Policy and Legislation
An ongoing legal battle has made the price transparency final rule contentious, but its implementation may be inevitable.
Currently, if grandfathered plans violate pricing rules, they lose their grandfathered status.
The rule will help providers coordinate care, manage claims and ensure quality improvement, patient safety and proper training.
Approximately $115 billion of the $175 billion approved by Congress has been allocated.
Sutter Health cited "catastrophic" losses related to the coronavirus pandemic.
The rule would create a separate hospital payment category for CAR-T therapy, providing predictable payment rates for hospitals.
CMS Administrator Seema Verma: The Centers for Medicare and Medicaid Services needs help from Congress to make temporary flexibilities permanent.
Providers who e-prescribe birth control through apps and online pharmacies doubt the decision will significantly affect their practices, but they say the mandate is harmful for those who need contraception.
The AHA is asking Congress for financial support with other relief in regulatory measures, the biggest being the use of telehealth.
The U.S. Department of Health and Human Services also announced it would give $450 million to the biotech company Regeneron to manufacture and supply the company's antibody treatment.