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Addressing Lives and Livelihoods with a Whole-of-Government Approach – The First Wave of Biden Health Policy

Health Populi

I cover this first wave of Biden health policy in my latest post for the Medecision Liberation blog titled, “ Top Priorities for President Biden: COVID-19, Then Everything Else.” ” The plotline goes…. On the day of inauguration, January 20, 2021, Joseph R. Ultimately, U.S.

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Health Apps and Consumer Privacy Update: Federal Trade Commission Proposes Amendments to the Health Breach Notification Rule

Health Law Advisor

Over the past several months, the FTC followed through with its policy statement, bringing, and publicly settling, cases against prescription drug price tracking app GoodRx , online counseling service BetterHelp , and, most recently, ovulation tracking app Premom. Commissioner Phillips has since resigned.

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Supreme Court Clarifies that Subjective (Not Objective) Knowledge of Falsity of Claim Dictates False Claims Act Liability

Healthcare Law Blog

In the underlying Seventh Circuit cases, relators alleged that retail pharmacies had knowingly submitted false reports of their Usual and Customary (“U&C”) drug prices to the government for reimbursement under Medicare Part D and Medicaid, because the reports allegedly did not account for discounted drug prices offered through certain prescription (..)

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Americans’ Top Sources of Stress are Money, Money, Money and Family

Health Populi

This latter point was emphasized in the survey noting that 71% of Americans said that drug prices were too high; 78% of people agreed that the government should be permitted to negotiate/regulate prescription drug prices. That was the theme that started the first Health Populi blog post in 2007.

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Challenges and Considerations – Transparent Healthcare Pricing

Medval Compliance Blog

For example, pricing for a lumbar fusion procedure may cost significantly less in a hospital in a claimant’s local area compared to the cost for that same procedure in a major medical center (cross-referenced to the claimant’s zip code in accordance with CMS guidelines).

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CMS Releases Guidance on Implementation of Rebate Programs for Certain Medicare Part B and Part D Drugs

Healthcare Law Blog

The Rebate Programs are administered as part of the prescription drug affordability provisions of the Inflation Reduction Act (the “IRA”), which is aimed at “lower[ing] out-of-pocket drug costs for people with Medicare and improv[ing] the sustainability of the Medicare program for current and future generations.” [1]

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Spending on Medicines In and Post-COVID Say a Lot About Patients and Larger Healthcare Trends – an IQVIA Update

Health Populi

As such, the debate on prescription drug pricing in the U.S. is heating up, with President Biden mentioning the scenario of Medicare negotiating drug prices with pharmaceutical manufacturers in his latest speech measuring progress at 100 days in the White House.