California Was Warned Of Shocking Hospice Fraud. Inaction Allowed Problems To Persist

Officials have failed to halt pervasive fraud in the hospice industry despite promises of reforms five years ago after learning of widespread corruption that targeted vulnerable patients. California authorities promised to crack down after a Times investigation in late 2020 revealed that a cohort of mostly older Americans was being targeted by unscrupulous providers who ...

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Trump Executive Order Could Nudge Psychedelics Toward Employer Drug Plans

A new executive order could eventually put psychedelic drugs on employer health plans’ prescription drug formularies. President Donald Trump signed an executive order Saturday that calls for “accelerating medical treatments for serious mental illness.” The order does not address matters such as health plan provider networks or health plan coverage for inpatient treatment for mental ...

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‘Hospitals adverse to transparency’—clashing industry groups spar on mulligan 340B rebate pilot

Hospital and pharma groups have sharpened their spears for the rematch on 340B rebates. In comment letters submitted just ahead of a Monday deadline, the stakeholders weighed in on a contentious Trump administration pilot program that would overhaul drug discounts hospitals have received for the past 30 years to subsidize safety-net care. Rather than receive ...

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RFK Jr. Grilled Over Vaccines, MAHA In Back-To-Back Hearings: Key Takeaways

House members got their first opportunity Thursday to grill Health and Human Services Secretary Robert F. Kennedy Jr., as he kicked off a marathon series of seven congressional hearings in seven days with back-to-back hearings in the Ways and Means and Appropriations Committees. In the two appearances, his first before Congress in 2026, Kennedy defended his record in leading the nation’s health agency as Democrats sought to push back ...

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Stakeholders Urge Labor Department To Finalize PBM Transparency Rule

Employers, lawmakers, providers and more said the Department of Labor should quickly finalize disclosure mandates for the controversial drug middlemen.

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UnitedHealthcare To Slash Prior Authorization Use For Many Rural Providers

UnitedHealthcare said it’s going to eliminate most requirements for prior authorization for medical care for about 1,500 rural hospitals and their affiliated health care providers by this fall. The change will affect all of the small, isolated rural hospitals classified as “critical access hospitals.” In January, the United States had 1,381 critical access hospitals, according ...

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High Salt Intake Linked To Faster Memory Decline In One Group, Study Finds

Excess salt intake has long been linked to higher blood pressure, but now a new study has also tied it to quicker cognitive decline in certain groups. In a six-year study of more than 1,200 older adults 60 and older, Australian researchers found that higher baseline dietary sodium intake was associated with faster decline in “episodic recall” in ...

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Brokers Get Paid More to Enroll Seniors in Medicare Advantage. Is That a Problem?

The system of paying Medicare agents and brokers more money if they enroll someone in a Medicare Advantage plan rather than traditional Medicare with a supplement plan needs to be changed, according to several members of the Medicare Payment Advisory Commission (MedPAC). “The broker compensation piece really frustrates me,” MedPAC member Stacie Dusetzina, PhD, of ...

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Former Deputy Surgeon General Erica Schwartz, M.D., Nominated As CDC Director

President Donald Trump announced Thursday Erica Schwartz, M.D., as his nominee to fill the long-vacant role of director of the Centers for Disease Control and Prevention. Schwartz, who also has a law degree and a master’s of public health, previously served as deputy surgeon general during the president’s first term. She is a Navy officer ...

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HHS Brings On An Affordability Czar

The Trump administration is bringing on a new official to focus on health care affordability, the Department of Health and Human Services tells Axios. Why it matters: The personnel move suggests the administration is attempting to respond to voters’ concerns about health care costs ahead of the midterm elections. Driving the news: HHS has appointed Casey Mulligan as ...

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