Medicare/Medicaid Posts

Express Scripts Ramps Up List-Price Pressure With Newfangled ‘Flex’ Formulary

November 13, 2018

During a yearslong examination of drug prices, there’s been no shortage of criticism for growing list prices, and in recent months, some companies have heard the talk and lowered their prices. Now, top PBM Express Scripts is rolling out a new formulary to help support the moves—and the plan could heap more pressure on players in competitive drug classes. Read More

Breach of Obamacare Site Spilled Sensitive Data

November 13, 2018

More than two weeks after announcing that the Obamacare website,, had been hacked, the Department of Health and Human Services has revealed that the breach exposed a wealth of information, including partial Social Security numbers and immigration status. Read More

Billions In Questionable Medi-Cal Payments

November 6, 2018

California’s Medicaid program made at least $4 billion in questionable payments to health insurers and medical providers over a four-year period because as many as 453,000 people were ineligible for the public benefits, according to a state audit released Tuesday. Read More

California Nurses Move Their ‘Medicare-for-all’ Fight to the National Stage

October 30, 2018

The union representing 100,000 nurses across California has shifted its “Medicare-for-all” campaign from California to the national stage, perhaps relieving political pressure on Democratic gubernatorial candidate Gavin Newsom to fulfill what the union sees as his top campaign promise: Delivering a single-payer health care system in the nation’s largest state. Read More