Anthem’s anesthesia time limit policy, reversal sparks new legislation
Editor's Note Anthem Blue Cross Blue Shield recently reversed its controversial plan to impose time limits on anesthesia coverage after intense backlash from the medical community, including anesthesiologists and patient advocates. The policy, aimed at curbing alleged overbilling, would have restricted payments based on average surgery times, a move critics…
AMA letter expresses opposition to CRNA use of 'nurse anesthesiologist' title
Editor's Note The American Medical Association (AMA) expressed “strong opposition” to a proposed regulation in Washington, DC, that would allow certified registered nurse anesthetists (CRNAs) to use the title “nurse anesthesiologist.” As detailed in a December 2 announcement, a letter to the DC Department of Health from AMA CEO James…
House report criticizes COVID-19 pandemic response, calls for reform
Editor's Note A Republican-led House subcommittee investigating the COVID-19 pandemic released a 520-page final report summarizing its two-year inquiry, outlining recommendations for future pandemic preparedness and critiquing both US and global responses to the crisis. CNN reported the news December 2. The report concludes that COVID-19 most likely emerged from…
AHA's Congressional "wish list" calls for financial relief, patient access, workforce protections
Editor's Note In a November 12 letter to Congress, the American Hospital Association (AHA) outlined its priorities for the lame-duck legislative session, focusing on measures to stabilize hospitals and health systems facing significant financial and operational pressures. If enacted, these recommendations would support the nation’s healthcare infrastructure amid rising…
GOP-controlled Senate to prioritize drug pricing, health agency reform
Editor's Note Republicans secured a 51-seat majority in the US Senate after victories in Ohio and West Virginia, promising a power shift that will see GOP leaders shaping decisions on pressing issues like drug pricing, public health agency reform, and rural healthcare. On November 6, STAT published an overview of…
Trump vs. Harris: Key differences in healthcare proposals for Medicaid, Medicare, private insurance, abortion
Editor's Note When it comes to the 2024 presidential election, “Neither candidate addresses a return to the fundamental tenet of healthcare: the patient-physician relationship,” reads the closing line of an “election guide” from Richard Menger MD MPA. In the preceding paragraph, Menger also argues that both candidates also neglect issues…
Session: Empowered nurses advocate for policy change, workplace safety
Editor's Note Real-world experience in Texas—where more than 650 nurses marched on the capitol in support of workplace violence legislation—informed much of yesterday’s OR Manager Conference presentation on nurse legislative and policy advocacy from Serena Bumpus, DNP, RN, NEA-BC. Although nurses make up the largest healthcare workforce—around 5.2 million across…
Medicare Advantage insurers prioritize profits over patients, Senate reports
Editor's Note A Senate report reveals that Medicare Advantage insurers are increasingly prioritizing profits over patient care by ramping up the use of prior authorization to deny necessary services, particularly post-acute care, for older adults, Becker’s Hospital Review reported October 17. In May 2023, the Senate Permanent Subcommittee on Investigations…
CMS proposes $2 Drug List Model to reduce out-of-pocket costs for Medicare recipients
Editor's Note CMS has taken the next steps in making prescription drugs more affordable for Medicare recipients, according to an October 9 report from The US Department of Health and Human Services (HHS). The proposed Medicare $2 Drug List Model, developed in line with President Biden’s Executive Order 14087, aims…
Vice presidential debate highlights healthcare, abortion policy differences
Editor's Note The October 1 vice presidential debate showcased sharp divisions between the candidates on healthcare policy, focusing primarily on the future of the Affordable Care Act (ACA) and reproductive rights. A summary published October 2 in Stat details how Sen. JD Vance (R-Ohio) proposed changes that could allow insurers…
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