Tired of being baffled by healthcare policy? McGuireWoods Consulting presents Complications: Health Policy Unraveled, your solution to the policy puzzle. With our host, Stephanie Kennan, discover the ins and outs of healthcare policy and gain insights crucial for providers and investors. Let's simplify the complex together. Follow us in your favorite podcast app and never miss a healthcare update by subscribing to host and JD Supra’s #1 healthcare author Stephanie Kennan’s Washington Healthc ...
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340B ACCESS Act Aims to Clarify Contract Pharmacy Role in Drug Discount Program
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“The 340B Drug Discount Program is the second largest government pharmaceutical program based on net drug spending and is only behind Medicare Part D. It's been the subject of a lot of legislation and hearings in Congress because of its growth and because of the confusion over contract pharmacies.” In this episode of Complications: Health Policy Un…
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Supreme Court to Hear Arguments on Medicare’s Disproportionate Share Hospital Payments
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In 2022, the Supreme Court of the United States heard arguments related to Medicare’s Disproportionate Share Hospital Payments. Now that issue is before the court again. In this episode of Complications: Health Policy Unraveled, host Stephanie Kennan discusses an upcoming SCOTUS case involving hospitals and the Department of Health and Human Servic…
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New Medicaid Rule Promotes Transparency and Should Improve Quality of Care
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Medicaid is complicated. In this episode of Complications: Health Policy Unraveled, host Stephanie Kennan discusses the newly finalized regulations concerning Medicaid, specifically as they pertain to the Managed Care Rule. These new regulations aim to increase transparency and improve access in states' Medicaid programs. Key points discussed inclu…
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New CMS Guidelines for Drug Price Negotiation
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The Center for Medicaid & Medicare Services (CMS) recently released new guidelines that will affect the Medicare drug price negotiation process beginning in 2026. In this episode of Complications: Health Policy Unraveled, host Stephanie Kennan provides a summary of the new CMS guidelines, including the new requirements for drug manufacturers and Pa…
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Switcheroo Scams: Stopping Unauthorized Health Plan Switching
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Recently, some consumers have found that their health plans had been changed without their knowledge, impacting their coverage and their finances. In this episode of Complications: Health Policy Unraveled, host Stephanie Kennan explores unauthorized plan switching related to Affordable Care Act health plans. Consumers are being unknowingly switched…
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“Looking Back” on the CRA’s Impact on Healthcare Rules
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The Congressional Review Act has been used to overturn 20 rules since it was enacted. Will a Biden administration healthcare rule be next? In this episode of Complications: Health Policy Unraveled, host Stephanie Kennan explores the intricacies of the Congressional Review Act (CRA) and its significance for healthcare policy. She explains how the CR…
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What's Left on Congress' Healthcare To-Do List
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Congress has a number of important healthcare issues currently pending, but whether any get resolved before the end of the term is still to be seen. In this episode of Complications: Health Policy Unraveled, Stephanie Kennan explores key healthcare policy issues before Congress, including PBM reform, healthcare transparency, cybersecurity, insulin …
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Navigating AI in Healthcare: Legislative and Regulatory Updates
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Artificial intelligence continues to be a focus for Congress and federal agencies. Are you keeping up with the latest developments that impact the healthcare sector? In episode 22 of Complications: Health Policy Unraveled, host Stephanie Kennan provides updates on legislative and regulatory affairs concerning artificial intelligence. With the forma…
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Chevron, Abortion, and Misinformation: What’s On The SCOTUS Docket and Implications for the Healthcare Sector
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What does fishing have to do with healthcare? Currently before SCOTUS is Loper Bright Enterprises, a case involving federal oversight of herring fishing which could impact the government's regulatory power broadly and thus, the healthcare sector. In episode 21 of Complications: Health Policy Unraveled, host Stephanie Kennan explores Loper Bright En…
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AI Dilemmas: Congress’s Proposed Legislation and the Future of AI Governance
