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Industry Updates

This broad category includes articles concerning health insurance costs, carrier and health plan news, changing benefits technology, and surveys by the Kaiser Family Foundation and others on employee benefits.

No More $35 Insulin Cap? Eli Lilly, Plaintiffs Call Off $13.5M Class Action Settlement

A settlement between the drugmaker and insulin patients that would have capped patients' out-of-pocket insulin costs at $35 for 4 years has fallen apart, after an "unfavorable ruling" from the judge overseeing the case.

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HHS Streamlines 340B Dispute Process To Hospitals’ Applause, Pharma’s Disappointment

The Biden administration has put the finishing touches on the steps entities covered under the 340B Drug Discount Program must take to resolve disputes with drug manufacturers. The final rule, issued by the Department of Health and Human Services (HHS) and the Health Resources and Services Administration (HRSA) this week, landed to the delight of ...

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Lawsuit Alleges Obamacare Plan-Switching Scheme Targeted Low-Income Consumers

A wide-ranging lawsuit filed Friday outlines a moneymaking scheme by which large insurance sales agency call centers enrolled people into Affordable Care Act plans or switched their coverage, all without their permission.

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When Rogue Brokers Switch People’s ACA Policies, Tax Surprises Can Follow

Tax season is never fun. But some tax filers this year face an added complication: Their returns are being rejected because they failed to provide information about Affordable Care Act coverage they didn’t even know they had.

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Hundreds Of Drugs Are In Short Supply Around The U.S., Pharmacists Warn

A growing number of drugs are in short supply around the U.S., according to pharmacists. In the first three months of the year, there were 323 active medication shortages, surpassing the previous high of 320 shortages in 2014, according to a survey by the American Society of Health-System Pharmacists (ASHP) and Utah Drug Information Service. ...

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Nearly 80% Of Docs Employed By Hospitals, Corporate Entities In Continued Shift Away From Independent Practice

The decadelong decline of independent physicians rolled on in 2022 and 2023 with a new high of 77.6% doctors employed by hospitals or other corporate entities as of the new year, according to a new report. The past two years saw that share increase by 5.1%, according to the Physicians Advocacy Institute-commissioned report prepared by Avalere. Prior ...

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Hackers Start Leaking Stolen Change Healthcare Data

The RansomHub hacking group is starting to share snippets of the data stolen from Change Healthcare’s networks during a recent attack. Why it matters: Initial screenshots published Monday and seen by Axios suggest that hackers have stolen a trove of sensitive information, including patients’ hospital bills, financial documents and company contracts. There’s currently a countdown on ...

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Upcoming SCOTUS Case Could Weaken the Impact of Regulation on Key Patient and Consumer Protections

The U.S. Supreme Court is considering jointly two cases, Loper Bright Enterprises v. Raimondo and Relentless, Inc. v. Department of Commerce, that could affect the impact of federal regulations in implementing laws passed by Congress. Although these cases are focused on regulations pertaining to the fishing industry, the court’s decision could have significant implications for numerous other policy ...

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4 In 5 Physicians Lost Revenue In Change Healthcare Cyberattack, AMA Says

The fallout from a February cyberattack against Change Healthcare, the largest billing and payment system in the U.S., has left thousands of doctor practices financially hurting, with 80% of physicians reporting “lost revenue from unpaid claims,” according to a survey by the American Medical Association. The AMA, which is the nation’s largest doctor group, said ...

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Drugmakers’ Low U.S. Taxes Belie Their High Sales

Tax day is here. While Americans are scrambling to file last minute returns, things are somewhat more complicated for corporations. Corporations are supposed to pay a nominal tax rate of 21%. But in recent years, the biggest pharmaceutical companies had an average effective tax rate of less than 12%, according to an analysis by the Senate Finance ...

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