Hospitals Decry Proposed 2.6% Medicare Pay Bump, Urge CMS To Strike Maternal Health Requirements

Beyond their calls for increased outpatient payments, hospitals are urging the Biden administration to reconsider a plan for new care requirements that they say would “inadvertently reduce access to vital obstetrical services.” In July, the Centers for Medicare and Medicaid Services (CMS) released its Calendar Year 2025 Outpatient Prospective Payment System (OPPS) and ASC Payment ...

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People Who Exercise Have Healthier Belly Fat, New Study Finds

There are lots of good reasons to exercise that have nothing to do with weight loss. Now, science has found yet another one: It turns out that a regular exercise habit can make your fat tissue healthier. And that, in turn, keeps you healthier. To find out how exercise impacts fat tissue, researchers at the University ...

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White House Announces Rule That Would Cut Insurance Red Tape Over Mental Health And Substance Use Disorder Care

The Biden administration announced a final rule on Monday meant to expand access and lower costs for care for mental health and substance use disorders. Most provisions in the rule will apply to group health plans and health insurance issuers for plan years starting January 1 or after. Under this rule, mental health and substance use ...

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57 Million Eligible For GLP-1 Drug Coverage In U.S. And That’s Just Those Under 65

At least two in five U.S. adults — or more than 57 million people – under the age of 65 with “private insurance could be eligible under clinical criteria for GLP-1 drugs,” a new analysis shows. KFF, formerly known as the Kaiser Family Foundation, said that 42% of U.S. adults could be covered by health insurers ...

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California Lawmaker Sends PBM Bill To Governor

Local pharmacies and patient groups like it. Health insurance and benefits groups predict it will drive up costs.

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Boom, Now Bust: Budget Cuts and Layoffs Take Hold in Public Health

Even as federal aid poured into state budgets in response to the covid-19 pandemic, public health leaders warned of a boom-and-bust funding cycle on the horizon as the emergency ended and federal grants sunsetted. Now, that drought has become reality and state governments are slashing budgets that feed local health departments.

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With TV Drug Ads, What You See Is Not Necessarily What You Get

Triumphant music plays as cancer patients go camping, do some gardening, and watch fireworks in ads for Opdivo+Yervoy, a combination of immunotherapies to treat metastatic melanoma and lung cancer. Ads for Skyrizi, a medicine to treat plaque psoriasis and other illnesses, show patients snorkeling and riding bikes — flashing their rash-free elbows. People with Type 2 diabetes ...

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Out-Of-Pocket Spending On Prescription Drugs Grew Between 2007 And 2020

Rebates granted by pharmaceutical manufacturers to insurers reduce the actual prices paid by insurers, causing the true prices of prescriptions to diverge from official statistics.

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California Health And Human Services Chief Dr. Mark Ghaly To Step Down

Dr. Mark Ghaly is stepping down as head of the California Health and Human Services Agency after an eventful tenure that included the eruption of the COVID-19 pandemic, Gov. Gavin Newsom announced Friday. Newsom called Ghaly “a driving force for transformative changes to make healthcare more affordable and accessible,” whose leadership during the pandemic “saved ...

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U.S. Pharmacy Chain Rite Aid To Operate As A Private Company As It Emerges From Bankruptcy

Rite Aid will operate as a private company after it successfully completed its financial restructuring and emerged from Chapter 11 bankruptcy, the U.S. drugstore chain said on Tuesday. The pharmacy has used its bankruptcy to close hundreds of stores, sell its pharmacy benefit company Elixir, and negotiate settlements with its lenders, drug distribution partner McKesson (MCK.N), ...

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