PBM Lobby Goes On The Offensive

The nation’s top pharmacy benefit manager (PBM) lobbying group is going on the offensive, stepping up its advocacy efforts against the pharmaceutical industry after Congress passed a PBM industry overhaul last winter. The pharmaceutical industry spent years pointing fingers at pharmacy benefit managers as the reason for high drug costs, and Congress finally was able to get ...

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8 Common Food Preservatives Linked To Higher Risk Of High Blood Pressure And Heart Disease

Common food preservatives may contribute to higher risks of high blood pressure and cardiovascular disease, according to a large French study. Researchers analyzed data from 112,395 adults averaging 42 years of age, assessing their detailed dietary intake with an average follow-up of nearly eight years. Among the participants, 5,544 developed hypertension during the follow-up period, and 2,450 ...

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DOJ Announces $6.5B Healthcare Fraud Takedown with Record Medicaid Enforcement

The Department of Justice unveiled charges against 455 people, including 90 doctors and other licensed medical professionals, for their alleged participation in healthcare schemes that involved more than $6.5 billion in false claims and other patient harm. The charges were part of a two-week coordinated fraud takedown headed by the DOJ Criminal Division’s Health Care ...

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U.S. Health Spending Set to Reach $9T by 2034: CMS Report

U.S. healthcare spending is set to climb to $9 trillion by 2034, representing 20.6% of the economy, according to new federal data. The Centers for Medicare & Medicaid Services Office of the Actuary released on Wednesday its annual projections around national health spending. The actuaries said that total health spending in 2024 was $5.3 trillion, ...

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Nevada Hospice Providers Push for Stronger Oversight as State Pauses New Licenses Amid Fraud Concerns

Hospice administrators, clinicians and healthcare advocates gathered Wednesday to discuss a growing problem inside an industry meant to provide comfort at the end of life — and what providers say must change to protect patients. The meeting comes as Nevada and federal officials intensify efforts to crack down on suspected fraud within the hospice industry. ...

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What Brokers Need to Know About the New CMS ACA Marketplace Rule

Enhanced ACA subsidies helped Marketplace enrollment grow from approximately 11.4 million individuals in 2020 to a record 24.3 million plan selections in 2025. As those subsidies expire, the Kaiser Family Foundation (“KFF”) estimates Marketplace enrollment could decline by approximately 4.8 million individuals. KFF also reports that average monthly premium payments for subsidized Marketplace enrollees increased from approximately ...

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