/ https://medcitynews.com/2025/06/the-age-of-action-seizing-cmss-call-to-reimagine-medicare/#respond Tue, 03 Jun 2025 13:13:00 +0000 https://medcitynews.com/?p=137118 CMS medicare medicaid

The combination of coverage awareness and care navigation powered by agentic AI has the potential to transform how older adults engage with the healthcare system.

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A Defining Moment for Employer Health Benefits: How the “One Big Beautiful Bill” Could Transform Healthcare for Employers https://medcitynews.com/2025/06/a-defining-moment-for-employer-health-benefits-how-the-one-big-beautiful-bill-could-transform-healthcare-for-employers/ https://medcitynews.com/2025/06/a-defining-moment-for-employer-health-benefits-how-the-one-big-beautiful-bill-could-transform-healthcare-for-employers/#respond Mon, 02 Jun 2025 13:27:00 +0000 https://medcitynews.com/?p=137265

The “One Big Beautiful Bill” would codify Individual Coverage Health Reimbursement Arrangements (ICHRAs) — the personalized insurance model that has transformed how employers offer health benefits — into law as CHOICE Arrangements, or Custom Health Option and Individual Care Expense arrangements.  

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CMS’s Final Rule Impacting Star Ratings Puts Outcomes In Focus — Are Health Plans Ready to Take Action? https://medcitynews.com/2025/06/cmss-final-rule-impacting-star-ratings-puts-outcomes-in-focus-are-health-plans-ready-to-take-action/ https://medcitynews.com/2025/06/cmss-final-rule-impacting-star-ratings-puts-outcomes-in-focus-are-health-plans-ready-to-take-action/#respond Sun, 01 Jun 2025 13:24:00 +0000 https://medcitynews.com/?p=137229 CMS medicare medicaid

This is a great opportunity to align your strategies with CMS’s evolving framework by refining care models to focus on impact, investing in digital capabilities that support data use, and continuing to build infrastructure that addresses disparities in care.

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Workplace Violence Prevention in 2025 https://medcitynews.com/2025/05/workplace-violence-prevention-in-2025/ https://medcitynews.com/2025/05/workplace-violence-prevention-in-2025/#respond Fri, 30 May 2025 13:15:00 +0000 https://medcitynews.com/?p=136822

Workplace violence prevention is an ongoing and organic process. Federal and state regulations change frequently, so employers may consider regularly reviewing and updating their prevention plans and training programs on a scheduled timeline.

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Rebuttal: Medical Device Right to Repair is the Wrong Approach https://medcitynews.com/2025/05/rebuttal-medical-device-right-to-repair-is-the-wrong-approach/ https://medcitynews.com/2025/05/rebuttal-medical-device-right-to-repair-is-the-wrong-approach/#respond Thu, 29 May 2025 13:47:00 +0000 https://medcitynews.com/?p=136879

Allowing hospitals to repair the equipment they depend upon daily is not a step backward, but a reaffirmation of trust in the skilled and deeply committed professionals who already maintain the integrity of our healthcare systems.

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When Medicaid Cost Cutting Is Simply Cost Shifting https://medcitynews.com/2025/05/when-medicaid-cost-cutting-is-simply-cost-shifting/ https://medcitynews.com/2025/05/when-medicaid-cost-cutting-is-simply-cost-shifting/#respond Tue, 27 May 2025 13:37:00 +0000 https://medcitynews.com/?p=136667

As speculation about whether Medicaid cuts will be part of the solution to our national debt problem continues, no one can predict how much the Medicaid rollback will be, or its impact on the one in five Americans who rely on it. 

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Why One Leader Is Calling Out Insurers’ Inaction on Prior Authorization https://medcitynews.com/2025/05/healthcare-prior-authorization-ama-physician/ https://medcitynews.com/2025/05/healthcare-prior-authorization-ama-physician/#respond Mon, 26 May 2025 14:33:00 +0000 https://medcitynews.com/?p=137142 documentation scribe

The current prior authorization process in U.S. healthcare constitutes a crisis, according to Jesse Ehrenfeld, immediate past president of the American Medical Association. Prior authorization is wasting clinicians’ time, delaying care and deepening public distrust — yet, payers show little urgency in fixing this problem, he said.

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A Four-Part Roadmap for Responsible Prior Authorization https://medcitynews.com/2025/05/a-four-part-roadmap-for-responsible-prior-authorization/ https://medcitynews.com/2025/05/a-four-part-roadmap-for-responsible-prior-authorization/#respond Wed, 21 May 2025 13:13:00 +0000 https://medcitynews.com/?p=136590

The tools exist today to significantly reduce PA’s burden on our healthcare system, we just need to mobilize and implement them. 

