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
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Healthcare 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
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
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
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
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
Read MoreA look at how some of Trump’s picks to lead health agencies could help carry out Kennedy’s overhaul
By MIKE STOBBE for The Associated Press on November 23, 2024 The team that President-elect Donald Trump has selected to
Read MoreFAQs about the Inflation Reduction Act’s Medicare Drug Price Negotiation Program
(Juliette Cubanski for The Kaiser Family Foundation Published: Nov 19, 2024) The Inflation Reduction Act of 2022 (the Act), signed
Read MoreDrugmakers and pharmacists battle over who gets to make obesity drugs
(By Sydney Lupkin for NPR) Ozempic and similar drugs for Type 2 diabetes and weight loss are in such high
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