Healthcare

HHS Proposed Rule for Health Insurance Exchanges 2027 Payment Parameters

HHS, through CMS, has issued a proposed rule outlining benefit and payment parameters for Health Insurance Exchanges for the 2027 plan year. The proposal includes changes to risk adjustment programs, user fees, marketing practices, and plan options, with a public comment deadline of March 13, 2026.

Crackdown on Health Care Fraud

The Trump Administration announced a major crackdown on health care fraud, including deferring $259.5 million in federal Medicaid funding to Minnesota and imposing a nationwide moratorium on Medicare enrollment for certain DMEPOS suppliers. The initiative aims to prevent fraud before it occurs and protect taxpayer dollars.

HHS OIG: Over $15 Million in Improper Medicare Payments for Non-Emergency Services

The HHS Office of Inspector General (OIG) reported that Medicare improperly paid physicians $922,524 and potentially $14.2 million to hospitals for services billed with emergency department procedure codes but rendered at non-emergency sites. The OIG recommends recovery of improper payments and improved claims processing controls.

New York Private Well PFAS Testing and Rebate Pilot Program

New York State has launched a pilot program offering free PFAS testing and rebates for water treatment systems or connection to public water for private well owners in six counties. The program aims to address PFAS contamination in drinking water and is funded with $1.5 million per county.

Colorado Public Health Officials Identify Additional Measles Cases

Colorado public health officials have identified four additional measles cases in Adams and Weld Counties, bringing the total number of cases tied to Broomfield High School and Broomfield Heights Middle School to a higher number. The notice provides updated information on known exposure locations and dates for the public.

Serenity House Detox Palm Beach LLC Pharmacy License Revoked

The Florida Department of Health has revoked the pharmacy license for Serenity House Detox Palm Beach LLC. The license, PH29291, was originally issued on August 5, 2015, and had an expiration date of February 28, 2025. This action indicates a significant disciplinary measure against the facility.

Pharmacy Technician License Revoked

The Florida Department of Health has revoked the pharmacy technician license of Alexis Amanda Correa (RPT109247). The license status is listed as Revoked, with an expiration date of 12/31/2024. Discipline and a public complaint are on file.

Pharmacy Technician License Revoked

The Florida Department of Health has revoked the pharmacy technician license of Stacy Johnson Lewis (License Number RPT106728). The revocation is effective immediately, and the license expiration date was December 31, 2024. Further details regarding disciplinary actions are available through the Department.

Pharmacist Mary Stieber License Disciplinary Action

The Florida Department of Health has taken disciplinary action against Pharmacist Mary Stieber, resulting in the relinquishment of her license. The license status is now listed as 'Disc Relinquish'. Further details are available through the department's online portal.

Pharmacy Technician License Revoked

The Florida Department of Health has revoked the pharmacy technician license of Maurissa Latrae Wheeler (License RPT72593). This action indicates a significant disciplinary measure taken against the individual's professional license.