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How a Tiny Federal Agency Supports Innovation & Competitiveness in the Scientific Community https://medcitynews.com/2025/05/how-a-tiny-federal-agency-supports-innovation-competitiveness-in-the-scientific-community/ https://medcitynews.com/2025/05/how-a-tiny-federal-agency-supports-innovation-competitiveness-in-the-scientific-community/#respond Wed, 21 May 2025 03:15:56 +0000 https://medcitynews.com/?p=137017

The law that created ASTP as a formal federal agency gave it duties such as supporting a more effective marketplace and greater competition. Stephen Konya, ASTP’s chief, innovation and strategic partnerships, explained how the agency carries out its mission.

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Connected Care, Shared Goals: Designing Whole-Person Care for Complex Patient Populations https://medcitynews.com/2025/05/connected-care-shared-goals-designing-whole-person-care-for-complex-patient-populations/ https://medcitynews.com/2025/05/connected-care-shared-goals-designing-whole-person-care-for-complex-patient-populations/#respond Sun, 18 May 2025 14:39:00 +0000 https://medcitynews.com/?p=136633

As the safety-net landscape shifts and funding uncertainty grows, the path forward is clear. By investing in highly coordinated, data-informed care and aligning health plans, providers and communities around shared goals, we can build a system that reaches individuals with complex care needs, supports whole-person health initiatives and strengthens care across the board.

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The Affordable Care Act’s Lasting Impact On Healthcare Marketing https://medcitynews.com/2025/05/the-affordable-care-acts-lasting-impact-on-healthcare-marketing/ https://medcitynews.com/2025/05/the-affordable-care-acts-lasting-impact-on-healthcare-marketing/#respond Fri, 16 May 2025 13:46:00 +0000 https://medcitynews.com/?p=136497

Perhaps the most significant health policy of our time, it revolutionized coverage and access, as well as the way healthcare companies communicated. With its future uncertain, now is the time to look back on how it shaped a new era of healthcare marketing strategy and messaging.

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Congress Scrutinizes RFK Jr. on Budget Cuts, Vaccines and More https://medcitynews.com/2025/05/congress-rfk-hhs-vaccines-budget/ https://medcitynews.com/2025/05/congress-rfk-hhs-vaccines-budget/#respond Thu, 15 May 2025 01:07:35 +0000 https://medcitynews.com/?p=136839 congress legislation

Robert F. Kennedy Jr. testified before the House Committee on Appropriations and the Senate Health, Education, Labor and Pensions Committee on Wednesday. He faced questions on vaccines, HHS cuts and other issues.

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HHS Health IT Innovation Exec Joins INVEST Agenda at Critical Time for the Department https://medcitynews.com/2025/05/hhs-health-it-innovation-exec-joins-invest-agenda-at-critical-time-for-the-department/ https://medcitynews.com/2025/05/hhs-health-it-innovation-exec-joins-invest-agenda-at-critical-time-for-the-department/#respond Wed, 14 May 2025 12:25:55 +0000 https://medcitynews.com/?p=136798

Stephen Konya, Chief, Innovation and Strategic Partnerships, ASTP with the Department of Health and Human Services, will speak at INVEST, MedCity’s annual investor conference in Chicago, May 20-21. Register today!

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Trump Strategy to Rein In Drug Prices Revives ‘Most-Favored Nation’ Plan of His First Term https://medcitynews.com/2025/05/most-favored-nation-drug-prices-president-trump-eo-mfn-pbm-pharmaceuticals/ https://medcitynews.com/2025/05/most-favored-nation-drug-prices-president-trump-eo-mfn-pbm-pharmaceuticals/#respond Tue, 13 May 2025 00:30:50 +0000 https://medcitynews.com/?p=136732

President Trump’s executive order provides a framework for tying the prices of U.S. pharmaceutical products to the lower prices paid in other countries, what’s called most-favored-nation pricing. If drug companies do not lower their prices accordingly, the order proposes other strategies, such as importing drugs from other countries.

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What Is the Economic Impact of Medicaid Work Requirements? https://medcitynews.com/2025/05/economic-impact-medicaid-work-requirements/ https://medcitynews.com/2025/05/economic-impact-medicaid-work-requirements/#respond Mon, 05 May 2025 22:40:09 +0000 https://medcitynews.com/?p=136512

Between 4.6 million and 5.2 million adults would lose Medicaid coverage in 2026 due to proposed work requirements, according to a new report.

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The Policy Trends the Business Group on Health Is Watching https://medcitynews.com/2025/05/policy-trends-employers/ https://medcitynews.com/2025/05/policy-trends-employers/#respond Sun, 04 May 2025 21:19:51 +0000 https://medcitynews.com/?p=136485 healthcare costs expenses money

The Business Group on Health is paying attention to Medicaid cuts, tariffs, threats to ERISA and more.