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AI is dividing members of Congress based on how they feel it should be regulated. As a result, Congress may concede regulatory power to the Biden Administration, which has proven more efficient in developing regulatory framework for AI. In episode 20 of Complications: Health Policy Unraveled, host Stephanie Kennan discusses AI-related congressional…
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Regulating Artificial Intelligence: Transparency, Safety, and Equity
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With the recent exponential growth of artificial intelligence technologies, the Biden administration is trying to help guide the nation in the development and deployment of safe, secure, and transparent AI technologies across all sectors, including healthcare. In episode 19 of Complications: Health Policy Unraveled, host Stephanie Kennan explores t…
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Overhauling Medicare Advantage: Proposed Changes for 2026
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“Medicare Advantage has come under scrutiny related to mental health providers in their networks and related to broker's fees.” Proposed changes seek to remedy that. In episode 18 of Complications: Health Policy Unraveled, host Stephanie Kennan details the changes to Medicare Advantage Plans recently proposed by the Senate Finance Committee and CMS…
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Standardize and Streamline: CMS Proposes Standards for Qualified Health Plans and the Exchanges
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Change is on the horizon for the health plan marketplace. In episode 17 of Complications: Health Policy Unraveled, host Stephanie Kennan describes the new standards proposed by the Centers for Medicare and Medicaid Services for qualified health plans in health insurance marketplaces. These changes include bringing state marketplaces in line with th…
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Unraveling End-of-Year Healthcare Policy: Congress' Agenda and Challenges
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As we come to year-end, healthcare policy is in flux. In episode 16 of Complications: Health Policy Unraveled, host Stephanie Kennan discusses the possible absence of an end-of-year healthcare package due to the appropriations process deadlines. She also discusses some of the initiatives Congress wants to do when they can do a healthcare package. B…
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Supporting Healthcare for Homeless: CMS Allows Reimbursement for “Street” Medicine
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The Centers for Medicare & Medicaid Services (CMS) has made a small change that has a large impact. In episode 15 of Complications: Health Policy Unraveled, host Stephanie Kennan discusses the updated CMS billing policy, which now allows insurers to pay street medicine providers for their services. This move gives providers the flexibility to see h…
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Medicare Premium Increases: What to Expect for 2024
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The Centers for Medicare & Medicaid Services (CMS) has announced that Medicare premiums are expected to increase in 2024. In episode 14 of Complications: Health Policy Unraveled, host Stephanie Kennan breaks down all the expected Medicare premium increases and what’s behind these rate hikes. Because the Supreme Court held that cuts to drug reimburs…
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DEA Extends Telehealth Prescribing Flexibilities for Controlled Substances
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The regulatory landscape for telehealth prescribing of controlled substances is evolving. In episode 13 of Complications: Health Policy Unraveled, host Stephanie Kennan covers the DEA's recent extension of pandemic-era telehealth prescribing flexibilities for controlled substances through 2024, marking the second extension. Originally set to expire…
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Navigating the No Surprises Act: Challenges and Controversies
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The No Surprises Act has had some difficulties in the implementation process, and those difficulties are raising issues. In episode 12 of Complications: Health Policy Unraveled, host Stephanie Kennan provides an update on the No Surprises Act, a law passed by Congress in December 2020 to protect patients from excessive surprise medical bills. The l…
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Prescription Drug Costs in Focus: PBM Reform on the Horizon
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Pharmacy benefit managers (PBMs) continue to be a topic which causes angst in Congress. However, PBM reform is not far off, and is likely to come before the end of the year. In episode 11 of Complications: Health Policy Unraveled, host Stephanie Kennan discusses the bipartisan introduction of the Patients Before Middlemen Act in the Senate, which i…
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DEA’s Telehealth Proposed Rules: Expanding Access & Preventing Medication Misuse, or Not?
