2023, Government and Insurance - Primary Care Digest

Have Job-Based Health Coverage at 65? You May Still Want To Sign Up for Medicare

Physician's Weekly

JUNE 19, 2025

When Alyne Diamond fell off a horse in August 2023 and broke her back, her employer-based health plan through UnitedHealthcare covered her emergency care in Aspen, Colorado. Since she was still working, she thought her employer health insurance plan would cover her. This time, though, the insurance coverage wasn’t routine.

Insurance

Insurance Patient-Centered Government Provider

Silence Isn’t Golden: Two Executives Convicted in First Criminal Prosecution Under the Consumer Product Safety Act

FDA Law Blog

NOVEMBER 27, 2023

17, 2023, the Department of Justice (DOJ) announced the first-ever conviction of two corporate executives in a criminal prosecution for failure to report a consumer product defect under the CPSA. (the Then, earlier this year, in April 2023, Gree USA, Inc., The government charged these individuals with conspiracy (18 U.S.C. §

Government

Government Insurance Manufacturing Individual

Prescribing Red Flags and Suspicious Controlled Substance Orders: Current Cautionary Tales

FDA Law Blog

DECEMBER 4, 2023

11, 2023 ( DOJ Press Release ). 6, 2023 ( DOJ Press Release ). The government asserted additional allegations that are outside our scope. District Court for the Western District of Texas imposed a $275,000 civil penalty on Zarzamora Healthcare LLC, in San Antonio, and its pharmacist-owner. Zarzamora Press Release.

Treatment Plan

Treatment Plan ER Government Patient-Centered

Many Older People Embrace Vaccines. Research Is Proving Them Right.

Physician's Weekly

JUNE 24, 2025

Kim Beckham, an insurance agent in Victoria, Texas, had seen friends suffer so badly from shingles that she wanted to receive the first approved shingles vaccine as soon as it became available, even if she had to pay for it out-of-pocket. The new studies are coming at a fraught political moment. The nation’s health secretary, Robert F.

Vaccination

Vaccination Illness Hospital Patient-Centered

Prescribing Red Flags: Pharmacists Be Wary of What the Doctor Orders

FDA Law Blog

MAY 19, 2025

Patients paying cash or a cash equivalent for controlled substance prescriptions, especially when they use insurance to pay for other prescriptions. Press Release , Walgreens Agrees To Pay Up to $350M for Illegally Filling Unlawful Opioid Prescriptions and Submitting False Claims, U.S.

Individual

Individual Patients Provider Medical

Pharmacists in Florida (and Elsewhere): Waive Prescribing Red Flags at Your Peril

FDA Law Blog

JUNE 27, 2024

After issuing an Order to Show Cause and Immediate Suspension of Registration in September 2022, and an administrative hearing in March 2023, DEA adopted the hearing Administrative Law Judge’s (“ALJ’s”) Recommended Decision to revoke Coconut Grove’s registration based on the public interest factors of 21 U.S.C. 823(g)(1). Patient J.C.’s

Insurance

Insurance Patients Utilities Chronic Condition

Advanced Pain Management in Cancer: Janet Abrahm

GeriPal

SEPTEMBER 29, 2022

Eric and I are working on it…maybe by 2023? . Eric: You got this depot in the high layer, so absorption is really governed by the microcirculation to that stratum corneum and skin… Alex: We’re going deep here – Eric said “stratum corneum. And yes, this would be a great one for CME. AlexSmithMD. Transcript.

Management

Management IT Patients Families

Guiding an Improved Dementia Experience (GUIDE) Model: A Podcast with Malaz Boustani and Diane Ty

GeriPal

DECEMBER 21, 2023

You come over to the clinic, you go to the hospital, you provide service, and the insurance and you negotiate how much you’re going to get paid. That never happens in CMS and other health insurance. Just to let you know, Eric, we have to give the credit to our federal government. Right now, the pay per service.

Patient-Centered

Patient-Centered IT Families Family

What Are ‘Improper’ Medicaid Payments, and Are They as High as a Trump Official Said?

