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.
Trump Administration’s Message to Supreme Court Puts New Wrinkle in Braidwood Case
February 21st 2025The Trump administration argues that HHS Secretary Robert F. Kennedy Jr can overrule the US Preventive Services Task Force to determine the preventive services covered under the Affordable Care Act.
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Varied Access: The Pharmacogenetic Testing Coverage Divide
February 18th 2025On this episode of Managed Care Cast, we speak with the author of a study published in the February 2025 issue of The American Journal of Managed Care® to uncover significant differences in coverage decisions for pharmacogenetic tests across major US health insurers.
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Abortion in 2025: Access, Fertility, and Infant Mortality Updates
February 20th 2025While Republican state-led efforts aim to increase restrictions to abortion care and access to mifepristone and misoprostol in 2025, JAMA authors join the conversation with their published research and commentary.
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