The Physicians Foundation

FEBRUARY 14, 2025

adults lacked a usual source of care in 2022—marking the highest level in a decade, despite historically high rates of insurance coverage during this period. Key findings include: 1. health spending, with spending on Medicare falling to 3.4% and Medicaid to 4.3%. State Highlights: Oregon leads the nation, allocating 7.1% per 100,000 in 2022.

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FDA Law Blog

NOVEMBER 27, 2023

According to the government, these companies knew as early as 2012 that their dehumidifiers were defective, in that they could overheat and catch fire. The government charged these individuals with conspiracy (18 U.S.C. § What led to this conviction? It is a long story that started more than a decade ago. and Gree USA Inc.

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NPR Health

FEBRUARY 10, 2025

Elon Musk's Department of Government Efficiency is quickly expanding its reach through the federal government. Medicare insures older people. Medicaid offers insurance to low income people and those with disabilities. It recently accessed systems at the Centers for Medicare and Medicaid Services.

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Minnesota Academy of Family Physicians

MARCH 13, 2025

State health insurers already contribute to reinsurance through taxes and assessments that go into the general fund, the proposed source for the program. MA Coverage of the Psychiatric Collaborative Care Model ( HF 958 ): Key Takeaway: The bill received bipartisan support during member comments. Read a summary of HF 958.

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Minnesota Academy of Family Physicians

MARCH 27, 2025

Committees reviewed a range of legislation, including efforts to address workforce shortages, expand insurance coverage and improve school health services. The bill passed by a voice vote and was referred to the State and Local Government Committee. Read a summary of S.F. The bill supports a coordinated approach to services.

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FDA Law Blog

DECEMBER 4, 2023

The government asserted additional allegations that are outside our scope. On October 10th, based on ability to pay, the U.S. 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. 11, 2023 ( DOJ Press Release ). Zarzamora Press Release.

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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.

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ABIM

APRIL 24, 2025

Community Practice in ABIM Governance* Dr. Johnson led a discussion with the Rheumatology Board on community practice in rheumatology to create a more inclusive understanding of its role and scope. Representatives from the American College of Rheumatology (ACR) joined for a portion of the meeting*.

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ABIM

MAY 18, 2025

Diagnostic delays, racial and ethnic health disparities, insurance barriers, and restricted access to appropriate treatments compound the emotional and physical burden of living with IBD. The Rising Incidence of IBD in the U.S. and Globally IBD is no longer a rare diagnosis. It is now a growing global health issue. In the U.S.,

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NPR Health - Shots

MARCH 2, 2023

Moderna said people without insurance will be able to get its COVID vaccine at no cost after the U.S. government bows out. But patients will have to use the company's cumbersome assistance program.

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Permanente Medicine

MAY 20, 2025

” Related AI scribes story: Analysis: AI scribes save physicians time, improve patient interactions and work satisfaction Dr. Nguyen also highlighted the potential to utilize artificial intelligence and Kaiser Permanente’s extensive medical database to develop predictive analytic models aimed at enhancing patient care.

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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. By Larry K. Houck Last month the U.S. Press Release , Walgreens Agrees To Pay Up to $350M for Illegally Filling Unlawful Opioid Prescriptions and Submitting False Claims, U.S.

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FDA Law Blog

JUNE 27, 2024

The government’s expert testified that any red flag associated with a controlled substance prescription must be resolved and that resolution documented before dispensing. By Larry K. Coconut Grove Pharmacy; Decision and Order, 89 Fed. 50,372 , 50,377 (June 13, 2024). make a record of its resolution, assuming it is resolvable.”

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FDA Law Blog

JANUARY 6, 2022

S&G Labs alleged during the litigation that they are paid on a “per test” basis by third party insurers, government agencies under the Medicare and Medicaid programs, and direct “self-pay” by some individuals. His job was governed by an employment contract that contained both salary provisions and restrictive covenants.

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FDA Law Blog

SEPTEMBER 30, 2022

The 4th Circuit three-judge panel decision relied heavily on the Supreme Court’s decision in Safeco Insurance Co. The controversy over the FCA’s intent standard where the applicable statute or regulation is ambiguous has special relevance when the FCA is used to target inaccurate government price calculations. of America v.

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FDA Law Blog

JANUARY 6, 2022

S&G Labs alleged during the litigation that they are paid on a “per test” basis by third party insurers, government agencies under the Medicare and Medicaid programs, and direct “self-pay” by some individuals. His job was governed by an employment contract that contained both salary provisions and restrictive covenants.

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ABIM

JUNE 4, 2025

Community Practice in ABIM Governance* Erica N. She also sought input on overlapping aspects of community practice across the disciplines of internal medicine to inform ABIM’s recruitment efforts for broad physician representation in governance roles.

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ABIM

JUNE 24, 2025

Gertz, MD, MACP, Chair, ABIM Hematology Board The Hematology Board , which meets twice a year and is responsible for oversight of ABIM policy and assessment in the specialty, held its spring meeting on May 2, 2025. A representative from the American Society of Hematology (ASH) joined for a portion of the meeting*.

