California Ends Medicaid Coverage of Weight Loss Drugs Despite TrumpRx Plan

Many low-income Californians prescribed wildly popular weight loss drugs lost their coverage for the medications at the start of the new year. Health officials are recommending diet and exercise as alternatives to heavily advertised weight loss drugs like Wegovy and Zepbound, advice experts say is unrealistic. “Of course he tried eating well and everything, but ...

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Trump’s Plan To Strong-Arm Insurers Into Lower Prices Is Met With Skepticism

There are reasons to be skeptical that voluntary cuts by insurance companies could bring significant, lasting health care savings for Americans.

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Newsom’s Budget Shows Big Revenue Gain, But We’ve Been Down That Path Before

“This story was originally published by CalMatters. Sign up for their newsletters.” When Gov. Gavin Newsom declared today that the state will likely receive an extra $42.3 billion in tax revenue over the next three years, thus alleviating a stubborn budget deficit, the inimitable Yogi Berra’s famous observation came to mind. “It’s like déjà vu all ...

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AbbVie To Cut Drug Prices, Pledges $100 Billion For Research

AbbVie (ABBV.N), opens new tab said on Monday that it has struck a three-year deal with U.S. President Donald Trump’s administration to reduce drug prices, and has pledged $100 billion over the next decade for research and development in the country. The drugmaker said the investment will include manufacturing and will expand direct-to-patient offerings through TrumpRx for ...

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Dems Make Health Deal Offer With ACA Subsidies

Democrats sent Republicans a proposal over the weekend to renew enhanced Affordable Care Act subsidies for three years, paired with extensions of other expiring health programs, sources said. Why it matters: Sunday’s offer shows there’s increasing bipartisan sentiment to address long-stalled priorities like overhauling pharmacy benefit manager business practices — even if prospects for the ACA subsidies ...

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One Patient Submitted $9.1M In 2024 Employer Health Claims

Employer health plans are seeing a lot more participants with very high costs, according to a new report from Lockton. The firm runs an employer plan database that holds information on 882 employer groups and 3.9 million plan participants. One of the plan participants submitted $9.15 million in claims in 2024, and nine others submitted more ...

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