Compliancy Group

SEPTEMBER 25, 2024

In September 2024, the FTC sued three pharmacy benefit managers (PBMs), Caremark, Express Scripts, and OptumRx, for artificially inflating the cost of insulin drugs. In September 2024, the FTC sued Caremark, Express Scripts, and OptumRx, for engaging in alleged anticompetitive and unfair rebating practices. PBMs wear many hats.

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Health Law Advisor

MARCH 7, 2023

However, CMS’s release of the Initial Rebate Guidances represents the agency’s first significant opportunity to submit substantive and specific input from the broader stakeholder community with regard to one of the most significant components of the prescription drug pricing changes of the IRA.

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Health Populi

OCTOBER 24, 2022

Add into this picture a CCS Insight analyst’s forecast last week that Apple could enter the health insurance market in 2024. The XY supply demand curve shown above from Trilliant’s analysis illustrates a government price ceiling shock to health care pricing. Walmart) to do so, as well.

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Innovaare Compliance

JUNE 27, 2024

These requirements include: Detailed Reporting: Plans must submit comprehensive data on prescription drug pricing, utilization, and patient outcomes. Price Transparency: Increased transparency in drug pricing to enable beneficiaries to make informed decisions.

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Healthcare Law Blog

FEBRUARY 22, 2023

All rebate payments will be deposited into the Medicare Prescription Drug Account in the Federal Supplementary Medical Insurance Trust Fund. September 20, 2025 The date by which CMS must invoice manufacturers for the Part B inflation rebates owed for calendar quarters in 2023 and 2024.

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Hall Render

MAY 10, 2024

Health Policy Commission still missing key document in Steward sale to Optum Local obesity drug developer lands deal worth up to $600M with Novo Nordisk Mass. Million CALIFORNIA California hospital dismisses CEO California physician pleads guilty to $2.5M million expansion ‘Very, very unusual.’

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Health Law Advisor

MAY 22, 2023

1339) reflects the overarching legislative push by members from both sides of the aisle and chambers of Congress to address drug pricing issues through federal fixes to the PBM framework. With 33 Senate seats and all 435 House seats up for re-election in 2024, that when may be soon. [1] 1] HELP Committee Markup, S. 16, 2022). [3]

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Hall Render

OCTOBER 4, 2024

Rural Wisconsin needs more health providers Judy Faulkner’s succession plan at Epic Badger Prairie Health Care Center receives citation-free 2024 survey Baldwin delivers $750,000 to combat Fentanyl and Opioid epidemic in northeastern Wisconsin Epic, Particle Health feud continues: 6 things to know Essentia Health-St.

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Hall Render

APRIL 12, 2024

New president tapped to lead major hospital system in Denver area New president to lead opening of $650M hospital in Wheat Ridge Telehealth program offers support to forensic nurses Colorado Medicaid program settles lawsuit over lack of mental health care for children Colorado is trying to cut prescription drug prices.

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Hall Render

JUNE 23, 2023

operating margin for 2024, misses 2023 target University of Michigan Health-West forms portal to track DEI among suppliers, vendors S. News & World Report’s 2023-2024 Best Children’s Hospitals list Texas medical office building acquired for $24.6M

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Hall Render

FEBRUARY 24, 2023

Moore’s 2024 budget MASSACHUSETTS Cancer drugmaker down to 3 employees after trial failure Fallon Health CEO to retire after 25 years with Worcester-based health plan FEMA provides $4M to Massachusetts for daycare Covid-19 testing costs Massachusetts hospital to remain closed for 3 months after fire Nurses keep protesting staffing shortages.

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Jane Sarashon

AUGUST 26, 2024

Together, these three current events inter-connect with the passionate intention of including patients in the 2024 voting process in the U.S. Health Populi’s Hot Points: If voting is a driver of health, than each of us has an opportunity to get healthy by getting informed about health policy.

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Health Populi

SEPTEMBER 4, 2024

with about 60 days leading up to the 2024 Elections, we might assume there are no “purple” areas of agreement between the Red (Republicans) and the Blue (Democrats) thinking in PANTONE color politics. In a super-divided electorate like the U.S. adults in May 2004.

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Medicare Medicare Prescription Drug Pricing Public Health 62

Hall Render

JUNE 2, 2023

of Maryland medical school opens addiction research institute in Baltimore MedStar Health breaks even in Q1 as revenues near $2B MASSACHUSETTS Boston Hospital Pays $5.7

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US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Kaiser Health News

AUGUST 12, 2022

Never before have we been able to negotiate prescription drug prices. According to an analysis by the Council for Informed Drug Spending Analysis based on data from 2012, about 3.5 Currently, there is no cap, and people must pay 5% of the cost of extremely expensive drugs after hitting the threshold.

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Medicare Medicare Prescription Drug Pricing Governance 96

Jane Sarashon

DECEMBER 20, 2023

Economy Inflation, a top-of-mind stress and concern for mainstream Americans in 2023, is easing as we enter 2024. At this moment, the price of gas at the pump was playing a big role in U.S. entering 2024, many consumers will be self-rationing care due to costs. Consumer in the Big/Macro U.S. Another positive aspect of the U.S.

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Health Populi

DECEMBER 6, 2023

A close second in line is affordability of health care, as consumers’ household budgets must make room for paying medical bills — with prescription drug costs also very important as a discussion topic for 2024 Presidential candidates, we learn from the latest KFF Health Tracking Poll published 1 December.

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Bill of Health

DECEMBER 3, 2024

According to a 2024 KFF study , about half of American adults are worried about affording prescription drug costs and/or monthly health insurance premiums. Moreover, about 20% of Americans have forgone medication due to the cost of prescription drugs.

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Jane Sarashon

NOVEMBER 14, 2024

For health care, there are many uncertainties as we reflect, one week after the 2024 U.S. insured consumers’ perspectives on prescription drug pricing and the role of PBMs (pharmacy benefit managers). Pollfish conducted this study online in October 2024. than anywhere else in the world.

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Kaiser Health News

JANUARY 25, 2024

Based on the results of the first-in-the-nation primary in New Hampshire, it appears more likely than ever before that the 2024 presidential election will be a rerun of 2020: Joe Biden versus Donald Trump. And health is shaping up to be a key issue.

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Drug & Device Law

OCTOBER 10, 2022

First, the matter underscores the extreme sensitivity of the OIG to prescription drug pricing issues, as the proposed program effectively would remove potential disincentives to manufacturer price increases. This result, however, does clarify a few areas.

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