Month: December 2023
A House vote on transparency regulations in healthcare could occur next week, potentially having substantial ramifications on how PBMs and hospitals operate.
Thousands of Californians may have to pay out-of-network medical costs to go to their nearest hospital after contract negotiations between Adventist Health and Blue Shield of California — a major health care provider and health insurer in the state, respectively — fell through last week.
The House Energy and Commerce Committee advanced 19 pieces of legislation Dec. 7, including bills aimed at increasing Medicare Advantage transparency. Three Medicare-related bills to note
Pres. Biden’s administration on Thursday unveiled a new framework allowing authorities the right to seize certain drug patents and license them to other manufacturers in order to lower drug prices.
The Biden administration has determined that it has the authority to seize the patents of certain high-priced medicines, a move that could open the door to a more aggressive federal campaign to slash drug prices. The determination, which was described by three people familiar with the matter, represents the culmination of a nearly nine-month review of ...
CVS Pharmacy is promising to make its drug pricing system simpler and more transparent. But that may not translate into lower costs or more clarity for consumers. The company announced Tuesday that its new CVS CostVantage model will revamp how its pharmacies are paid for prescription medications. It will use a formula that includes “the cost of ...
Since Pres. Biden proposed rules to reinforce the Mental Health Parity law in July, there’s been mixed reaction to the rules, however, employer groups and insurers point out one glaring issue – a shortage of mental health providers.
A bipartisan group of representatives has introduced a bill into the House that would undo a 2024 physician pay cut finalized last month by the Biden administration. The 2024 Medicare Physician Fee Schedule final rule included a decrease in the conversion factor, which is used to calculate Medicare payments to doctors, that translated to a 3.37% pay decrease ...
Cigna Group abandoned its pursuit of a tie-up with Humana after shareholders balked at a deal that would have created a roughly $140 billion giant in the health-insurance industry. The companies couldn’t come to agreement on price and other financial terms, according to people familiar with the matter. In the near term, Cigna is turning its ...
California hospitals are seeing increased strain heading into the winter holiday season, with more than three-quarters of inpatient beds occupied and nearly 67% of intensive care beds in use, according to figures released Friday by the U.S. Centers for Disease Control and Prevention. But for the first time in three years, the surge is not solely ...