Health Care Finance – Page 52 – medicarereport.org

Wednesday, December 17, 2025

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Affordable Care Act (ACA)Employer Healthcare Health Care Finance Health Insurance Medicaid

Eileen Cook December 15, 2023December 15, 2023 ACA, Employer Health Insurance, Healthcare Costs, Medicaid Redeterminations, Small Group Insurance

45% of employer group market can be disrupted, Centene CEO says

(By Jakob Emerson for Becker’s Hospital Review) Centene CEO Sarah London foresees major disruption opportunities ahead in the employer group

CMS Health Care Finance Health Care Redesign Medicare - General Part D/Prescription Drugs

Eileen Cook December 14, 2023December 14, 2023 CMS, Healthcare Costs, Inflation Reduction Act of 2022, medicare, Medicare Advantage, Medicare Part D, Older Adults, Out-of-pocket prescription costs

The New Help for Medicare Beneficiaries with High Drug Costs That Few Seem to Know About

(By Juliette Cubanski and Tricia Neuman for the Kaiser Family Foundation Published: Dec 12, 2023) The Inflation Reduction Act of

Artificial Intelligence Health Care Finance Legal Actions/Court Decisions Medicare Advantage

Eileen Cook December 14, 2023December 14, 2023 AI, Care Coordination and Integrated Case Management, Denied Medicare Advantage Claims, Medicare Advantage, nH Predict, Older Adults

Humana used AI tool from UnitedHealth to deny Medicare Advantage claims, lawsuit alleges

(By Jakob Emerson for Becker’s Hospital Review) Humana used an artificial intelligence tool owned by UnitedHealth Group to wrongfully deny Medicare

CMS Health Care Finance Health Care Redesign Health Insurance Legislative Update Medical Debt Medicare - General Part D/Prescription Drugs Price Transparency

Eileen Cook December 12, 2023December 12, 2023 CMS, Drug price Transparency, Healthcare Costs, Inflation Reduction Act of 2022, medicare, Medicare Insulin Cost-sharing, Medicare Part D, Older Adults

3 Inflation Reduction Act Medicare changes taking effect in 2024

(By Rylee Wilson for Becker’s Hospital Review) The federal government will cap drug copays and premiums for Medicare beneficiaries and

Health Care Finance Health Care Redesign Legislative Update Medicare - General Part D/Prescription Drugs Price Transparency

Eileen Cook December 12, 2023December 12, 2023 Healthcare Finance, medicare, Medicare Part D, PBM, Price Transparency, Site Neutral Policy

House passes site-neutral policy, transparency, PBM reform package

(By Rachel Cohrs for STAT) WASHINGTON — The House passed a relatively major health care package late Monday, an end-of-year

CMS Health Care Finance Health Care Redesign Legislative Update Medicare - General Medicare Advantage Part D/Prescription Drugs Price Transparency

Eileen Cook December 11, 2023December 11, 2023 Drug price Transparency, Healthcare Costs, medicare, Medicare Advantage, Medicare Advantage transparency, Medicare Part D, PBM

Medicare bills pass House committee: 3 things to know

(By Rylee Wilson for Becker’s Hospital Review) The House Energy and Commerce Committee advanced 19 pieces of legislation Dec. 7,

Emerging Health Issues Health Care Finance Health Care Redesign

Eileen Cook December 8, 2023December 8, 2023 Healthcare Access, Healthcare Costs, Healthcare Finance, Hospitals, Private Equity Ownership, Senate Budget Committee

Senate committee launches bipartisan investigation into private equity ownership of hospitals

(By Brittany Trang for STAT) The two leaders of the Senate Budget Committee on Thursday launched a bipartisan investigation into

FDA Health Care Finance Legal Actions/Court Decisions Legislative Update Part D/Prescription Drugs

Eileen Cook December 8, 2023December 8, 2023 Bayh-Dole Act of 1980, Biomedical research, Healthcare Costs, March In Rights, Medicare Part D, Prescription drug costs, Prescription Drug Patents

White House proposes to ‘march in’ on patents for costly drugs

(By Sydney Lupkin for NPR) The Biden administration is taking another crack at high prescription drug prices. This time its

CMS Health Care Finance Medicare Advantage

Eileen Cook December 7, 2023December 7, 2023 CMS, medicare, Medicare Advantage, Medicare Part D, Mergers, Older Adults

Is the Medicare Advantage ‘gold rush’ over?

(By Rylee Wilson for Becker’s Hospital Review) The Medicare Advantage gold rush is slowing down, Wall Street Journal columnist David

Health Care Finance Health Insurance Part D/Prescription Drugs Veterans Benefits

Eileen Cook December 6, 2023December 6, 2023 Active Duty Military, Medically retired military, Survivors of active duty, Tricare, TRICARE Pharmacy, Veterans

What you need to know about TRICARE Pharmacy costs in 2024

Beginning January 1st, for those covered by TRICARE, some of you may see an increase in pharmacy copayments. Survivors of