Hospitals would receive a 2.4% rate increase for inpatient services in fiscal year 2027 under a proposal announced by the Centers for Medicare & Medicaid Services on Friday. If enacted, it would represent an approximately $1.4 billion increase. CMS also projects that additional payments for inpatient cases involving new technologies will rise by $464 million ...

“This story was originally published by CalMatters. Sign up for their newsletters.” When California voters approved Proposition 13 in 1978, they forced a massive change in how government services are financed that continues to reverberate nearly a half-century later. Prop. 13’s limits on property taxes that had financed public schools and other units of local government for ...

Eli Lilly has rolled out Foundayo, its oral GLP-1 pill, directly to consumers through its LillyDirect cash-pay channel, as well as to telehealth providers and pharmacies across the U.S. The drug is a once-daily oral obesity treatment. It is to be used alongside a reduced-calorie diet and increased exercise, the pharma company said in an announcement. ...

Each year, the National Association of Benefits and Insurance Professionals (NABIP) gathers in Washington, D.C., for its Capitol Conference, bringing together hundreds of agents, benefits specialists, and industry leaders to engage directly with federal policymakers. The event serves as a coordinated advocacy effort, where NABIP members from across the country deliver a unified message to ...

Republicans in Congress are trying to attract more people to direct-to-consumer drug purchases on platforms like TrumpRx by requiring insurers to count that spending toward patients’ deductibles and out-of-pocket limits. Why it matters: Paying cash for drugs has limited appeal for insured patients, in part because it doesn’t help them get to the point where insurance picks up a bigger ...

The Iran war is highlighting the fragile nature of global drug supply chains as disruptions ripple far beyond the Persian Gulf. Why it matters: Even if the ceasefire holds, disruptions to air cargo and the Strait of Hormuz bring the threat of higher prices for generic drugs and spot shortages, especially in developing countries. The conflict ...