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FDA Law Blog

FEBRUARY 9, 2022

Houck — The Drug Enforcement Administration (“DEA”) recently issued another Final Order revoking a pharmacy registration based on the failure of the pharmacy to meet its corresponding responsibility, more specifically, the failure to identify and resolve red flags. Holiday CVS, 77 Fed. at 62,341; see Jones Total Healthcare Pharmacy, L.L.C.

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GeriPal

JANUARY 20, 2023

There have been multiple subsequent government reports on nursing home care, most recently was about eight, nine years ago from the OIG. He’s a geriatrician and Chair of Public Policy for the California Association of Long-Term Care Medicine. Welcome back to the GeriPal podcast, Mike. I hope I got that right. Mike: You got it right.

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GeriPal

SEPTEMBER 29, 2022

This book is terrific, truly comprehensive, and is a go to resource for when I’m “stuck” taking care of patients with cancer. . And yes, this would be a great one for CME. Eric and I are working on it…maybe by 2023? . Finally, can you believe this is our 236th podcast and, I believe, the first request for the Grateful Dead?!? . AlexSmithMD.

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FDA Law Blog

SEPTEMBER 6, 2021

Teva case, that the statutory provisions governing patent infringement, specifically induced infringement, do not address carve-outs. The catch is, as we have learned from the GSK v. Until recently, there hasn’t been a need for such a safe harbor, as Courts have not found inducement to infringe in this context, but the GSK v.

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GeriPal

APRIL 18, 2024

We discuss, among other things: Findings that in several studies AI was rated by patients as more empathetic than human clinicians (not less, that isn’t a typo). Turns my concern about lack of empathy from AI on its head – the AI may be more empathetic than clinicians, not less. ” Eric: What was it called again, Wachter’s World?

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GeriPal

JULY 6, 2023

Summary Transcript Summary You may have heard of Area Agencies on Aging, but do you really know what they do or how they do it? What about State Departments of Aging or state master plans for aging? Do you know how these agencies fit in with programs like Meals-on-Wheels or other nutritional support programs? Susan: It is my anthem.

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Doctors for America

MAY 30, 2025

For nearly 40 years, EMTALA has been understood by medical providers and the federal government — including both Democratic and Republican administrations — to require abortion care when that care is needed to stabilize pregnant patients in a medical crisis. Find out more at doctorsforamerica.org and on BlueSky @drsforamerica.

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GeriPal

AUGUST 22, 2024

Why does this issue keep coming up? Why is it unresolved? Today we put these questions to Winston Chiong, a neurologist and bioethicist, and Sean Aas, a philosopher and bioethicist. We’ll have a link to that in our show notes. We’re gonna double up on that subject. Alex 01:07 We haven’t figured it out. Alex 01:48 All right.

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Medical Xpress

JUNE 7, 2025

Many people still face stigma or lack insurance coverage, which can limit access. Most current PrEP users have commercial insurance, but Medicaid will be key for expanding access to lower-income communities. The company is working with governments and health groups in the U.K. and abroad. © 2025 HealthDay.

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Maine Academy of Family Physicians

JUNE 21, 2024

This bill proposes to improve the healthcare decision-making and treatment process for prescriptions and testing by reducing the pre-approval (prior authorization) burdens placed on healthcare providers by health insurance carriers. Here in Maine the "shorter" Legislative Session was quite full! Read more in the AAFP’s statement.

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GeriPal

DECEMBER 21, 2023

Summary Transcript Summary We’ve talked a lot about comprehensive dementia care on the GeriPal podcast but while the evidence is clear that these programs work, the uptake has been limited largely because there hasn’t been a strong financial case for it. It requires a fight. It’s been going on for many decades now. Malaz: I love it.

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Physician's Weekly

JUNE 27, 2025

Notwithstanding, there are some specific responsibilities that belong to the federal government, others that belong to the states, and still others that are shared between them. More people without insurance coverage means higher overall costs. And subscribe to KFF Health News’ “What the Health?”

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Physician's Weekly

JUNE 12, 2025

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. It is funded through a mix of federal and state money and is administered by states under federal government rules. How High Is the Medicaid Improper Payment Rate?

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Physician's Weekly

JUNE 25, 2025

Nearly seven months after the fatal shooting of an insurance CEO in New York drew widespread attention to health insurers’ practice of denying or delaying doctor-ordered care, the largest U.S. insurers agreed Monday to streamline their often cumbersome preapproval system.

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Physician's Weekly

JUNE 24, 2025

The federal government spends billions of dollars a year matching these taxes, which generally lead to more money for providers, helping them balance lower Medicaid reimbursement rates while allowing states to protect against economic downturns and budget constraints. For instance, California has netted an estimated $8.8

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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. That’s closer to 50% now, he said.

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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.

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FDA Law Blog

MAY 19, 2022

The court also denied the government’s cross-motion and refused to find that Chevron deference applied. Insurers argue that the savings programs cause patients and their physicians to favor brand drugs over generics or cheaper formulary alternatives. On Tuesday, May 17, 2022, the D.C. See 42 C.F.R. §§ 447.505(c)(8)-(12).

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Common Sense Family Doctor

NOVEMBER 22, 2024

The majority of the department's budget funds the Medicare and Medicaid health insurance programs. State and local governments decide what vaccines to require. The position has typically been filled by former Congresspeople, governors, and professional administrators. See Samoa, 2019.) become the next Secretary of HHS.

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