Medicare Drug Price Negotiation: Key Decisions To Reach A “Fair Price”

Government negotiation of Medicare drug prices—even for a small set of older, single-source drugs—is a remarkable policy development. But how exactly will the government do it? The Inflation Reduction Act (IRA), signed into law August 16, contains an 86-page blueprint laying out which drugs are on the table, implementation timelines, “factors” to be considered, and rules of engagement ...

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Consolidated Appropriations Act Shifts More Power, Responsibility To Employers Next Year

The Consolidated Appropriations Act that passed this year will next year make self-insured employers the fiduciaries for the healthcare services that they purchase, which means they’ll have more say about quality and cost but also more responsibility. This portion of the approximately 5,600-page act hasn’t gotten as much attention as, for instance, the parts that guard against ...

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Here's Why Private Medicare Plans Are Set To Pass Traditional Medicare Enrollment

The night before his scheduled cataract surgery last November, Bob Miller’s eye doctor informed him the operation would be delayed because his insurer refused to pay. Miller’s Aetna Medicare plan covered a surgery just a few weeks before on his right eye. Without the surgery on his left eye, the 73-year-old residential painting contractor couldn’t ...

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Is California Strangling Its Golden Goose?

Citing a Bloomberg News article, Gov. Gavin Newsom crowed last month about the probability that California would soon pass Germany to become the world’s fourth largest economy. “While critics often say California’s best days are behind us, reality proves otherwise — our economic growth and job gains continue to fuel the nation’s economy,” Newsom said. Throughout ...

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4 Major California Employment Law Changes For 2023

California employers will see a number of changes affecting human resources in the new year. Major themes include compensation and leave, but employers also will need to note legislation that adds new retaliation protections for workers, attorneys told HR Dive.

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Healthcare Coverage Premiums Stable For Now, But Next Year Could See Hikes: Survey

Healthcare insurance premiums remained stable in 2022 compared to 2021 but might surge next year because of inflation and the demands of employees for better mental health coverage, according to the Kaiser Family Foundation’s “2022 Employer Health Benefits Survey.” “Demand” might be the right word, given the competition among employers for workers in a tight ...

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