Nevada Joins Lawsuit To Save Almost $12B In Federal Health Grants

Nevada Attorney General Aaron Ford joined a coalition of attorneys general from 23 states in filing a lawsuit Tuesday against the U.S. Department of Health and Human Services and its head Robert F. Kennedy Jr. for terminating nearly $12 billion in public health grants. Ford claims that the terminating of grants was illegal and would ...

Read More

How Much Will That Surgery Cost? Hospital Prices Remain Largely Unhelpful.

It’s a holy grail of health care: forcing the industry to reveal prices negotiated between health plans and hospitals — information that had long been treated as a trade secret. And among the flurry of executive orders President Donald Trump signed during his first five weeks back in office was a promise to “Make America ...

Read More

Republicans Say Efficiencies Will Save Medicaid. Dems Say ‘Not Possible.’

The Trump administration and Republicans broadly have said they can cut Medicaid’s budget without hurting patient care by finding efficiencies. Colorado Rep. Diana DeGette, the top Democrat on a key health care panel, says that’s not so. “We just simply don’t have that much money,” DeGette said at POLITICO’s Health Care Summit Wednesday. President Donald ...

Read More

FTC Pauses Lawsuit Against PBMs Over Insulin Pricing

The agency submitted an order (PDF) seeking an administrative stay in the case, as there are currently no sitting commissioners who are able to join the proceedings. The two sitting commissioners, Republicans Andrew Ferguson and Melissa Holyoak, have recused themselves.

Read More

Bipartisan Bill Targets Prior Authorization Transparency, Physician Decision-Making

Bipartisan lawmakers have introduced a bill that aims to more closely align Medicare insurers’ prior authorization denials with medical need, as determined by board-certified specialist physicians.

Read More

Trump’s New Trade Tariffs May Hit Over 400 Canadian-Made Drugs, Cause Shortages

New taxes on prescription drugs imported from Canada could affect about 400 different drug products, according to a new analysis published in the Journal of the American Medical Association.

Read More

Update on Employee Navigator Migration Tool for Ease Users

Migration Tool Performance: According to EN, approximately 30 brokers have successfully used the Ease>EN migration tool, which takes about five minutes per company. Notably, one broker has migrated 66 companies without any support from EN.

Read More

Fearing Trump Cuts, California Democrat Proposes Creating State’s Own NIH

An ambitious California Democrat wants the world’s fifth-largest economy to create its own National Institutes of Health and vaccine program, saying the state can’t rely on the administration to support research and science.

Read More

If The Supreme Court Kills ‘Free’ ACA Preventive Care Rules, What Then?

Braidwood oral arguments are set for April 21. A policy expert says many states will maintain the current standards, even if the federal rules go away

Read More

Congress Could Let States Poke Holes In ERISA Preemption To Regulate PBMs

Congress could consider updating the provision in the Employee Retirement Income Security Act that preempts states’ efforts to regulate employee benefits. Analysts at the Congressional Research Service, an in-house research center that helps members of Congress and their aides understand the matters they’re working on, mention that possibility in a new report on recent U.S. Supreme Court ...

Read More
arrowcaret-downclosefacebook-squarehamburgerinstagram-squarelinkedin-squarepauseplaytwitter-squareyoutube-square