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“The initial reaction to the rules is that they are much more restrictive than necessary and impose concerning limitations and burdens on clinicians and the patients they treat.” In episode 10 of Complications: Health Policy Unraveled, host Stephanie Kennan discusses the Drug Enforcement Agency’s telehealth proposed rules which could impact how pat…
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Who Has Access to Our Health Data? Understanding the ADPPA
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The concept of a federal consumer privacy framework is something that Congress has worked on for several years in both the House and Senate, but it's never come to fruition. In episode 9 of Complications: Health Policy Unraveled, host Stephanie Kennan discusses the American Data Privacy and Protection Act (ADPPA), which would, if passed, create a c…
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The “Ghosts’ of Mental Healthcare: Democratic Staff of the Senate Finance Committee Release Report Concerning Medicare Advantage Plans
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“More than 80% of the listed in-network mental health providers [that] staff tried to contact were ‘ghosts’ as they were either unreachable, not accepting new patients, or not a network.” In this episode of Complications: Health Policy Unraveled, host Stephanie Kennan discusses “ghost networks” and Medicare Advantage plans. Based on a recent Senate…
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Unraveling the PBM Puzzle: Navigating Bipartisan Bills and Proposed Reforms
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All this activity on PBM legislation ensures that something is likely to happen this year. In this episode of Complications: Health Policy Unraveled, host Stephanie Kennan walks through legislation pending in both the House and Senate aimed at addressing the practices of Pharmacy Benefit Managers (PBMs), the drug pricing middlemen many blame for hi…
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Appropriations: Battle Expected at Year’s End (Again), Despite Promises Otherwise
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Here we go again. A year-end appropriations showdown is likely, despite promises earlier this year to have the process work on time for a change. In ep. 6 of Complications: Health Policy Unraveled, host Stephanie Kennan discusses the current appropriations battles, the timing of appropriations, and the process. You’ll learn about the hurdles in Con…
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Nonprofit Hospitals and Tax Exemptions: What's at Stake
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In this episode of Complications: Health Policy Unraveled, Stephanie Kennan discusses the tax exemption status of nonprofit hospitals, the legal requirements for tax exemption, and the recommendations made by the General Accounting Office regarding this issue. Despite the lack of clarity from Congress, scrutiny on tax exemption status may increase …
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Physician-Owned Hospitals: Politics and Policy
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The debate on physician-owned hospitals is beginning again. Or maybe it never really stopped. In the latest episode of Complications: Health Policy Unraveled, host Stephanie Kennan shares the history behind the creation of physician-owned hospitals, and the current effort to loosen restrictions through legislation while the administration wants to …
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Closing the Gap: CMS Strengthens Enforcement of Hospital Price Transparency
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Healthcare is moving towards a more transparent future. In this episode of Complications: Health Policy Unraveled, host Stephanie Kennan explores the latest updates in hospital price transparency efforts. Delve into the strengthened enforcement process by CMS, exploring new requirements for corrective action plans, changes in the imposition of civi…
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The 340B Drug Discount Program: A Healthcare Soap Opera
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In this episode of Complications: Health Policy Unraveled, host Stephanie Kennan clarifies the complexities of the 340B Drug Discount Program, discussing its history, ongoing litigation, challenges from drug manufacturers and Congress, and its impact on healthcare providers serving low-income and uninsured patients. Meet Your Host Name: Stephanie K…
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The Debt Ceiling Crisis: Unraveling Its Impact on Healthcare
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In this inaugural episode of Complications: Health Policy Unraveled, host Stephanie Kennan discusses the federal debt ceiling and its potential impact on healthcare. As Congress battles over the debt ceiling, healthcare providers and investors hang in the balance, facing delayed payments and potential access issues, in a high-stakes political game …
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Welcome to Complications: Health Policy Unraveled
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Tired of being baffled by healthcare policy? McGuireWoods Consulting presents Complications: Health Policy Unraveled, your solution to the policy puzzle. With our host, Stephanie Kennan, discover the ins and outs of healthcare policy and gain insights crucial for providers and investors. Let's simplify the complex together. Follow us in your favori…
…
continue reading