A Peek at Big Pharma’s Playbook That Leaves Many Americans Unable to Afford Their Drugs

Last year’s Inflation Reduction Act included what on its face seems a modest proposal: The federal government would for the first time be empowered to negotiate prices Medicare pays for drugs — but only for 10 very expensive medicines beginning in 2026 (an additional 15 in 2027 and 2028, with more added in later years).

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Newsom Makes Concessions On The Way To Mental Health Reform

Gov. Gavin Newsom has spent four years trying to overhaul how counties pay for mental health care, betting his reputation on making a dent on homelessness, substance abuse and mental health problems.

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Bosses Dislike Work-From-Home But Suspect They’re Stuck With It

Business leaders think that the spread of remote work has had more negative effects than positive ones, but they also see the practice becoming ingrained, according to a new survey by the Federal Reserve Bank of New York. Roughly two-thirds of respondents said remote work had a negative impact in four areas: workplace culture, cohesiveness and team ...

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It’s Medical Loss Ratio (MLR) Rebate Check Time Again

The Affordable Care Act (ACA) requires fully insured group health plans to spend a minimum percentage of premium dollars on members’ health care expenses and services. Likewise, it sets a threshold on the maximum amount of premium dollars that can be spent on other administrative costs, such as marketing, profits, salaries, agent commissions, etc. These ...

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Feds Say Hospitals That Redistribute Medicaid Money Violate Law

The Biden administration wants to crack down on private arrangements among some hospitals to reimburse themselves for taxes that help fund coverage for low-income people. It contends the practice violates federal law. Federal regulators say these arrangements “appear designed to” redirect Medicaid dollars away from facilities that treat the poorest patients to those that “provide ...

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The No Surprises Act Left Out Ground Ambulances. Here’s What’s Happening Now

Minutes after Lainey Arebalo gave birth to her third child last September, hospital staff noticed her son was having trouble breathing. They recommended placing the infant in an ambulance so he could receive care at a better-equipped pediatric facility 23 miles away. Within days of receiving that extra care, Avebalo was able to bring her ...

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The US Pays More For Newer Weight Loss Drugs Than Its Peers: Report

The prices charged for drugs like Ozempic, Wegovy and Mounjaro are significantly higher in the U.S. when compared with other wealthy nations, with the list price being 10 times lower in some countries, according to a new analysis from KFF. As KFF’s analysis found, a one-month supply of Ozempic — which is indicated for diabetes ...

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Medicine Without Doctors? State Laws Are Changing Who Treats Patients.

Arlene Wright is a doctor, but she doesn’t want people to call her one. “I usually tell my patients ‘your majesty’ or ‘your highness’ is fine,” she said. Wright has been a nurse for more than 20 years in Fort Myers, Fla. She began working in hospitals as a teenage candy striper in Upstate New ...

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Cyberattack Keeps Hospitals’ Computers Offline For Weeks

Key computer systems at hospitals and clinics in several states have yet to come back online more than two weeks after a cyberattack that forced some emergency room shutdowns and ambulance diversions. Progress is being made “to recover critical systems and restore their integrity,” Prospect Medical Holdings said in a Friday statement. But the company, ...

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Three Shots for Fall: What You Need to Know

Most Americans have had one or more shots of the flu and Covid vaccines. New this year are the first shots to protect older adults and infants from respiratory syncytial virus, a lesser-known threat whose toll in hospitalizations and deaths may rival that of flu. Federal health officials are hoping that widespread adoption of these ...

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