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Merck Price Negotiation Lawsuit May Face Same Obstacles as 340B Takings Claims

Bill of Health

By Laura Dolbow Merck recently filed a lawsuit that challenges the constitutionality of the Medicare price negotiation program created by the Inflation Reduction Act. Merck argues that this form of price regulation charts a “ radical new course ” for Medicare that violates the Takings Clause of the Fifth Amendment.

Medicare 195
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Health Care Costs Concern Americans Approaching Retirement – Especially Women and Sicker People

Health Populi

Even with the prospect of enrolling in Medicare sooner in a year or two or three, Americans approaching retirement are growing concerned about health care costs, according to a study in JAMA Network Open. One-half said they weren’t confident in their ability to afford health insurance in or near retirement.

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Prison Health Care is Broken Under the Medicaid Inmate Exclusion Policy

Bill of Health

In other words, both convicted individuals and those still presumed innocent are stripped of their access to the federal health insurance program for low-income individuals. Gamble (1976), affirmed that incarcerated individuals have the constitutional right to health care. The Supreme Court’s ruling in Estelle v.

Medicaid 299
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Addressing Ghost Networks in Mental Health Care

Bill of Health

.: not accepting new patients, retired, moved away, or no longer accepting the particular type of insurance). To assess the prevalence of ghost networks, Senate Finance Committee staffers conducted a secret shopper study of 120 mental health provider listings across 12 Medicare Advantage plans.

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Food is Medicine Approaches to Address Diet-Related Health Conditions

Bill of Health

It will also be essential to develop strategies to minimize barriers, such as health insurance and access to the health care system. Some states have implemented initiatives to integrate Food is Medicine into Medicaid , which can be valuable to expand access to broader groups of the population.

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Churntables: A Look at the Record on Medicaid Redetermination Plans

Bill of Health

After the PHE, states can facilitate smooth transitions for those no longer eligible for Medicaid by taking advantage of the full 12- to 14- month period that the Centers for Medicare & Medicaid Services (CMS) has established for redetermining eligibility. What States Are Doing Now.

Medicaid 147
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How Will the “New” Health Economy Fare in a Macro-Economic Downturn?

Health Populi

Add into this picture a CCS Insight analyst’s forecast last week that Apple could enter the health insurance market in 2024. health care system not seen since the 1968 creation of Medicare, coupled with decreased reimbursement due to health care reform. Walmart) to do so, as well.