CMS publishes the Part D "reasonable and relevant" contract terms RFI
Plus: Merck restricts 340B covered entities to one contract pharmacy starting Oct 1. The day's rules, money, and enforcement, sourced and tiered below.
American Health Intel
CMS cancels ACA coverage for 760,000, recovers $2.2B
Plus: Medicare aligns lab test pay with private insurers, $1B/yr savings. The day's rules, money, and enforcement, sourced and tiered below.
CMS finalizes the TAVR coverage rewrite, heart team survives
Plus: ACC asks CMS to delay mandatory heart-failure model, reverse procedure cuts. The day's rules, money, and enforcement, sourced and tiered below.
Oura's $2.2B IPO is mostly a payday for early investors
Plus: DexCare acquires AI care-coordination startup Mila Health. The day's rules, money, and enforcement, sourced and tiered below.
SCAN Health Plan reply brief due today in $125M star ratings suit
Plus: CMS restores $12B in Medicaid funding to Texas hospitals. The day's rules, money, and enforcement, sourced and tiered below.
Telix buys ITM Isotope Technologies for up to $2.35B after FDA rejection
Plus: HCA Healthcare completes acquisition of 8,000-student health training college. The day's rules, money, and enforcement, sourced and tiered below.
$246B Medicaid provider-tax rule closes for comment
Plus: All 50 states apply to CMS's Medicaid drug-pricing model. The day's rules, money, and enforcement, sourced and tiered below.
Addus HomeCare buys AccentCare's personal care division for $275M
Plus: Jackson Hospital emerges from bankruptcy on BCBS deal and state funding. The day's rules, money, and enforcement, sourced and tiered below.
NCPA and CMS preview the next Part D contract-terms rulemaking
Plus: Omnicare's confirmation hearing is Sept 17, last step before settlement closes. The day's rules, money, and enforcement, sourced and tiered below.
Altas Partners and L Catterton buy majority stake in Fullscript
Plus: UHS says ACA exchange losses becoming uncompensated care. The day's rules, money, and enforcement, sourced and tiered below.
Illinois aid-in-dying law takes effect after judge declines injunction
Plus: FDA classifies cardiovascular AI notification software. The day's rules, money, and enforcement, sourced and tiered below.
Rural fund can't save Sturgis Hospital despite REH conversion
Plus: Henry Ford closes River District ER and inpatient care. The day's rules, money, and enforcement, sourced and tiered below.