Insurers pay higher commercial prices to hospitals in their Medicare Advantage network: Study
(By: Jakob Emerson for Becker’s Hospital Review) On average, insurers pay 4.7% higher commercial prices to hospitals that are a part
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Health Care Finance
Trump signs an order to reduce drug prices, but it’s unclear how it would work
(By Sydney Lupkin for NPR) President Trump is taking aim at U.S. drug prices with an executive order geared toward
Read More“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.
Read MoreShould CMS monitor biosimilar coverage on formularies?
The U.S. Department of Health and Human Services Office of Inspector General (OIG) released a study that found many Medicare
Read MorePBMs and pharmacy closures
Those independent pharmacies, excluded from Medicare Part D networks, were more likely to close. A new research study conducted by
Read MoreOriginal Medicare covers most but not all healthcare services
Medicare is the government health insurance program for adults 65 and older and individuals under 65 with certain disabilities. However,
Read MoreMedicaid Covers at Least One in Five Hospital Inpatient Days in Nearly Every State
(By Zachary Levinson, Jamie Godwin, Scott Hulver, and Alice Burns for The Kaiser Family Foundation Published: May 05, 2025) The
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 MoreMedicare Part D coverage of GLP-1s could raise costs by $48B
(By: Alexandra Murphy for Becker’s Hospital Review) Medicare coverage of obesity medications could drive a substantial rise in healthcare spending,
Read MoreInsurers not required to cover medical marijuana, federal judge rules
(By: Jakob Emerson for Becker’s Hospital Review) A federal judge has dismissed a proposed class-action lawsuit that aimed to require
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