Drug Pricing Rules Will Likely Be Challenged

Pharmaceutical companies that fought drug pricing reforms Congress passed as part of the Inflation Reduction Act are now weighing a legal challenge as the Biden administration sets about implementing the policy. “I don’t think we’ve made any decisions at this time, but it’s certainly something we’re looking into,” Lori Reilly, the Pharmaceutical Research and Manufacturers ...

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Lawmakers Line Up Behind Plan To Save Medicare

House lawmakers backed by a wide array of industries think they have a solution to Medicare’s approaching insolvency: moving more care from the hospital to the home. A new bill from Reps. Adrian Smith (R-Neb.) and Debbie Dingell (D-Mich.) that aims to reduce care in hospitals and other health care facilities and increase it in living rooms marks a ...

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Want To Get Better Sleep? Exercise For This Long Each Day

Having trouble sleeping? Just 30 minutes of moderate aerobic exercise can help improve sleep quality. A researcher at the Johns Hopkins Center for Sleep says it won’t take long to see a benefit. “It’s generally not going to take months or years to see a benefit,” Charlene Gamaldo, medical director of the Johns Hopkins Center for Sleep ...

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DOL Offers Post-COVID Guidance For Employer Health Plans

What does the end of the COVID public health emergency on May 11 mean for health benefits? The expiration of COVID-19 era public health benefits, including COVID-19 coverage mandates for health insurance and the suspension of Medicaid dis-enrollments, means many workers and employers need to reorient themselves in the health care marketplace. Now, the U.S. Department of ...

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A Change for Next Year: Get Health Insurance Information Using California’s Tax Form

Starting next year, California will join at least 10 states — including Colorado, Maryland, and Massachusetts — using tax forms to point people toward the lower-cost coverage available through state insurance marketplaces.

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July Goal Set For Final U.S. Medicare Drug Negotiation Guidance

The U.S. government aims to publish the final guidance for its Medicare drug price negotiation program in early July and is currently talking to companies about its contents, a top health official said on Wednesday. The guidance will finalize the details of how President Joe Biden’s signature drug pricing reform will be carried out. The ...

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A Majority Of Payers Used Outcomes-Based Contracting Last Year: Survey

A majority of payers are using outcomes-based contracts for drugs, according to a recent analysis from Avalere. The researchers surveyed 46 health plans based in the U.S. and found that 58% had at least one outcomes-based contract in place in the 2022 plan year. More than a third (35%) said they had at least 10 such contracts ...

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Medication Prices Could Be Capped Under Proposed Nevada Bill

Assembly Bill 250, sponsored by Assemblywoman Venicia Considine, D-Las Vegas, and Assemblywoman Natha C. Anderson, D-Sparks, would cap the price of certain drugs to rates negotiated by the federal Department of Health and Human Services.

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Employee Navigator Announces Acquisition of Ease

Employee Navigator, the leading benefits administration and HR software solution for insurance brokers and employers, today announced the acquisition of Ease, the leading broker centric HR and benefits software solution for small businesses.

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Study Finds Half Of Cash Prices Below Commercial Rates In More Than 2,000 Hospitals

Cash prices for certain hospital services were lower than the average insurance rate in nearly half of the facilities examined in a new study, which could influence rate negotiations between payers and providers.

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