Compliancy Group

SEPTEMBER 25, 2024

A pharmacy benefit manager (PBM) is any entity that performs pharmacy benefit management services for health plans, unions, large employers, and government entities. PBMs manage prescription drug benefits programs. PBMs determine the prescription drug prices that insurers pay and the payments that pharmacies receive.

Prescription Drug Pricing 52

Prescription Drug Pricing HIPAA Compliance Health Insurance 52

Health Populi

OCTOBER 24, 2022

Consumers will be facing greater medical price inflation in 2023 for health insurance plans, based on the latest forecast from WTW. The XY supply demand curve shown above from Trilliant’s analysis illustrates a government price ceiling shock to health care pricing.

COVID-19 54

COVID-19 Prescription Drug Pricing Health Insurance Health Care Reform 54

HIT Consultant

NOVEMBER 8, 2022

Designed to shed light on the true cost of drugs and to ensure that consumers and insurers aren’t being gouged, drug pricing transparency laws seek to level the playing field by delivering greater visibility into drug costs.

Prescription Drug Pricing 52

Prescription Drug Pricing Compliance Governance 52

Health Populi

JANUARY 27, 2021

President Biden’s first few days on the job gave us a very clear view on how he sees conquering COVID: through a whole-of-government approach to public policies that bolster directly addressing the virus, along with the many forces shaping how we got here and how to come out of the pandemic era stronger. ” The plotline goes….

Governance 71

Governance COVID-19 Prescription Drug Pricing ACA 71

Hall Render

FEBRUARY 25, 2022

CMS overhauls Direct Contracting model to include new requirements on governance, health equity in 2023. Whitmer signs bills designed to lower prescription drug prices in Michigan. Why adding nursing-home beds in SD requires government permission. Contract Nurse Agencies Are Making Big Money in the Age of COVID-19.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

Hall Render

JULY 22, 2022

Rising prescription drug prices contributed to 49% jump in Oregon healthcare costs over 6-year period: report. US government suit against UPMC and star surgeon moves forward. Former South Carolina House Speaker named Senior Vice President for Government Affairs at Prisma Health. PENNSYLVANIA. SOUTH DAKOTA.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

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. ranks second nationwide in hospital patient safety, with 7 Central Va.

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40

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. 2] While it is still relatively early in the legislative process, enactment of provisions in the current iteration of S.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Jane Sarashon

SEPTEMBER 9, 2022

The year-on-year decline from 2021 find oil and gas at the lowest level of positivity, advertising/PR, legal, the Federal government, and pharma at the bottom of the ratings. Peoples’ highest ratings of industry in American occurred in 2017 when nearly 50% of people gave business a very or somewhat positive grade.

Prescription Drug Pricing 52

Prescription Drug Pricing Health Insurance Medical Billing Doctors 52

Hall Render

OCTOBER 4, 2024

NATIONAL 5 Stark law issues physicians are closely watching Anti-monopoly advocates urge FTC to block McKesson, Cardinal Health’s big-ticket oncology acquisitions Biden administration doles out $68.5M

US Department of Health and Human Services 40

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

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.

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40

Hall Render

JANUARY 3, 2025

deal New MN law capping some prescription drug prices goes into effect Jan. 1 Norovirus cases in MN nearly double this December ahead of holiday season: MDH Out-of-state patients seeking Minnesota abortion care drove increase in 2023 Prices for medical care surged in Minnesota.

Nursing Homes 40

Nursing Homes Fraud Nurses Hospitals 40

Health Populi

DECEMBER 30, 2019

Even seemingly popular plan ideas like prescription drug pricing and coverage for pre-existing conditions can’t get traction in Congress or through the White House’s executive pen.

US Department of Health and Human Services 130

US Department of Health and Human Services Prescription Drug Pricing Public Health Medicare 130

Health Populi

OCTOBER 12, 2018

Eli Lilly is currently under investigation for working, under your tenure, with other drug companies to needlessly raise the price of insulin.” ” Second, the National Academy of Science published a well-researched report supporting government prescription drug price negotiation.

US Department of Health and Human Services 61

US Department of Health and Human Services Prescription Drug Pricing Health Insurance Medicare 61

Health Populi

MARCH 13, 2018

President Trump made clear on the campaign trail and in his interview with TIME magazine as Person of the Year that pharmaceutical companies’ pricing needed to be reined in using government pressure.