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Debunked Episode 15: How Did UnitedHealth Fail to Anticipate a Rise in Medical Utilization Costs? https://medcitynews.com/2025/05/debunked-episode-15-how-did-unitedhealth-fail-to-anticipate-a-rise-in-medical-utilization-costs/ https://medcitynews.com/2025/05/debunked-episode-15-how-did-unitedhealth-fail-to-anticipate-a-rise-in-medical-utilization-costs/#respond Thu, 01 May 2025 21:01:35 +0000 https://medcitynews.com/?p=136390

United Healthcare’s shocking quarterly earnings miss, a new regular feature on the Trump administration’s healthcare moves, and the future of value-based care. That’s the focus of the latest episode of the Debunked podcast with MedCity News Editor-in-Chief Arundhati Parmar and Samir Batra, managing partner of Health Innovation Pitch.

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The ICHRA Moment Is Here — Are You Ready for It? https://medcitynews.com/2025/05/the-ichra-moment-is-here-are-you-ready-for-it/ https://medcitynews.com/2025/05/the-ichra-moment-is-here-are-you-ready-for-it/#respond Thu, 01 May 2025 14:37:00 +0000 https://medcitynews.com/?p=136212

ICHRA is surging in popularity as an option for employer-sponsored insurance to access the individual market, as employers rethink traditional group plans with unpredictable renewal rates and employees seek personalized healthcare. Here’s a closer look at why investors and politicians are eyeing ICHRA.

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MedCity FemFwd: Improving the Collection of Maternal Health Data https://medcitynews.com/2025/04/medcity-femfwd-improving-the-collection-of-maternal-health-data/ https://medcitynews.com/2025/04/medcity-femfwd-improving-the-collection-of-maternal-health-data/#respond Wed, 30 Apr 2025 15:10:15 +0000 https://medcitynews.com/?p=136338

In this episode, we’re joined by Maggie McCullough, CEO of PolicyMap. She discusses what’s wrong with the way maternal health data is collected at the federal level and ways it can be improved.

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Value-Based Care Gets Real https://medcitynews.com/2025/04/value-based-care-gets-real/ https://medcitynews.com/2025/04/value-based-care-gets-real/#respond Mon, 28 Apr 2025 13:59:00 +0000 https://medcitynews.com/?p=136058

The mandatory CMS TEAM program begins next year. Are you ready? As hospitals consider their options for addressing the mandate, here are some actions to consider.

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The Critical Role Of Regional Vaccine Manufacturing In The Next Global Pandemic https://medcitynews.com/2025/04/the-critical-role-of-regional-vaccine-manufacturing-in-the-next-global-pandemic/ https://medcitynews.com/2025/04/the-critical-role-of-regional-vaccine-manufacturing-in-the-next-global-pandemic/#respond Tue, 22 Apr 2025 13:15:00 +0000 https://medcitynews.com/?p=135978

A greater weight must be placed on vaccine manufacturing and distribution, both in the United States and worldwide, as we saw major imbalances in the world’s response to Covid-19 that highlighted gaps in accessibility. 

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Medicare Advantage CEO: My Baby is Ugly…(video) https://medcitynews.com/2025/04/medicare-advantage-ceo-my-baby-is-ugly-video/ https://medcitynews.com/2025/04/medicare-advantage-ceo-my-baby-is-ugly-video/#respond Mon, 21 Apr 2025 16:34:22 +0000 https://medcitynews.com/?p=136029

Earlier this month Sachin Jain, CEO of SCAN Health Plan, a nonprofit Medicare Advantage company, provided some refreshing straight talk on what is wrong with MA while stressing that it is far better than traditional Medicare for seniors.

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The Price is Wrong: We Need to Solve the Healthcare Insurance Transparency Crisis https://medcitynews.com/2025/04/the-price-is-wrong-we-need-to-solve-the-healthcare-insurance-transparency-crisis/ https://medcitynews.com/2025/04/the-price-is-wrong-we-need-to-solve-the-healthcare-insurance-transparency-crisis/#respond Mon, 21 Apr 2025 13:44:00 +0000 https://medcitynews.com/?p=136016

In the U.S., many people still struggle to find care, book an appointment, confirm coverage, or get a clear answer on pricing. The impact goes beyond inconvenience, contributing to delayed diagnoses, increased anxiety, and financial stress that harms both patients and the healthcare system.

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How the Health Sector Can Change Vaccine Messaging Amid Rising Anti-Vaccine Sentiment https://medcitynews.com/2025/04/vaccines-vaccination-rfk-acip-cdc-measles-covid-19-immunization/ https://medcitynews.com/2025/04/vaccines-vaccination-rfk-acip-cdc-measles-covid-19-immunization/#respond Fri, 18 Apr 2025 20:40:44 +0000 https://medcitynews.com/?p=136036

Robert F. Kennedy Jr.’s rise to become secretary of the Department of Health and Human Services has some concerned that anti-vaccine policies are coming. If the nation’s top public health agency pulls support of vaccination, other healthcare stakeholders will need to step up to fill the vaccine messaging void.

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