A key cost-saving provision of the Inflation Reduction Act (IRA) goes into effect in the new year, limiting annual out-of-pocket spending on prescription drugs to $2,000 for Medicare beneficiaries. Starting on Jan. 1, 2025, an estimated 19 million Medicare beneficiaries will see their out-of-pocket Medicare Part D spending capped at $2,000 for the year. This ...
As a contract deadline approached on December 31, 2024, negotiations between Sansum Clinic/Sutter Health and Anthem Blue Cross reached a new agreement that could affect more than 129,000 patients. Sansum is the largest nonprofit medical group for outpatient care in the Santa Barbara area. The agreement allows patients to keep their in-network doctors and care ...
All of the commercial prescriptions dispensed at CVS pharmacies will be processed through its CostVantage reimbursement model beginning this year, the healthcare giant announced Monday. Under the model, prescriptions are priced based on the underlying cost with a delineated markup and dispensing fee to cover the services provided by CVS in the transaction. The company says this ...
Newsom Aims To Limit Unhealthy Food In California, Getting Ahead Of Trump Administration And RFK Jr.
Gov. Gavin Newsom issued an executive order on Friday attempting to limit access to ultra-processed foods, a directive he cast as a continuation of California’s “nation leading” nutrition and health standards. “The food we eat shouldn’t make us sick with disease or lead to lifelong consequences,” Newsom said in a statement. “California has been a ...
If you’re trying to keep on a healthy path in this first full week of the New Year, you’re likely adding more fruit to your diet. For most of us, go-to fruit selections are apples, bananas, grapes, maybe assorted berries — but there are many other fruits that you may not know about and are worth considering. ...
Governor Newsom signed over 1300 bills and vetoed almost 190 bills in 2024. Consistent with prior years, in 2024, California enacted multiple laws significantly impacting the health care industry. From artificial intelligence (AI) to providers to health plans, these new laws require proactive efforts to ensure on-going compliance. We highlight below the most important of ...