Prescription Drug Pricing 67

Prescription Drug Pricing FDA Hospitals Medicare 67

Hall Render

JUNE 23, 2023

Record-breaking settlement: Here’s why Bon Secours must pay the US government $36.5 too much. .’ ’ ‘We don’t need it all’: R.I.’s s largest hospital system may consolidate real estate portfolio Rhode Island company invests $8.4M Health system settles orthopedic False Claims allegations for $36.5M

US Department of Health and Human Services 40

US Department of Health and Human Services Nurses Hospitals COVID-19 40

Health Populi

AUGUST 3, 2018

voters, across the three-party landscape, agree on two healthcare issues this year: coverage of pre-existing conditions, and lowering the consumer-facing costs of prescription drugs. This is the tactic that most Americans say could lower prescription drug prices. There’s growing evidence that a majority of U.S.

Prescription Drug Pricing 67

Prescription Drug Pricing FDA Public Health Medicare 67

Health Populi

OCTOBER 19, 2020

Having the Federal government paying for testing, tracking, and treatment for COVID-19. Women, being Chief Health Officers of their Families, influencing 80% of health care decisions, well know how to connect the dots between health care costs and their household financial wellness.

COVID-19 105

COVID-19 Health Insurance Prescription Drug Pricing ACA 105

Health Populi

MARCH 13, 2019

The authors note that “consumer-driven” health care is, “associated with neoliberal efforts to emphasize market factors in health reform,” de-emphasizing government regulation and financing. This concept can be potentially harmful, they believe, assuming that health care is a traditional market.

ACA 102

ACA Health Insurance Prescription Drug Pricing Bioethics 102

Health Populi

JANUARY 29, 2019

Health Populi’s Hot Points: I introduced this post noting today is the first of what will be a long and deep look into prescription drug pricing in America. Federal government has proposed a sweeping set of pricing reforms for government programs with varying levels of impact and probability of being enacted.”

Prescription Drug Pricing 101

Prescription Drug Pricing FDA Patient Advocacy Governance 101

Health Populi

APRIL 26, 2019

Health Populi’s Hot Points: The third chart illustrates that pharma pricing is a unifying force across older voters across the three political parties. consumers to import cheaper prescription drugs from other countries. While deep understanding of how U.S.

Prescription Drug Pricing 59

Prescription Drug Pricing Governance Medicare Medicare 59

Health Populi

JUNE 18, 2020

consumers have been supportive of government negotiation for drug pricing since well before the COVID-19 pandemic. The Gallup-West Health Poll finds similar massive support for government negotiation specifically for COVID-19 treatment pricing, shown in the third table.

Prescription Drug Pricing 79

Prescription Drug Pricing COVID-19 Medicaid Medicaid 79

Health Populi

MARCH 6, 2019

is prescription drug prices — that they’re too high, that the Federal government should negotiate to lower costs for Medicare enrollees, and that out-of-pocket costs for drugs should be limited. The biggest culprit/contributor to prescription drug prices? consumers were asked.

Prescription Drug Pricing 59

Prescription Drug Pricing Governance Doctors Medicare 59

Health Populi

JUNE 28, 2018

Another unifying health care issue is prescription drug prices, which KFF has tracked for several years. Most voters across party have told previous KFF polls they believe in more government regulation or intervention on drug costs.

Prescription Drug Pricing 74

Prescription Drug Pricing ACA Health Insurance Governance 74

Health Populi

MAY 14, 2018

This is what happened to pharma stock prices on Friday after President Trump and Secretary of Health and Human Services Alex Azar outlined their new policies focusing on prescription drug prices. Seniors and government programs over-paying for drugs. The graph is the Nasdaq U.S.

Prescription Drug Pricing 48

Prescription Drug Pricing Governance ACA Medicare 48

Health Populi

OCTOBER 15, 2021

adults across political parties favor allowing the Federal government authority to negotiate for drug prices — even after hearing the arguments against the health policy. By party, nearly all Democrats agree with the negotiating power by the Feds, followed by 4 in 5 Independents and almost as many Republicans.

