Enforcement of Health Care Antitrust Laws to Continue in 2023: Review of Challenges to Provider and Payer Mergers

WASHINGTON, D.C. – As 2023 drew to a close, antitrust enforcement in the health care industry remained a top priority for U.S. regulatory agencies. From providers to patients, and payers to pharmaceutical and device manufacturers, all sectors of the health care industry should anticipate robust antitrust enforcement from the Biden Administration in the upcoming election year. This comes as the administration continues to address concerns raised in President Biden’s July 2021 Executive Order, which highlighted …

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Pennsylvania Launches Independent Review Program for Insurance Denials: What You Need to Know

PHILADELPHIA, PA – Denied insurance coverage for a medical procedure or medication can often leave people feeling helpless. However, a new program in Pennsylvania aims to provide a lifeline for those in this situation. The Independent Review Program, launched by the Pennsylvania Insurance Department, offers a second chance for individuals to appeal their insurance company’s decision. This program assigns eligible cases to teams of doctors, specialists, and experts to determine the correctness of the insurance …

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Trump Jury Deliberations Resume Amid Testimony Review

NEW YORK, NY – The jury in former President Donald Trump’s criminal trial in New York reconvened on Thursday to continue deliberations in the case. After receiving instructions on Wednesday, the 12 Manhattan residents on the jury spent nearly five hours behind closed doors. The jurors concluded their first day of deliberations by requesting to review testimony from key witnesses David Pecker and Michael Cohen, detailing their interactions with Trump in 2015 and 2016. In …

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FDA Under Scrutiny by Republicans for Health Care Review – Full Coverage on drnewsemails.com

Washington, DC – Republicans in Congress are intensifying their scrutiny of the Food and Drug Administration (FDA) in response to concerns about the agency’s approach to regulating new medical technologies. The Senate recently held a hearing to address these issues, with lawmakers from both sides of the aisle expressing their concerns about the FDA’s ability to keep up with the rapid pace of innovation in the healthcare industry. Lawmakers are particularly focused on the FDA’s …

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Supreme Court Review Spurs Release of Jan. 6 Rioters in Obstruction Case Backlog

Washington, D.C. – As the Supreme Court begins to review charges related to the January 6th riots, some individuals have already been released due to this legal process. This review is crucial as it could potentially impact the cases against those involved in the Capitol insurrection earlier this year. The Supreme Court is set to hear a case regarding obstruction charges that may have implications for former President Trump. The outcome of this case could …

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Week in Review: CMS Issues Proposed Payment Rules for Psychiatric Facilities, Skilled Nursing Facilities, and Hospice Providers

Wilmington, DE – This week, the Centers for Medicare & Medicaid Services (CMS) has been busy issuing proposed and final rules that will impact various healthcare providers across the country. One of the significant highlights is the proposed FY 2025 payment rules for inpatient psychiatric facilities (IPF), skilled nursing facilities (SNF), and hospice providers. Additionally, CMS finalized rules focused on streamlining Medicaid enrollment processes and limiting short-term, limited duration insurance (STLDI). The Food and Drug …

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Oral Health Policies for Children with Special Healthcare Needs Evaluated Amid COVID-19: A Systematic Review

London, England – A recent systematic review delved into the impact of oral health policies on children with special healthcare needs during the COVID-19 pandemic. The study aimed to evaluate the effectiveness of these policies in ensuring equitable access to dental care for this vulnerable group in the midst of the global health crisis. Researchers conducted a thorough search across various databases, including LILIACS, PubMed, Scopus, COCHRANE, and grey literature, using a combination of subject …

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Platform Strategy Overhaul Needed for Health Care Success, According to MIT Sloan Management Review

CAMBRIDGE, Mass. – A recent study conducted by researchers from MIT Sloan Management Review has unveiled crucial insights into the challenges faced by digital health care platforms. The findings suggest that traditional best practices for digital platforms may not be as effective in the realm of health care. Titled “Health Care Platforms Need a Strategy Overhaul,” the study emphasizes the need for a strategic shift as these platforms navigate new markets and tackle emerging issues. …

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Colorado DNA Analyst Manipulated Testing Samples, Hundreds of Criminal Convictions Under Review

Denver, Colorado – Authorities in Colorado are re-examining hundreds of criminal convictions following the discovery of manipulation of DNA testing samples by one of their analysts. Yvonne “Missy” Woods, who worked at the Colorado Bureau of Investigation (CBI) crime lab for 29 years, is under scrutiny for allegedly tampering with data in various cases. The CBI disclosed that 652 cases were impacted by Woods’ actions, prompting the need for re-testing of over 3,000 samples. While …

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Supreme Court Declines Review of Virginia Tech Bias Reporting Program, Frustrating Conservative Justices

Blacksburg, Virginia – The Supreme Court recently made an important decision regarding a defunct program at Virginia Tech designed to allow students to anonymously report biased behavior. This decision has sparked debates among legal experts around the country. The program, known as the “Bias Intervention and Response Team,” was created in 2018 but was disbanded in early 2023. The Supreme Court’s ruling declaring the case moot has frustrated conservative justices who argue that the issue …

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