CMS Rolls Out Proposed Generic Drug List To Ease Cost-Sharing Burden

The Centers for Medicare & Medicaid Services (CMS) released a list of prescription drugs it hopes to include in its new Medicare $2 Drug List Model, the agency announced Wednesday. Designed to limit out-of-pocket costs, the plan caps a generic drug’s monthly price at $2. Drugs included in the list help tackle conditions like high ...

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Amazon Opening 20 New Pharmacies In U.S. Expansion Of Same Day Delivery

Amazon will more than double to 20 the number of cities where its customers can get same day delivery of their prescriptions by opening new pharmacies in these markets. The online retailer’s Amazon Pharmacy business said it will leverage its “vast logistics network and advanced automation technology to solve one of pharmacy’s biggest pain points: ...

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Health-Care Costs Hit A Post-Pandemic High. These Moves During Open Enrollment Can Help

About 165 million Americans get their health insurance through work, and yet most don’t spend much time considering what their employer is offering in the way of benefits and what it will cost. In fact, employees only spent about 45 minutes a year, on average, deciding which benefit options suit them best, a report from Aon found. Open enrollment ...

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California Hospitals Scramble on Earthquake Retrofits as State Limits Extensions

More than half of the 410 hospitals in California have at least one building that likely wouldn’t be able to operate after a major earthquake hit their region, and with many institutions claiming they don’t have the money to meet a 2030 legal deadline for earthquake retrofits, the state is now granting relief to some ...

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Cheap Ozempic Knock-Offs Have Risen In Popularity — But Are They Safe?

As prices for Ozempic have risen in recent months, many people may be seeking cheaper alternatives for managing diabetes or weight loss. Some doctors, along with the U.S. Food and Drug Administration (FDA), are warning of the potential risks of using “knock-off brands” of semaglutides, which belong to the GLP-1 class of medications. Dr. Brett Osborn, ...

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What’s New and What To Watch For in the Upcoming ACA Open Enrollment Period

It’s that time of year again: In most states, the Affordable Care Act’s annual open enrollment season for health plans begins Nov. 1 and lasts through Jan. 15. Current enrollees who do not update their information or select an alternative will be automatically reenrolled in their current plan or, if that plan is no longer available, ...

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California Insurer Experiments With Drug Giveaway, Bypassing Secret Fees

A major California health insurer is set to offer one of the world’s top-selling drugs for free in a bid to show the medicine can reach Americans affordably without going through the middlemen that typically control its flow.

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Even Political Rivals Agree That Medical Debt Is an Urgent Issue

While hot-button health care issues such as abortion and the Affordable Care Act roil the presidential race, Democrats and Republicans in statehouses around the country have been quietly working together to tackle the nation’s medical debt crisis.

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CMS To Increase Oversight On Exchange Brokers

The proposed rule comes after the CMS reported a growing number of complaints about ACA health plan applications submitted by brokers.

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CMS Proposes Risk Adjustment Changes, Broker Fraud Crackdown For 2026 Plan Year

A proposed rule from the Centers for Medicare & Medicaid Services (CMS) released Oct. 4 would protect beneficiaries from shady broker behavior and modify the federal risk adjustment program, among other changes. Under the Notice of Benefit and Payment Parameters proposed rule (PDF) for the 2026 plan year, insurance agents could be held responsible for marketplace violations. ...

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