GOP Wrestles With Disagreements Over Medicaid Cuts

The House Energy and Commerce Committee is planning a May 7 meeting to finalize and advance its portion of the bill, leaving little time for members to iron out differences. The legislation calls for the committee to find $880 billion in savings over a decade, with most of it expected to come from health programs.

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Pharmacist Group Tells Elon Musk’s Team To Probe Pharmacy Benefit Managers

The National Community Pharmacists Association wants Elon Musk’s Department of Government Efficiency to help it fight the pharmacy benefit managers. The pharmacist group announced Friday that it had sent a letter encouraging DOGE to search for waste, fraud and abuse at PBMs. The PBMs contend that they fight to hold down prescription drug costs for employer health plan ...

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Wegovy Telehealth Push Launched As Compounding Pharmacies Face Restrictions

Wegovy, the popular weight-loss drug from Novo Nordisk, will be available through several leading telehealth providers, beginning this week. The company’s announcement comes as many compounding pharmacies have been restricted from making unapproved, less-expensive versions of GLP-1 medications. “We felt it was really important to work hard to establish a collaboration with telehealth companies so that ...

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FDA Chief Says They’re Looking At Whether To Approve COVID Shots For Next Winter

The head of the Food and Drug Administration said Tuesday that the agency is now looking at whether it will still approve COVID-19 vaccines for next winter, citing a lack of data on booster shots.”We’re taking a look. I can’t comment on any particular application. As you know, we have a bunch of applications for those booster shots,” FDA Commissioner Dr. ...

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Fitch Ratings: How Higher Tariffs Could Impact Health Insurers

While health plans are not likely to feel the most acute effects from the Trump administration's tariffs, they face downhill impacts from market volatility and rising costs, according to a new analysis from Fitch Ratings.

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Biden Let California Get Creative With Medicaid Spending. Trump Is Signaling That May End

California uses Medicaid to pay for a range of nontraditional health care services, including housing. The Trump administration wants to scale back those programs.

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Medi-Cal Under Threat: Who’s Covered and What Could Be Cut?

Medi-Cal, California’s complex, $174.6 billion Medicaid program, provides health insurance for nearly 15 million residents with low incomes and disabilities. The state enrolls twice as many people as New York and more than three times as many as Texas.

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Supreme Court’s Bold Move To Save Part Of ACA Preventive Services Package

The U.S. Supreme Court implied Friday that the outcome of a big Affordable Care Act preventive services benefits case may depend on legal issues that are unrelated to health insurance.

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How The State Sent Californians’ Personal Health Data To LinkedIn

The state’s health insurance exchange transmitted pregnancy and domestic abuse data during a marketing campaign. It is reviewing its website practices.

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CMS May Soon Propose Medicaid Provider Tax Regulation

The Centers for Medicare & Medicaid Services (CMS) submitted a regulation to the Office of Management and Budget (OMB) that could upend Medicaid provider tax program financing. The regulation is titled “Preserving Medicaid Funding for Vulnerable Populations—Closing a Health Care-Related Tax Loophole.” “This proposed rule would update existing regulations that govern the process for states ...

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