Physician's Weekly

JUNE 12, 2025

In a 2024 report covering the years 2022, 2023, and 2024, Medicaid’s parent agency — the Centers for Medicare & Medicaid Services — said the rate was about 5.1%. Other experts told PolitiFact that the actual numbers could be higher than what the federal government reports, although not as high as Paragon’s estimate.

Government

Government Provider Insurance IT

Drug Pricing Reform Gathers Steam (Part 2)

FDA Law Blog

SEPTEMBER 14, 2021

This bill, which addresses numerous areas of the economy, public health, and government regulation, includes Subtitle E, Drug Pricing. PART 1: MAXIMUM FAIR PRICE PAYMENT LIMITATION UNDER MEDICARE PARTS B AND D AND THE COMMERCIAL INSURANCE MARKET. Subtitle E is a slightly modified version of H.R. 3, the Elijah E. 8126 with a lower MFP.

Manufacturing

Manufacturing Insurance Government Patients

‘One Big Beautiful Bill’ Would Batter Rural Hospital Finances, Researchers Say

Physician's Weekly

JUNE 13, 2025

Diminished reimbursements from the state-federal health insurance program for those with low incomes or disabilities would further erode hospitals’ ability to stay open and maintain services for their communities — populations with more severe health needs than their urban counterparts.

Finance

Finance Hospital Community Emergency Room

Court Strikes Down CMS’s Accumulator Adjustment Rule That Threatened Manufacturer Patient Savings Programs

FDA Law Blog

MAY 19, 2022

The final rule, which was set to go into effect on January 1, 2023, would have significantly narrowed the exclusions from best price for patient savings programs such as co-pay coupons, vouchers, consumer rebates, and free drug programs, which would, in turn, have discouraged manufacturers from offering such programs.

Manufacturing

Manufacturing Patients Insurance Government

Trump Whacks Agency That Makes the Nation’s Health Care Safer

Physicians News Digest

APRIL 3, 2025

At their first meeting with the leadership of AHRQ last month, officials from Trump’s Department of Government Efficiency said that they didn’t know what the agency did — and that its budget would be cut by 80% to 90%, according to two people with knowledge of the meeting who were granted anonymity because of fears of retribution.

Patient-Centered

Patient-Centered Hospital Diagnose Medical

‘I Am Going Through Hell’: Job Loss, Mental Health, and the Fate of Federal Workers

Physicians News Digest

MARCH 31, 2025

Elon Musk — who is the world’s richest person and whose Department of Government Efficiency, created by a Trump executive order, is infiltrating federal agencies and spearheading mass firings — has claimed without evidence that “there are a number of people on the government payroll who are dead” and others “who are not real people.”

Mental Health

Mental Health Insurance Government Appointment

Primary Care Digest

Have Job-Based Health Coverage at 65? You May Still Want To Sign Up for Medicare

Silence Isn’t Golden: Two Executives Convicted in First Criminal Prosecution Under the Consumer Product Safety Act

Trending Sources

Prescribing Red Flags and Suspicious Controlled Substance Orders: Current Cautionary Tales

Many Older People Embrace Vaccines. Research Is Proving Them Right.

Prescribing Red Flags: Pharmacists Be Wary of What the Doctor Orders

Pharmacists in Florida (and Elsewhere): Waive Prescribing Red Flags at Your Peril

Advanced Pain Management in Cancer: Janet Abrahm

Guiding an Improved Dementia Experience (GUIDE) Model: A Podcast with Malaz Boustani and Diane Ty

What Are ‘Improper’ Medicaid Payments, and Are They as High as a Trump Official Said?

Drug Pricing Reform Gathers Steam (Part 2)

‘One Big Beautiful Bill’ Would Batter Rural Hospital Finances, Researchers Say

Court Strikes Down CMS’s Accumulator Adjustment Rule That Threatened Manufacturer Patient Savings Programs

Trump Whacks Agency That Makes the Nation’s Health Care Safer

‘I Am Going Through Hell’: Job Loss, Mental Health, and the Fate of Federal Workers

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