Month: December 2024
Governor Newsom signed over 1300 bills and vetoed almost 190 bills in 2024. Consistent with prior years, in 2024, California enacted multiple laws significantly impacting the health care industry. From artificial intelligence (AI) to providers to health plans, these new laws require proactive efforts to ensure on-going compliance. We highlight below the most important of ...
President Joe Biden has signed two bills that will ease some Affordable Care Act health coverage reporting requirements for employers. One is the Paperwork Burden Reduction Act, and the other is the Employer Reporting Improvement Act bill. The new laws affect the Form 1095-B and Form 1095-C notices that employers use to tell employees and the Internal Revenue Service about ...
Judges have been wrestling with state efforts to regulate PBMs, what health plans have to cover, and disputes over medical bills.
Stripped out of the final bill is a provision to prevent the 2.8% Medicare pay cut to physicians.
Even though there are still challenges facing the industry, healthcare executives are optimistic heading into 2025, with a new Deloitte survey showing 60% of C-suite leaders have a favorable view of the coming year, up from 52% a year ago. Most, 69%, expect greater revenues, while 71% anticipate improved profitability. After years of navigating their businesses through ...
Private employers' expenditures are growing more than 70% faster than the national total, according to new government data.
Employers are bracing for healthcare costs to spike yet again in 2025, and that’s likely to push firms to pursue significant changes, experts said. The Business Group on Health’s annual look at trends to watch notes that healthcare costs are set to increase next year by the largest margin in a decade. And a survey released in ...
Ann Lewandowski knows all about pharmacy benefit managers, or PBMs, the companies that shape the U.S. drug market. Her job, as a policy advocate at drugmaker Johnson & Johnson, was to tell patient and physician groups about the PBMs’ role in high drug prices. Armed with that knowledge, Lewandowski filed a potentially groundbreaking lawsuit in ...
On the face of it, it may seem like the buzz around health equity is dying down. Less than a quarter of payer and health system executives cited health equity as a priority for 2025, a recent Deloitte survey found. But the facts haven’t changed. The U.S. healthcare system continues to have an abysmal record on most equity, access ...
The Centers for Medicare and Medicaid Services announced Friday that 64 Part B drugs will have a reduced price for Medicare patients at the pharmacy counter in the first quarter of 2025. CMS said patients may save between $1 and $10,818 per day on co-insurance costs for the Part B drugs included on the list. ...