How Hospitals Can Safeguard 340B Program Eligibility
By Karl Rebay,
Principal, Health Care Consulting Practice
Moss Adams (now Baker Tilly)
By Jesse Vo,
Senior Manager, Provider Reimbursement Services
Moss Adams (now Baker Tilly)
Hospitals and health systems across the country are grappling with changes in Medicaid eligibility brought on by recent industry shifts, including regulatory changes, the end of the public health emergency (PHE), Medicaid redetermination, and the halt of continuous enrollment. These seismic shifts have created a significant financial crisis for many health organizations: the loss of 340B Drug Pricing Program (340B) eligibility and access to beneficial drug pricing under the 340B program.
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Federal Health Law Enforcement in 2025
By David J. Davidson, Esq.Board Certified Health Care Attorney, Dickinson Wright
Much has been written about the healthcare policy changes implemented by the 2025 Trump administration. President Trump has issued numerous Executive Orders which establish new policies and rescind actions taken by previous administrations. Robert F. Kennedy, Jr. is overhauling and refocusing Health & Human Services. Dr. Mehmet Oz is implementing new policies at the Center for Medicare and Medicaid Services and auditing Medicare Advantage plans (of which he has been a historical proponent). The Food & Drug Administration is revising its Generally Regarded as Safe standards, fast-tracking approvals of new drugs, minimizing animal testing, and increasing its use of Artificial Intelligence. The National Institute of Health is amending its peer review process.
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Health Care Hits Different
By Craig B. GarnerFounder, Garner Health Law Corporation
Do not blame republicans, democrats or even private equity in the demise of health care reform. To be sure, hospitals continue to close around the nation, and President Trump’s One Big Beautiful Bill Act may prove to be the Affordable Care Act’s death knell, especially if the next budget eviscerates Medicaid and the health insurance exchanges. Health insurance circa 2026 may soon resemble its ancestry circa 2009, but the past 180 months were not a total loss. The survival of health care and hospitals is not dependent upon the fate of the Affordable Care Act nor the degree to which private equity remains involved. Indeed, for the 340 million people who call the United States home, life most likely will continue to begin and end within the four walls of the local hospital.
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Health Plan Financial Reports for California and Washington State
By David PeelPublisher and Editor, Healthcare News
We recently updated our financial reporting for health plans in California and Washington State. Click on the links below to see the numbers.