Author: Scott Welch
After years of conversation, legislators pushed key reforms to pharmacy benefit managers over the finish line, much to the chagrin of the industry. Under the bipartisan health funding deal, which was signed into law by President Donald Trump on Tuesday, PBMs will be required to pass through all drug rebates, fees and other funds to ...
Following last week’s launch of TrumpRx, a federal government-based prescription drug platform, doctors are speaking about its potential benefits for consumers — and also its limitations. The platform, which can be accessed at TrumpRx.gov, allows patients to access “large discounts on many of the most popular and highest-priced medicines in the country,” according to the statement on ...
House Judiciary Committee Republicans have subpoenaed eight Affordable Care Act health insurers for documents as part of a widening investigation of potential fraud surrounding the use of premium subsidies in the individual market, Axios has learned. Why it matters: Enhanced premium tax credits for ACA coverage expired on Jan. 1. But Republicans are pressing forward with their probe ...
Kaiser Permanente and its subsidiaries wrapped 2025 with a 10.3% bump in operating revenues and more than $9.3 billion of total gains. The integrated care organization said its health plan, hospitals, Risant Health subsidiary and other business under its umbrella combined for $127.7 billion in revenues. The prior year’s $115.8 billion—a particularly large year-to-year jump ...
More than 3,000 pharmacy technicians, pharmacy assistants and clinical laboratory professionals joined the strike, which entered its third week on Monday.
Molina Healthcare’s decision to exit the Medicare Advantage market is the latest sign that the glory days have come to an end. The health insurance company will not sell standard individual Medicare Advantage with prescription drug coverage plans in 2027 and focus instead on Dual Eligible Special Needs Plans, Molina Healthcare announced when it reported fourth-quarter earnings Thursday. Like other ...
Nearly half of cancers could be avoided by cutting out three major risk factors, a new study has revealed. Research published this week in Nature Medicine identified that nearly 40% of global cancer cases are linked to tobacco (15% of new cases), infections (10%) and alcohol consumption (3%). Overall, 7.1 million cancer diagnoses in 2022 were linked ...
Nevada workers enrolled in the state’s health insurance program could see significant plan changes starting in July as the system faces a dire financial situation that officials say is the result of holding off too long on raising premiums. The Public Employees’ Benefit Program (PEBP) — the insurance provider for more than 70,000 Nevada state ...
President Donald Trump on Tuesday afternoon signed a massive funding package that ends a brief government shutdown and provides full-year funding for the federal government through the end of the year. The House voted earlier in the day to pass the package by a vote of 217-214. As part of negotiations between Senate Democrats and ...
Talks to revive enhanced Affordable Care Act (ACA) subsidies that expired at the end of last year appeared to be fizzling out Tuesday, with Democrats expressing little optimism about a proposal from Sen. Bernie Moreno (R-Ohio) that he described as the “best and final” offer his party would make. Lawmakers had been negotiating over a proposal from Moreno that ...