Federal regulators want most patients to see a health care provider in person before receiving prescriptions for potentially addictive medicines through telehealth — something that hasn’t been required in more than three years. During the covid-19 public health emergency, the Drug Enforcement Administration allowed doctors and other health care providers to prescribe controlled medicine during ...
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 ...
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 ...
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 ...
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 ...
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.