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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Healthcare 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 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 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 MoreThe difference in care between Medicare and Medicare Advantage members
With the increasing enrollment by Medicare recipients in Medicare Advantage health plans and the issue of prior authorization requirements and
Read MoreThe Effect of Delaying the Selection of Small Molecule Drugs for Medicare Drug Price Negotiation
(By Juliette Cubanski and Tricia Neuman for The Kaiser Family Foundation Published: Apr 16, 2025) President Trump has just signed
Read More10 Things to Know About Rural Hospitals
(By Scott Hulver, Zachary Levinson, Jamie Godwin, and Tricia Neuman for The Kaiser Family Foundation Published: Apr 16, 2025) The
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