California May Expand Standard Small-Group Coverage To Include IVF, Hearing Aids

A new in vitro fertilization benefit would make coverage for up to three attempts to create embryos through an IVF process an essential health benefit.

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GLP-1 Medications Fuel $806B U.S. Prescription Drug Spending Spree

Prescription drug spending in the United States rose by 10.2% last year, thanks in part to the popularity of GLP weight-loss drugs.

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‘Cuts Of This Magnitude Cannot Be Absorbed’: Hospitals Slam Republicans’ Medicaid Proposal

House Republicans on May 11 floated a bill that would impose up to $715 billion in Medicaid and ACA cuts over the next decade — reductions that hospital leaders warn would leave millions without coverage and put essential hospitals at risk of closure. The 160-page bill outlines several Medicaid provisions aimed at curbing federal spending, including: Implementing stricter eligibility ...

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CBO: House GOP Plan Exceeds $880B Savings Target

The Energy and Commerce Committee, which has jurisdiction over Medicaid, surpassed its target of finding $880 billion in savings to help pay for legislation to extend President Trump’s tax cuts and other priorities, according to the Congressional Budget Office (CBO). In a brief letter to Energy and Commerce Committee Chair Brett Guthrie (R-Ky.), the CBO said the committee’s reconciliation ...

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CMS Hints At Possible Cost-Sharing Reduction Payments For Insurers, Impacting ACA Enrollment

States and health insurers received new guidance from the Centers for Medicare & Medicaid Services (CMS) May 2 on how to prepare should Congress fund cost-sharing reduction (CSR) payments or extend the Affordable Care Act (ACA) premium tax credit subsidies. One notice (PDF) suggests Congress could choose to appropriate funds toward CSR payments, which would be a ...

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Health Care Spending Reaches Two-Decade High

According to an AMA policy report on health spending trends, health care spending grew by 7.5% in 2023, significantly above growth rates of 4.6% in 2022, 4.2% in 2021 and 4.4% in 2019.

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