U.S. Makes Initial Offers in Medicare Drug Price Negotiations

The Biden administration announced on Thursday that it was sending initial offers to the makers of the first 10 prescription drugs that have been selected for price negotiations with Medicare under a landmark federal program intended to reduce drug spending.

Read More

Covered California Individual Open Enrollment Deadline Extended: What To Know

Californians aiming to sign up for health insurance through the state’s Covered California marketplace have a little extra time, with the open enrollment deadline extended until Friday, officials said.

Read More

Facing The Future: Health Insurance And Health Care 2024 Trends

Health insurance and health care industry analysts don’t all agree. But there is some consensus about a few “hot topics” likely to impact brokers and your clients in 2024. Let’s take a look at five. Rising Health Insurance Premiums As we reported last fall, U.S. employers are expected to see a larger increase in premiums ...

Read More

No Surprises Act Shielded Patients From 10M Surprise Bills

Patients were protected from more than 10 million surprise medical bills thanks to reforms in the No Surprises Act, according to a new survey. The analysis, backed AHIP and the Blue Cross Blue Shield Association, found that nearly 80% of claims disputed under the law were resolved before reaching the independent dispute resolution (IDR) stage, a ...

Read More

Cigna Sells Medicare Business To Health Care Services Corp. For $3.7 Billion

Health Care Service Corporation announced Wednesday that it will buy Cigna’s Medicare business. The $3.7 billion sale will see Health Care Service, the country’s largest customer-owned health insurer, take control of Cigna’s Medicare Advantage, Supplemental Benefits and Part D customers, as well as the CareAllies business that works with healthcare providers. Cigna’s Medicare plans cover over 3.6 million people, with 2.5 million ...

Read More

Pharmacies Are Struggling To Refill Their Own Ranks

Pharmacy retail chains staking their future on expanding the health care services they offer are running into a big problem: It’s getting harder to draw the next generation of pharmacists amid turmoil in the industry. Why it matters: The pharmacies’ ambitions to become go-to providers for vaccinations, patient monitoring and even prescribing are being threatened by workforce shortages and burnout, ...

Read More

UCSF To Pay $100 Million To Acquire Two Struggling S.F. Hospitals

UCSF Health has confirmed that its $100 million deal to acquire two struggling San Francisco community hospitals is just weeks away from closing. The city’s preeminent medical research institution has signed an agreement to purchase St. Mary’s Medical Center at 450 Stanyan St. — San Francisco’s oldest Catholic hospital — and Saint Francis Memorial Hospital at 900 ...

Read More

Is Housing Health Care? State Medicaid Programs Increasingly Say ‘Yes’

States are plowing billions of dollars into a high-stakes health care experiment that’s exploding around the country: using scarce public health insurance money to provide housing for the poorest and sickest Americans. California is going the biggest, pumping $12 billion into an ambitious Medicaid initiative largely to help homeless patients find housing, pay for it, ...

Read More

California System Taps Specialty Pharmacy Partner

Sharp HealthCare, a seven-hospital system in San Diego, partnered with a specialty pharmacy solutions provider Jan. 30. Patients at the health system will soon receive personalized specialty care, including side effect and adherence management, regular follow-ups, access to financial assistance, and free medication delivery. Sharp’s deal with Shields Health Solutions will first focus on four disease states: ...

Read More

Hospital Lobbying Could Sink Effort To Trim Medicare Costs

Hospitals intensely lobbying to stop a bipartisan measure that would trim their Medicare payments are emphasizing how the policy may hobble already struggling rural hospitals. Why it matters: The hospitals’ argument is apparently resonating in the Senate — raising further doubts about whether Congress can overcome pressure from a politically powerful lobby to enact modest Medicare savings. ...

Read More
arrowcaret-downclosefacebook-squarehamburgerinstagram-squarelinkedin-squarepauseplaytwitter-squareyoutube-square