‘Lifesaving Medication’: Bill Aims To Cut Prescription Drug Prices For Seniors

The Reducing Drug Prices for Seniors Act would require prescription drug coinsurance payments for seniors on Medicare to be determined based on the lower net price of the medication, rather than its higher list price, according to Rosen’s office.

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Retirement Security Rule: DOL Defines The New Role (And Limitations) Of A Fiduciary

According to the DOL, the new fiduciary rule levels the playing field for insurance agents, brokers, financial planners and registered investment advisors to adhere to a best interest standard when providing investment advice.

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Walmart To Shut All Health Clinics In US Over Lack Of Profitability

Walmart (WMT.N), said on Tuesday it will close all 51 of its health clinics and shut its virtual health care operations, saying it could not see it as a sustainable business model to continue.

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More Medicare Enrollees Are Choosing Supplement Plans, Data Shows

More than half of all fee-for-service Medicare enrollees without any additional coverage chose a Medicare Supplement plan in 2021.

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Biden Races Clock On Health Regulations With Eye On Potential Trump Return

President Biden’s administration is working overtime to ensure his health care priorities are protected from a potential second Trump White House. In recent weeks, regulatory agencies have been racing against the clock to finalize some of their most consequential policies.

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Final Prior Authorization Rules Look to Streamline the Process, but Issues Remain

As concerns continue to be raised about consumer barriers to care resulting from prior authorization requirements, the federal government issued a final regulation aimed at streamlining and automating the prior authorization process and improving transparency for certain payers.

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California Floats Extending Health Insurance Subsidies to All Adult Immigrants

The same health advocates who fought for the Medi-Cal expansion say the next step in achieving health equity is expanding Covered California, the state’s ACA marketplace, to all immigrant adults by passing AB 4.

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Biden Team’s Tightrope: Reining In Rogue Obamacare Agents Without Slowing Enrollment

President Joe Biden counts among his accomplishments the record-high number of people, more than 21 million, who enrolled in Obamacare plans this year. Behind the scenes, however, federal regulators are contending with a problem that affects people’s coverage: rogue brokers who have signed people up for Affordable Care Act plans, or switched them into new ...

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Trump, Biden Admin Policy Heads Agree: Price Transparency Is Here To Stay

Price transparency and the No Surprises Act are still in their infancy, but providers and health plans would be smart to comply now to avoid facing unnecessary penalties, warned President Trump’s former Health and Human Services Secretary Alex Azar in a recent virtual summit. The former policymaker said the wheels set in motion during his ...

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Healthcare And Drugmaker Groups Seek To Revive Challenge To US Drug-Pricing Law

Healthcare and drug industry groups on Wednesday urged a U.S. appeals court to revive their challenge to a law requiring manufacturers to negotiate the prices of some drugs with the U.S government’s Medicare health insurance program or pay heavy penalties. Pharmaceutical Research and Manufacturers of America (PhRMA), the Global Colon Cancer Association and the National ...

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