A pediatric shot for respiratory syncytial virus (RSV) may not be covered as a free routine vaccine; hospitals fail to comply with payment transparency rules; the fate of abortion pills is in the hands of conservative judges
RSV Shot Technicality Could Disproportionately Affect Low-Income Children]
A glitch in congressional language could make it difficult for children of low-income and minority families to get the immunization shot for respiratory syndical virus (RSV), according to Kaiser Health News. Since 1994, free, routine vaccination has been a childhood entitlement under the Vaccines for Children Program. However, the 1993 law that created this program did not specifically include antibody shots, leaving the CDC to assess whether nirsevimab, a monoclonal antibody neutralizer under review with the FDA, qualifies under the Vaccines for Children Program.
Only a Quarter of Hospitals in Full Transparency Compliance, Study Finds
Out of a total of 2000 hospitals, only a quarter (24.5%) of hospitals were in full compliance with transparency rules, according to AXIOS. Just over half of the hospitals clearly posted negotiated prices with payers and plans, while the rest failed to meet the study’s compliance standards due to missing or incomplete data. Patient Rights Advocate, who led this study, has sent Congress and Biden’s administration team letters, offering suggestions for improvement and enforcement.
Conservative Lawsuit Aims to Ban Abortion Pills, Nationwide
Texas conservative groups push to ban the abortion pill, mifepristone, across the entire country through a lawsuit, according to The Washington Post. Although this lawsuit has been widely criticized as being rooted in baseless arguments, abortion rights activists and some members of the Biden administration are concerned that this case is likely to be decided entirely by conservative judges, who may try to restrict abortion access, especially in states where abortion is still legal. The Justice Department has warned that banning abortion pills nationwide would be catastrophic to the US health care system.
Bridging the Vaccination Gap: Insights on Global Immunization Challenges
July 30th 2024On this episode of Managed Care Cast, we speak with Jeffery A. Goad, PharmD, MPH, 2024-2025 president of the National Foundation for Infectious Diseases, on the recent report from the World Health Organization and UNICEF on public immunization rates, with national and global health implications.
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Double Trouble: High-Deductible Plans Raise Maternity Care Costs Across 2 Calendar Years
June 27th 2024On this episode of Managed Care Cast, we're talking with the author of a study published in the June 2024 issue of The American Journal of Managed Care® about how annual high-deductible insurance plans increase maternity care costs when pregnancies cross 2 calendar years.
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5 Hot Health Care Topics in the Presidential Election
October 18th 2024A review of positions and track records of Vice President Kamala Harris and former President Donald Trump on reproductive health, the future of the Affordable Care Act, prescription drug costs, health care consolidation, and a proposed Medicare home health benefit.
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Pressure on Congress to Reform Medicare Physician Fee Schedule, Prevent Reimbursement Cuts
October 17th 2024A new letter signed by more than 230 members of the House urges Congress to not only block the scheduled 2.8% reimbursement cut, but also reform the Medicare Physician Fee Schedule.
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