PhRMA Joins Legal Battle Over Inflation Reduction Act’s ‘Price-Setting’ Measures

After Merck and Bristol Myers Squibb took shots at the Inflation Reduction Act (IRA) in separate lawsuits, influential trade group Pharmaceutical Research and Manufacturers of America (PhRMA)—plus two other organizations—have stepped up to the plate with their own case. PhRMA, along with the Global Colon Cancer Association and the National Infusion Center Association, claim that ...

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Medicaid Disenrollment Is Happening Faster Than Anyone Thought, Says Former Medicaid Deputy Director

The loss of coverage for Medicaid recipients is happening faster than anyone believed it would, according to Karen Shields, chief client engagement officer at Gainwell Technologies, a large payer of Medicaid claims. “It’s faster than we thought,” said Shields, a former deputy director for the Center for Medicaid and CHIP Services. “The call for action indicates everything ...

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CVS Health Exec: The Behavioral Health Industry Needs a ‘Common App’ for Insurance

More than half of adults with a mental illness don’t receive treatment. Part of this is due to not only a lack of behavioral health providers, but also a lack of behavioral health providers who are in-network. To be part of an insurer’s network, there are many hoops for behavioral health providers, said Cara McNulty, president of ...

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Takeaways From The California Budget Deal Between Newsom And Democratic Lawmakers

Gov. Gavin Newsom and Democratic legislative leaders on Monday agreed to a $310.8-billion budget spending plan that will reduce investments in fighting climate change and reflects a compromise on the governor’s last-minute proposal to speed up infrastructure projects across California. The 2023-24 budget deal, which lawmakers will vote on in a series of bills this ...

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Health Insurer For 2,800 Nevadans Taken Over By State Regulators

Day-to-day operations of Friday Health Plans will now be handled by the Division of Insurance. The insurer’s policies are still in effect and the court order, which was issued June 12, prohibits providers from denying health services.

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Nevada Legislature Passes Consumer Health Data Privacy Bill

SB 370 imposes requirements pertaining to the collection, use, and sale of consumer health data. It would generally prohibit the collection and sharing of consumer health data without the relevant consumer’s affirmative, voluntary consent, and would similarly prohibit the sale of consumer health data without the consumer’s written authorization.

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