“Most favored nation” pricing model for certain drugs
According to a recent poll, three in four adults in the United States say the cost of medications is unaffordable.
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Health Care Redesign
CMS weighing prior authorization reforms: Report
(By: Andrew Cass for Becker’s Hospital Review) CMS is considering proposals that would cut the number of procedures that are subject
Read More5 Questions About the Idea of Default Enrollment into Medicare Advantage Plans
(By Meredith Freed, Juliette Cubanski, Jeannie Fuglesten Biniek, and Tricia Neuman for The Kaiser Family Foundation Published: Apr 29, 2025)
Read MoreHow to lower healthcare costs
The cost of the U.S. healthcare system has ballooned to $4 trillion a year. Although the number of heart-related deaths
Read MoreOperationalizing the scope of the Medicare drug negotiations
The Inflation Reduction Act of 2022 allowed Medicare to directly negotiate the prices of certain high-expenditure, single-source drugs without generic
Read MoreTexas bill looks to reduce preventive care coverage requirements
(By: Jakob Emerson for Becker’s Hospital Review) Texas lawmakers have introduced legislation that would allow employers to offer health coverage
Read MoreConsumers can buy Zepbound direct from the drugmaker if they’ll pay out of pocket
(By Sydney Lupkin for NPR) Every month, roughly 100,000 people buy Zepbound directly from Eli Lilly through its website. “It’s
Read MoreUniversity Hospitals’ ‘win-win’ approach to housing and health
(By Kristin Kuchno for Becker’s Hospital Review) Cleveland-based University Hospitals views the entire community as its patient, Heidi Gartland, chief
Read MoreHome Improvements Can Help People Age Independently. But Medicare Seldom Picks Up the Bill.
(By Joanne Kenen for KFF Health News published March 3, 2025) Chikao Tsubaki had been having a terrible time. In
Read More‘Pay attention to what we’re doing here’: 3 payers come together on new payment model in California
(By Jakob Emerson for Becker’s Hospital Review) Aetna, Blue Shield of California, and Centene’s Health Net are teaming up on
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