U.S. To Require Patient Data For Payment Of Leqembi, Similar Alzheimer’s Drugs

The U.S. Medicare health plan said on Thursday it would limit reimbursement for Eisai Co Ltd (4523.T) and Biogen Inc’s (BIIB.O) Alzheimer’s drug Leqembi to patients whose doctors participate in a health agency database should the drug win full approval, a move advocates say will hinder its use. The decision marks the first time that Medicare has required data-collection ...

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Weight Loss Is About A Lot More Than Calories, Experts Say. Here’s What You Need To Know.

It’s drilled into our brains that the average diet should be around 2,000 calories per day. It seemed simple enough, right? However, each body is a little bit different. If you’re taller or have a lot of muscle mass, you may require more than 2,000 calories per day, or if you’re a little bit smaller, you may ...

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Senate Passes $25 Minimum Wage For Health Care Workers. What Will It Mean For Hospitals?

Lawmakers in the California Senate advanced a bill Wednesday that would raise the minimum wage for health care workers and support staffers to $25 an hour. The union-supported bill, introduced by Los Angeles Democratic Sen. Maria Elena Durazo, would require any “covered health care facility” to pay the new minimum wage to all workers on ...

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The Case For The Debt-Ceiling Deal’s Work Requirements

There are concerns about the deal to raise the debt ceiling struck over Memorial Day weekend. One hang-up some conservatives have is the insufficient amount of provisions stipulating that individuals must engage in employment, job training, or community service to qualify for certain government-assistance programs.

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Newsom and Democratic Lawmakers at Odds Over Billions in Health Care Funds

Democratic lawmakers say they agreed to fine Californians without health insurance on the condition the state use that money to lower costs for residents purchasing coverage on the state exchange. They say Gov. Gavin Newsom has reneged on the deal.

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House E&C Committee Moves PBM, Price Transparency Bill Forward

The bill would require PBMs to meet new transparency requirements and would ban spread pricing in Medicaid. The (PATIENT) Act mandates that PBMs compile annual reports for employers with a slew of key information, including their drug spending, out-of-pocket costs, rebates, formulary placement and acquisition costs.

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Record-High HSA Limit Coming for 2024

Health savings accounts (HSAs) offer a tax-advantaged way to save money to pay for certain medical expenses. Your HSA contributions are tax-deductible, so they potentially help reduce your taxable income. But contributions to your health savings account are limited each year by the IRS,

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As Pandemic Flexibilities Unwind, Here’s How Enrollment In Different Types Of Coverage Could Change

As flexibilities rolled out during the COVID-19 pandemic wind down, there will be plenty of factors at play that could impact uninsured rates in the coming years. Analysts at the Congressional Budget Office (CBO) project that while the rate will increase from current levels, it will decline over the next decade from pre-pandemic levels. They ...

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Employers Face Soaring Demand For Obesity Care Benefits. Virtual Care Players Are Jumping In With A Slew Of Offerings

Employers are seeing surging demand from their workers for benefits that cover obesity treatment and this is opening up considerable market opportunities for virtual care players. A recent survey found that 44% of people with obesity would change jobs to gain coverage for treatment. And more than half of workers would stay at a job they ...

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Denials of Health Insurance Claims Are Rising — And Getting Weirder

Millions of Americans in the past few years have run into this experience: filing a health care insurance claim that once might have been paid immediately but instead is just as quickly denied. If the experience and the insurer’s explanation often seem arbitrary and absurd, that might be because companies appear increasingly likely to employ ...

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