CMS: Employer Plans Can’t Deny Benefits To Unvaccinated Customers But Can Offer Premium Discounts

Employer group health plans cannot deny benefits to customers who have not gotten the COVID-19 vaccine but can offer premium discounts to customers who decide to get the shot, new guidance from the Centers for Medicare & Medicaid Services (CMS) said. But plans that increase premiums on the unvaccinated will have that increase count toward ...

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The U.S. Is The Drug Industry’s Gold Mine

Americans are paying pharmaceutical companies more for the world's 20 blockbuster drugs than the rest of the world combined, according to an analysis of company financial filings by Public Citizen.

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Democrats Promised To Slash Drug Prices. Now Internal Clashes Are Standing In The Way.

When House Democrats made their pitch for the majority ahead of the 2018 midterms, party leaders focused their message on “kitchen table” economic issues — and one in particular that, according to polls and focus groups, resonated broadly across America’s political divides.

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Medicare Advantage Premiums To Decline Slightly In 2022, Part D To Rise By Nearly 5%

Average Medicare Advantage plan premiums are expected to hit $19 per month next year, a slight decline from the $21.22 in 2021.

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As Democrats Bicker Over Massive Spending Plan, Here’s What’s at Stake for Medicaid

Hours after the Supreme Court in 2012 narrowly upheld the Affordable Care Act but rejected making Medicaid expansion mandatory for states, Obama administration officials laughed when asked whether that would pose a problem. In a White House briefing, top advisers to President Barack Obama told reporters states would be foolish to turn away billions in ...

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AMA: 73% Of Health Insurance Markets Are Highly Concentrated

Nearly three-quarters of metropolitan statistical areas are concentrated health insurance markets, according to a new study from the American Medical Association (AMA). The analysis (PDF) found that 73% of MSAs are highly concentrated, based on Department of Justice and Federal Trade Commission horizontal merger guidelines. In 91% of markets, a single insurer had a market share of ...

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