Insurers Ask CMS To Press Pause On Increased Limits To Non-Standardized ACA Plans

Enrollment in individual market coverage continues to grow, and insurers are expressing concern about their ability to tailor coverage to different populations given limits on nonstandard plan options. For the 2024 plan year, the Centers for Medicare & Medicaid Services finalized regulations that limit insurers to offering four non-standardized plan designs per tier in a ...

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Even $1 Premium Discourages Some Low-Income Individuals From Coverage: Study

Even charging a dollar premium for healthcare benefits can discourage some low-income individuals from getting coverage, but price isn’t the only factor involved, according to a study in Health Affairs. The administrative burden—filling out the forms on time, for instance—involved in paying even a small monthly premium might discourage some from getting coverage, especially if they didn’t have to ...

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What To Expect From Big Pharma (And Biden’s Push To Lower Drug Prices) In 2024

A look at new legal battles and drug regulations, including the administration’s new initiatives to reduce drug costs and next steps in the FTC’s attempt to address improperly listed patents in the FDA’s Orange Book.

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Congress Faces Pressure To Reverse Doctors’ Payment Cuts — Again

Congress is once again being urged to reverse a cut to physicians’ Medicare payments, prompting calls for a broader overhaul of how the program reimburses doctors. Why it matters: Congress is still stuck in an annual dance of being pressured to increase physician payments, even after Washington nearly a decade ago put an end to the despised “doc fix” that ...

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The High Cost Of Weight-Loss Drugs Is Threatening Coverage Altogether

With the price of GLP-1s reaching well over $1000 a month, local officials are warning that rising costs threaten to quickly drain government spending accounts.

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New Senate Bill Would Bolster Move To Value-Based Care In Medicare

The Value in Health Care Act would provide a 2-year extension of the 5% advanced payment model incentives, which allow clinicians to cover some of the costs of moving to a new payment model, including expanding care teams.

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CVS To Close Some Pharmacies Within Target Stores

CVS Health (CVS.N), opens new tab said on Thursday it will close some pharmacies that operate inside Target (TGT.N), opens new tab stores during the first several months of the year. The closures will begin in February and be completed by the end of April, a company spokesperson said. Prescriptions will be transferred to a nearby CVS Pharmacy prior ...

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What Employees Want In Their Health Care Benefits (And Could Be A Deal Breaker)

In a competitive job market, access to a certain primary care doctor or mental health benefits may be the determining factor when it comes to someone accepting your job offer or choosing to work somewhere else.

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Doctor-Suggested Tips For Starting The New Year On A Healthy Note

As the calendar is refreshed, many people embark on a journey to embrace healthier lifestyles. What better way to begin the year than by incorporating insights from a health care professional about our daily routines? Dr. John Limperis, an internal medical specialist affiliated with Holy Cross Health and MDVIP in Fort Lauderdale, Florida, shared his insights ...

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What Type of Worker Are You? Government Has New Test for Who Should Be on Payroll

New Biden administration rule could impose stricter test for Uber, Lyft and others to classify workers as contractors

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