Medicaid Spending on Prescriptions Has Risen Despite Lower Utilization

Although there’s been lower utilization of prescription medications, Medicaid spending on prescription drugs has increased, a recent report shows. The KFF report relied on 2016 to 2022 State Drug Utilization Data, as well as CMS-64 Financial Management Reports from fiscal year 2017 to fiscal year 2022. It comes as states unwind the continuous enrollment provision, which prevented ...

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Nearly 20% Of Hospitals Have Been Warned Over Price Transparency Violations

Nearly 20% of U.S. hospitals have been warned that they violated the federal price transparency rules that went into effect in 2021, according to a Dec. 20 report from Bloomberg.  Government regulators evaluated 1,750 hospitals as of early December, and about 1,300 have received warnings of rule violations, according to the report. Most corrected errors after ...

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Sick With COVID And The Flu: Double Infections Hit California Hard

California’s hospitals are getting busier with more COVID-19 and flu patients, some of whom are suffering from both viruses at the same time. The simultaneous sickness is another wrinkle in an already hectic respiratory virus season. Although hospitals are not nearly as crowded as during the emergency phase of the pandemic, they are becoming increasingly ...

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‘You Have A Crisis Out There’: Gavin Newsom Scolds Counties Over Delays In Mental Health Law

If any year is looked back on as pivotal in California’s fight to curb mental illness, homelessness and drug-related deaths, 2023 could be the one. Gov. Gavin Newsom pushed major — and at times controversial — reforms of the state’s mental and behavioral health systems through the Legislature, but a mere two months after signing the laws, ...

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FTC, DOJ, HHS’s New Health Counsels To Take On Price-Gouging

Three major government agencies are adding new officials to investigate price-gouging in health care — positions experts say will help the three agencies better coordinate across the government.

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Biden Administration To Impose Inflation Penalties On Dozens Of Drugs

The Biden administration said on Thursday it had identified 48 drugs in the Medicare program whose prices rose quicker than inflation during the fourth quarter of the year and may require their makers to pay rebates.

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Americans Less Satisfied With Almost Every Part Of The Health System

Americans' satisfaction with almost every major part of the health care system has dropped since 2010, according to a new Gallup analysis.

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CA Health Care Patients Punished by Paperwork

Six months after the state restarted its health insurance eligibility process, more than 835,000 people who had their Medi-Cal terminated between June and October lost that coverage because of incomplete or missing paperwork.

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CMS Finalizes Updated Fees For No Surprises Act Dispute Resolution

The Biden administration on Monday released amended fees related to independent dispute resolution under the No Surprises Act. The Centers for Medicare & Medicaid Services had established initial fees, but the guidance was vacated by a Texas judge in a win for providers, forcing the agency to pause IDR. The independent dispute resolution approach is ...

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HCSC, Elevance Health Explore Purchase Of Cigna’s Medicare Advantage Business

While its merger with Humana may have fallen through for now, Cigna is attracting plenty of interest for the rumored sale of its Medicare Advantage business, Bloomberg reported. Sources close to the matter told the outlet that Health Care Service Corp. and Elevance Health are “competing” to scoop up the MA segment. Cigna is expecting ...

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