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Morning Briefing

Summaries of health policy coverage from major news organizations

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Wednesday, Feb 26 2025

Full Issue

President Trump Signs Executive Order Reinforcing Price Transparency Rules

The regulations were first issued in 2019 during Donald Trump's first term. Also in news on health care costs: billions "wasted" in overturning claims denials, an inquiry into UnitedHealth Group鈥檚 Medicare billing practices, and more.

President Donald Trump signed an executive order Tuesday to reinforce rules, put into place during his first term, that push hospitals and payers to make healthcare prices more transparent for patients. The order directs the Departments of the Treasury, Labor, and Health and Human Services to rapidly implement and enforce the Trump healthcare price transparency regulations, which were first issued in 2019. These rules were "slow walked" by the Biden administration, the White House said in a fact sheet explaining the executive order. (Landi, 2/25)

Hospitals and health systems spent an estimated $25.7 billion in 2023 contesting insurers鈥 claims denials, translating to just over $57 in additional administrative costs per claim, according to a report from provider group purchasing organization Premier. That report, which surveyed 280 of the organization鈥檚 member hospitals, suggests a 23% increase in spending over a similar analysis of 2022 data Premier had conducted a year prior. (Muoio, 2/26)

Sen. Chuck Grassley, chairman of the Senate Judiciary Committee, sent UnitedHealth Group Chief Executive Andrew Witty a letter demanding detailed information on the company鈥檚 Medicare billing practices Monday. The letter鈥攚hich cited findings from a series of Wall Street Journal articles published over the past year鈥攕aid 鈥渢he apparent fraud, waste, and abuse at issue is simply unacceptable and harms not only Medicare beneficiaries, but also the American taxpayer.鈥 (Weaver and Mathews, 2/25)

Once again, House lawmakers have introduced a bill to alter a key provision of the Inflation Reduction Act in response to arguments that the federal law is discouraging investment in developing so-called small molecule medicines. (Silverman, 2/25)

When Molly Smith went for her first mammogram in 2021, she had reason to be wary. Her grandmother, mother, sister and another family member have all been diagnosed with breast cancer.聽... To her great relief, Smith received a clean report following an ultrasound, MRI and biopsy. But she incurred bills of more than $1,000 that her insurance didn鈥檛 cover. Smith is one of millions of American women who are at high risk for breast cancer but whose insurance does not cover the costs of follow-on screenings needed to detect the disease. (Morgenson, 2/25)

Have you experienced Rx sticker shock? 鈥

The podcast 鈥溾 is collecting stories from listeners about what they鈥檝e done to get the prescription drugs they need when facing sticker shock. If you鈥檙e interested in contributing, you can and .

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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