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 ...

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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 ...

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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.

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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.

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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.

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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.

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