Drugmakers Try Evasion, Tougher Negotiations to Fight New U.S. Insurer Tactic

In the escalating battle over U.S. prescription drug prices, major pharmaceutical companies are scrambling to limit the economic damage from a new U.S. insurer tactic that coaxes patients away from expensive drugs.

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Affordable Care Act’s Unexpected Side Effect: An IOU to the IRS

A $13,000 tax bill was the last thing Bill and Cathy Stapp expected when they signed up for Covered California health insurance in late 2013.

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Work in Health Care? Keep An Eye On These Five California Bills That Could Become Law

Among the hundreds of bills on the Legislature's agenda for August are ones that would make key changes in the lives of California health care workers. Here are five to watch.

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Doctors And Dentists Welcome Pay Hike For Treating Low-Income Patients

For the second year in a row, California is boosting pay for doctors and dentists who treat the state’s poorest residents as part of a legislative deal designed to improve health care access for patients.

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Once Eyed as a Tool for Fighting Obamacare, State Waivers Hit Limitations

A provision of Obamacare that opponents once saw as a potential loophole allowing a Republican president to unravel the law by executive order is now being used by some states to steady their shaky Obamacare markets.

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Elizabeth Warren’s Claim on Number of Medical Bankruptcies Greatly Overstated, Study Shows

Health-care-related bankruptcies, touted as a key justification for passing Obamacare in 2010, are not nearly as prevalent as reform proponents such as Sen. Elizabeth Warren have claimed, researchers say.

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Trump Administration Freezes Payments to Affordable Care Act Insurers With Sicker Patients

The U.S. agency that administers Obamacare is freezing payments to insurers that cover sicker patients, saying a federal court ruling ties its hands. The move brought a sharp response from health insurers warning of market disruptions and higher costs.

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Millennials Bring Online Consumer Behaviors to Health Care

Millennial employees—who now outnumber Baby Boomers—are more comfortable with nontraditional ways of engaging with their health care providers and are more likely to apply shopping habits associated with online retail to their health care decision-making, whether in a traditional or a high-deductible health plan, a survey by the nonprofit Employee Benefit Research Institute (EBRI) found.

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Big Pharma Abandons Lawsuit Over Nevada’s Insulin Pricing Transparency Law After State Approves Trade Secret Protection Regulations

Two national drug lobbying organizations dropped a lawsuit Thursday challenging the constitutionality of Nevada’s first-in-the-nation insulin pricing transparency law a little less than a month after the state approved regulations allowing drug companies to protect certain information they turn over to the state from public disclosure.

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CMS Offers Compliance Tips to Brokers in Marketplace

The guidance reflects concerns CMS has expressed regarding consumer complaints, including some about brokers. CMS is considering a program to advise individual brokers if they have received complaints or have reason to believe that a broker has not adhered to Marketplace rules. The program which is under review and has been described to NAHU would be advisory in nature and would not be reported to state regulators.

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