The drug price negotiation program has withstood another procedural effort in striking down one of the Inflation Reduction Act’s most significant provisions. In the U.S. Court of Appeals for the 6th Circuit, a panel of judges upheld (PDF) a lower court’s decision to dismiss the lawsuit. A judge dismissed the lawsuit last year, saying most of the ...

A new analysis from KFF and Health Management Associates takes a dive into prior authorization practices for Medicaid managed care organizations. The study polled state programs on policies in place as of July 2024 and found that more than half of the 36 states that responded required that insurers make “standard” prior auth determinations within seven days ...

House Democrats are sounding the alarm and demanding more information about a new Department of Health and Human Services (HHS) demonstration they say will increase red tape by adding prior authorization requirements in Medicare. Led by Reps. Suzan DelBene (D-Wash.) and Ami Bera (D-Calif.), a group of 17 Democrats questioned why HHS would want to test adding prior authorization ...

Bread has been getting a bad “wrap.” Blamed for inflammation, blood sugar spikes, weight gain, type 2 diabetes and even poor mental health, bread has been left behind by many people. But experts say there can be room for it in our diets – and that it can even be beneficial. “You can enjoy a sandwich and ...

Nevadans who get medical insurance through Nevada Health Link may see their premiums rise dramatically next calendar year, new data released by the state suggests. Nevada Health Link, formally known as the Silver State Health Insurance Exchange, is the state’s Affordable Care Act marketplace. The Nevada Division of Insurance on Thursday announced that carriers offering ...

A new study by Madaket Health found that insured Americans delay or skip essential health care due to rising costs and complexity of coverage. Many younger Americans are actually going out of their way to pay for care themselves.