Top Trends For Payers, Providers And Health Tech Companies To Watch

We’ve closed the books on another hectic J. P Morgan Healthcare Conference where investors, executives, startup founders and reporters all battle rain, hail, and in this year’s case, flight disruptions to be at one of the top industry events. The conference included presentations from industry incumbents like Mayo Clinic, Walgreens, CVS and Cigna as well as smaller ...

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Tripledemic May Have Peaked Around The Holidays

Key indicators for respiratory illness declined for the first time in weeks after the holidays, signaling that the tripledemic of flu, COVID-19 and RSV may have peaked nationwide.

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California Offers Health Care To Undocumented Residents. A Republican Lawmaker Wants To End It

The bill’s introduction comes days before Gov. Gavin Newsom would present his plan for closing the state’s $68 billion budget deficit. Newsom has repeatedly cited his commitment to protecting the expansion, which is estimated to cost $4 billion per year.

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Obamacare Enrollment Breaks Record For Third Consecutive Year

Health insurance enrollment through the Affordable Care Act’s (ACA) insurance marketplace has reached a record for the third consecutive year, according to the latest update from the Centers for Medicare and Medicaid Services (CMS).

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Delicate Labor-Industry Deal in Flux as Newsom Revisits $25 Minimum Health Wage

Gov. Gavin Newsom is revisiting California’s phase-in of a nation-leading $25 minimum wage for health workers in the face of a projected $38 billion deficit, less than three months after he approved the measure. But renegotiating wages could threaten a delicate compromise between unions and the health industry. Newsom, whose administration initially opposed the wage deal as too costly, ...

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Insurers Ask CMS To Press Pause On Increased Limits To Non-Standardized ACA Plans

Enrollment in individual market coverage continues to grow, and insurers are expressing concern about their ability to tailor coverage to different populations given limits on nonstandard plan options. For the 2024 plan year, the Centers for Medicare & Medicaid Services finalized regulations that limit insurers to offering four non-standardized plan designs per tier in a ...

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Even $1 Premium Discourages Some Low-Income Individuals From Coverage: Study

Even charging a dollar premium for healthcare benefits can discourage some low-income individuals from getting coverage, but price isn’t the only factor involved, according to a study in Health Affairs. The administrative burden—filling out the forms on time, for instance—involved in paying even a small monthly premium might discourage some from getting coverage, especially if they didn’t have to ...

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What To Expect From Big Pharma (And Biden’s Push To Lower Drug Prices) In 2024

A look at new legal battles and drug regulations, including the administration’s new initiatives to reduce drug costs and next steps in the FTC’s attempt to address improperly listed patents in the FDA’s Orange Book.

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Congress Faces Pressure To Reverse Doctors’ Payment Cuts — Again

Congress is once again being urged to reverse a cut to physicians’ Medicare payments, prompting calls for a broader overhaul of how the program reimburses doctors. Why it matters: Congress is still stuck in an annual dance of being pressured to increase physician payments, even after Washington nearly a decade ago put an end to the despised “doc fix” that ...

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The High Cost Of Weight-Loss Drugs Is Threatening Coverage Altogether

With the price of GLP-1s reaching well over $1000 a month, local officials are warning that rising costs threaten to quickly drain government spending accounts.

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