Wait, What’s a PBM?
(By Dan Weissmann for KFF Health News) You might wonder, wait, what’s a PBM exactly? And also, why am I
Read More
Health Care Finance
ACA risk adjustment payments are on the rise: CMS
(By Rylee Wilson for Becker’s Hospital Review) Total risk adjustment payments in individual and small group insurance plans increased in
Read MoreHHS Announces Actions to Protect Consumers and Lower Health Care Costs
(Source – www.cms.gov/newsroom) The U.S. Department of Health and Human Services (HHS), announced actions to protect consumers from junk health
Read MoreLeqembi could cost Medicare up to $17.8B
(By Rylee Wilson for Becker’s Hospital Review) Leqembi, the newly-approved drug that can slow the progression of Alzhemier’s disease, will
Read MoreWhat to know about the drug price fight in those TV ads
(By Arthur Allen for NPR) In recent months ominous ads about prescription drugs have flooded the TV airwaves. Perhaps by
Read MoreMedicare Advantage profits could be under pressure in 2024, analysts say
(By Rylee Wilson for Becker’s Hospital Review) Medicare Advantage profits will likely be stable in 2023 but could face pressure
Read MorePatients Squeezed in Fight Over Who Gets to Bill for Pricey Infusion Drugs
(By Samantha Liss for KFF Health News) Health insurers and medical providers are battling over who should supply high-cost infusion
Read MorePayment cuts did not reduce Medicare Advantage enrollment: Study
(By Rylee Wilson for Becker’s Hospital Review) Cuts in Medicare Advantage benchmark payments did not lead to slower growth in
Read MorePrivately Insured People with Depression and Anxiety Face High Out-of-Pocket Costs
(By Hope Schwartz, Nirmita Panchal, Gary Claxton, and Cynthia Cox for The Kaiser Family Foundation published: Jun 23, 2023) Millions
Read MoreOIG: Medicare overpaid up to $888M for genetic tests
(By Rylee Wilson for Becker’s Hospital Review) Medicare could have overpaid hundreds of millions for genetic testing from 2018 to
Read More