New Congress Brings Churn In Health Policy Leadership

Congress’ most influential health panels will see dramatic changes next year, with several advocates on specific issues like mental health, Medicare and drug pricing retiring or losing their reelection bids.

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Medicare Spent $2B On Unneeded Back Surgeries

Hospitals performed more than 200,000 unnecessary back surgeries on Medicare beneficiaries in the U.S. over three years, according to a new analysis. Why it matters: Roughly $2 billion was spent on the “low value” procedures while patients were put at risk of poor outcomes, researchers from the Lown Institute wrote. What they found: The researchers looked at ...

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How Health Care Could Change Under The New Trump Administration

Former President Donald Trump’s election victory and coming return to the White House will likely bring changes that scale back the nation’s public health insurance programs — potentially increasing the uninsured rate.

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Who Will Hold The Key Trump Administration Benefits Positions?

News is starting to surface about rumored and confirmed picks for positions in the new Trump administration. The Trump administration is so new that even rumors about the top contenders are in short supply.

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Potential ACA Actions The Trump Administration Could Take

A new Trump administration could dramatically alter the Affordable Care Act through either massive changes, technical fixes, or cuts to subsidies and protections.

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California Expanded Medi-Cal to Unauthorized Residents. The Results Are Mixed.

California this year took the final step in opening Medi-Cal, its Medicaid program, to every eligible resident regardless of immigration status. It’s a significant expansion for an already massive safety net program.

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RFK Jr Reviewing Resumes For Top Trump Health Jobs, Sources Say

Robert F. Kennedy Jr, the former independent presidential candidate, is reviewing candidate resumes for the top jobs at the U.S. government’s health agencies in Donald Trump’s incoming administration, a former Kennedy aide and a source familiar with the matter told Reuters on Friday. Kennedy, of the famed political family, has been asked to recommend appointees ...

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The Inflation Reduction Act’s Implications For Employer-Sponsored Health Plans

By being prepared and implementing strategic solutions, employers can mitigate some of the financial pressures that may arise from the IRA, ensuring that their employees and retirees are better protected from the ripple effects of this landmark legislation.

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Pharmacy Benefit Managers And Pharmacies To Duel In Denver

States may be getting ready to crack down even harder on pharmacy benefit managers. The National Association of Insurance Commissioners will be giving member regulators a crash course on PBM policy next week in Denver, at the NAIC’s fall national meeting. PBMs help health insurers and self-insured employer health plans cover prescription drugs. One NAIC ...

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Cigna Says It Is Not Pursuing Deal With Rival Humana

Cigna Group (CI.N), opens new tab said on Monday it is not pursuing a combination with rival health insurer Humana (HUM.N), opens new tab, days after Donald Trump’s reelection as U.S. president raised investor hopes that any merger would face far less antitrust scrutiny. Humana shares rose after Tuesday’s election as investors bet on an easier antitrust review ...

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