Prescription drug rebates are typically negotiated by pharmacy benefits managers (PBM), such as CVS and United (two of the largest PBMs), but Department of Health and Human Services (HHS) Secretary Alex Azar says he has the power to eliminate them in the United States.
Pharmaceutical companies on Thursday, Aug. 10 were notified...National News
A federal report conducted by the Office of the Inspector General (OIG) on Tuesday revealed how some hospices take advantage of Medicare payments and in some cases, are negligent of patients.
Hospice services can play an essential role in ensuring the comfort of terminally ill patients. It is a popular Medicare benefit and...National News
Congress has shown a vested interest to start modernizing Stark Law to support the Medicare reimbursement transition to a value-based system.
In a hearing last week, U.S. House of Representatives' Ways and Means Committee Subcommittee on Health expressed their dedication to making necessary changes to update the law that prohibits...National News
Gov. of Kentucky Matt Bevin didn’t get the ruling he was hoping for in court for his Medicaid overhaul plan and now his administration is making dental and vision coverage cuts for almost 500,000 residents.
On Friday, U.S. federal judge James E. Boasberg rejected Kentucky’s proposal to enact work requirements in the Medicaid...Arizona News
The 2019 budget requests hits insurer and payer hot spots including ACA Medicare risk corridor payments and cost-sharing reductions, uncompensated care payments, Medicare post-acute care costs and even graduate medical education.
Trump’s proposal outlines his administration’s priorities – Congress makes the decisions.
Budget...National News
The 365 page rule released Friday is Notice of Benefit and Payment Parameters for 2019.
A stated goal is increasing states’ power to administer the Affordable Care Act. A focus on increased flexibility for states has been touted as the Trump administration’s approach to healthcare policy.
Significantly, states will be allowed...
