How a Duty To Spend Wisely on Worker Benefits Could Loosen PBMs’ Grip on Drug Prices
(By Arthur Allen for KFF Health News) Ann Lewandowski knows all about pharmacy benefit managers, or PBMs, the companies that
Read More
Health Care Finance
5 Medicare Advantage changes coming in 2025
(By Rylee Wilson for Becker’s Hospital Review) Medicare Advantage plans must comply with new network adequacy and health equity standards
Read MoreMedicaid Waiver Tracker: Approved and Pending Section 1115 Waivers by State
(Source – The Kaiser Family Foundation published December 13, 2024) This page tracks approved and pending Section 1115 Medicaid demonstration
Read MoreOutpatient pharmacy costs outpace total spend by 52%
(By Paige Twenter for Becker’s Hospital Review) Historically viewed as cost centers, hospitals and health systems are increasingly identifying their
Read MoreMedicare costs are going up next year
Like most things, Medicare costs are going up next year. Medicare Part A and Part B deductibles will increase, along
Read MoreLawmakers weigh proposals to extend ACA subsidies: 5 notes
(By Erica Carbajal for Becker’s Hospital Review) Enhanced subsidies under the Affordable Care Act are set to expire at the end
Read MoreMedicare Spending was 27% More for People who Disenrolled from Medicare Advantage than for Similar People in Traditional Medicare
(By Jeannie Fuglesten Biniek, Alex Cottrill, Nolan Sroczynski, and Tricia Neuman for The Kaiser Family Foundation Published: Dec 06, 2024)
Read MoreAnthem walks back anesthesia coverage policy after backlash
(By Rylee Wilson for Becker’s Hospital Review) Anthem Blue Cross Blue Shield has walked back a controversial policy capping the
Read MoreHealth systems urge Congress to extend telehealth flexibilities
(By Naomi Diaz for Becker’s Hospital Review) Nearly 80 healthcare organizations are calling on Congress to extend telehealth flexibilities established
Read MoreMedicaid payments vs. nursing home costs: 5 takeaways
(By Elizabeth Gregerson for Becker’s Hospital Review) Medicaid payment rates given to the average nursing home covered about 82 cents
Read More