Prescription Drug Pricing 71

Prescription Drug Pricing Medicare Medicare COVID-19 71

Health Populi

SEPTEMBER 4, 2024

The top five issues were: Establishing an organ donation registry to streamline matching with recipients (89% of Dems, 79% of GOP) Expanding Medicare to cover dental, vision, and hearing coverage (92% Dems, 77% GOP) Capping annual out-of-pocket costs for prescription drugs (86% Dems, 76% GOP) Increasing federal funding for counseling for people with (..)

Medicare 62

Medicare Medicare Prescription Drug Pricing Public Health 62

Health Populi

APRIL 10, 2019

In typical markets, as products mature and get mass adoption, prices fall. But then prescription drug pricing doesn’t conform with how typical markets work in theory. Know that one of these insulin products, Lilly’s Humalog, came onto the market in 1996.

Prescription Drug Pricing 121

Prescription Drug Pricing Medicare Medicare Governance 121

Kaiser Health News

AUGUST 12, 2022

First, it would give the federal government the ability to negotiate prices of some drugs purchased by Medicare beneficiaries, a tool that has long been opposed by the drug industry. Never before have we been able to negotiate prescription drug prices. “It’s historic.

Medicare 95

Medicare Medicare Prescription Drug Pricing Governance 95

Kaiser Health News

SEPTEMBER 9, 2024

“There are still not enough protections for workers that are picking the food that we eat,” Becerra told a group of local reporters and government officials, who outnumbered the farmworkers in the audience. Josh Harder, who represents a competitive Central Valley congressional district.

US Department of Health and Human Services 74

US Department of Health and Human Services Prescription Drug Pricing Public Health Health Insurance 74

Health Populi

FEBRUARY 4, 2020

voters’ priorities, across political party – prescription drug prices. voters in 2020 quite like supporting Medicare’s ability to negotiate drug prices with pharmaceutical companies, shown by the October 2019 Kaiser Family Foundation Health Tracking Poll. Few issues unite U.S.

Prescription Drug Pricing 83

Prescription Drug Pricing Medicare Medicare Health Insurance 83

Health Populi

DECEMBER 20, 2019

The House passed its prescription drug bill earlier this month, named the Elijah E. The biggest known-unknown for 2020 is politics on the macro/national U.S. level, and then the tighter lens on health politics and health policy.

Public Health 96

Public Health Prescription Drug Pricing Medicare Medicare 96

Health Populi

MAY 10, 2018

And there’s very little bidding on drugs.” ” Remember that prescription drug spending continues to hover around one-tenth of overall U.S. A move to re-align prescription drug prices will be welcomed across the political spectrum as Big Pharma continues to take the bulk of the blame for rising healthcare costs.

Health Insurance 75

Health Insurance Prescription Drug Pricing Medical Billing Governance 75

Health Populi

NOVEMBER 7, 2018

While we have a divided government via split legislature, one winner in the 2018 midterm outcome is Medicaid. Another healthcare issue that should get traction in this legislative environment is prescription drug pricing. “We want to give President Trump what he said he wanted in the campaign,” Rep.

Prescription Drug Pricing 40

Prescription Drug Pricing Medicaid Medicaid Medicare 40

Kaiser Health News

JANUARY 25, 2024

But Biden may be gathering momentum himself from an unexpected source: Drug industry lawsuits challenging his administration’s Medicare price negotiation plan could draw attention to Biden’s efforts to combat rising prescription drug prices, a major pocketbook issue for many voters.

Prescription Drug Pricing 97

Prescription Drug Pricing Medicare Medicare Governance 97

Bill of Health

DECEMBER 3, 2024

According to a House Committee on Oversight and Accountability report , PBMs encourage patients toward higher-cost drugs with greater rebates by placing the products on more favorable tiers. PBMs also can overcharge employers and government programs for prescription drugs due to the opacity of drug pricing.

Prescription Drug Pricing 189

Prescription Drug Pricing Health Insurance Governance 189

Health Populi

JUNE 28, 2019

Sanders, noting his call for big new government benefits like universal health care through Medicare for All and free college tuition. Senator Harris, too, mentioned government benefits like free college and Medicare for All as her health plan preference. ” Lower my drug prices. Lester Holt began with Sen.

Medicare 74

Medicare Medicare Health Insurance Governance 74