Americans Who Mail-Order Prescriptions From Canada Face an October 22 Customs Deadline as Lawmakers Urge Rethink

Americans who fill prescriptions through Canadian and other international mail-order pharmacies have about three weeks before a federal customs rule reaches its compliance deadline on October 22, and a growing number of members of Congress are urging the Trump administration to reconsider it. The rule, issued by U.S. Customs and Border Protection (CBP), does not ...

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CMS Finalizes Model That Aims To Bring Most-Favored Nation Pricing To Part B

The Trump administration has finalized a new model that aims to bring its most-favored nation pricing approach to Medicare Part B. Called the Global Benchmark for Efficient Drug Pricing, or GLOBE, Model, the program will begin on Jan. 1 and run through March 31, 2032. The model deploys an alternative approach to calculating drug inflation ...

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Medicare Advantage Insurer Exits Pile Up For 2027

The Medicare Advantage company exits are piling up. At least 11 health insurance companies that sold individual Medicare Advantage plans this year are abandoning the program for 2027 amid cost and regulatory challenges, company and federal data reveal. That compares to seven carriers that quit Medicare Advantage in 2026. Almost all of the insurers that ...

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Hospital Drug Markups Cost Employers $12.7B: EBRI

New research from the Employee Benefit Research Institute (EBRI) finds that substantial differences in reimbursement for the same physician-administered medications based on where treatment is provided could add billions of dollars annually to the cost of employment-based health coverage. The research, titled “Location, Location, Location: Spending Differences for Physician-Administered Outpatient Medications by Site-of-Treatment,” found that hospital ...

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