Health Law Advisor

MAY 22, 2023

Senate Committee on Health, Education, Labor and Pensions (the “HELP Committee” or the “Committee”) passed a bipartisan bill to expand federal regulation of pharmacy benefit managers (“PBMs”) for group health plans. [1] Unlike the IRA, which targeted the Medicare program, the provisions of S. 1339 the Committee passed last week.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Jane Sarashon

SEPTEMBER 9, 2022

in the second half of 2022, families and households faced financial stress that strained peoples’ ability to make ends meet… and that included health care, as 5.7 million more Americans lost health insurance during the Great Recession era.

Prescription Drug Pricing 52

Prescription Drug Pricing Health Insurance Medical Billing Doctors 52

Hall Render

JANUARY 3, 2025

in Medicare fraud settlement 10 behavioral health policy changes taking effect in 2025 An uncertain era for Stark law: 12 updates in 2024 CMS launches campaign to support nursing home staffing rule CMS taps 4 states for behavioral innovation model: 5 things to know Epic files to dismiss antitrust lawsuit Healthcare company to pay $15.2

Nursing Homes 40

Nursing Homes Fraud Nurses Hospitals 40

Hall Render

APRIL 12, 2024

in billing fraud Arizona system names new CEO Banner Health CEO Peter Fine to retire after 24 years, handing the reins to health system president Four UArizona bioscience startups selected for Flinn Foundation program Gov. s health, hospital chief says Raising Ky.’s

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40

Health Populi

MAY 8, 2019

In 2018, we saw more incentives to inspire adherence to prescription drug regimens, particularly in Medicare Part D along with increasing focus by pharmacists and providers. Just under 9% of patients across all three health plan types had over $500 in OOP costs in 2018.

Prescription Drug Pricing 63

Prescription Drug Pricing Medicare Medicare Health Insurance 63

Health Populi

DECEMBER 30, 2019

A few of the mainstreaming-of-SDoH signposts in 2019 were: Cigna studying and focusing in on loneliness as a health and wellness risk factor. Humana’s Bold Goal initiative targeting Medicare Advantage enrollees. CVS building out an SDOH platform , collaborating with Unite US for the effort.

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

This post updates my initial thoughts on the deal, given the morphing US healthcare market on both the traditional health services front and fast-evolving retail health environment. The nation’s largest retail pharmacy chain signed a deal to combine with one of the top three health insurance companies.

US Department of Health and Human Services 61

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

Hall Render

NOVEMBER 11, 2022

Like ordering from Amazon: Where health tech is heading, according to 3 CIOs. Medical groups to Biden: ED boarding at a ‘crisis point’ Nursing home groups request public health emergency extension. Physician leaders balk at Medicare 4.48% physician fee cut. Mixed findings for Florida from national health report.

US Department of Health and Human Services 40

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

Hall Render

FEBRUARY 24, 2023

Dunleavy adds $9M to budget to address food stamp, Medicaid backlog New study provides snapshot of increase in maternal deaths in Alaska Mental Health Trust Grants $1.6M NATIONAL Addressing Staff Burnout In Healthcare Design Amazon completes $3.9B grant to improve early cognitive decline detection via EHRs How Mass.

Nursing Homes 40

Nursing Homes COVID-19 Nurses Hospitals 40

Hall Render

JUNE 23, 2023

Michigan’s CCBHCs, Health Homes helping thousands receive quality whole-person care Sparrow hospitals get new names after Michigan Medicine acquisition Michigan Medicine Celebrates Construction Milestone for the D.

US Department of Health and Human Services 40

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

Health Populi

SEPTEMBER 4, 2024

He led the creation of the Northwell Health’s Center for Gun Violence Prevention in 2020. The post Where Democrats and Republicans Agree on Health Care Policies – From Medicare and Prescription Drugs to Gun Safety appeared first on HealthPopuli.com.

Medicare 62

Medicare Medicare Prescription Drug Pricing Public Health 62

Health Populi

OCTOBER 15, 2021

Drug price negotiation, say by the Medicare program, is a unifying public policy in the current era of political schisms in America, based on the findings in a special Kaiser Family Foundation (KFF) Health Tracking Poll conducted in late September-early October 2021.

Prescription Drug Pricing 71

Prescription Drug Pricing Medicare Medicare COVID-19 71

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. ” These prescriptions for lower pharma costs contrast with what most U.S. The graph is the Nasdaq U.S.

Prescription Drug Pricing 48

Prescription Drug Pricing Governance ACA Medicare 48

Kaiser Health News

AUGUST 12, 2022

The giant health care, climate, and tax bill expected to pass the House on Friday and be sent to the president for his signature won’t be as sweeping as the Democrats who wrote it had hoped, but it would help millions of Americans better afford their prescription drugs and health insurance.

Medicare 95

Medicare Medicare Prescription Drug Pricing Governance 95

Jane Sarashon

DECEMBER 20, 2023

As medical bills rise, overall health declines we learned from the 2023 PayMedix report, Healthcare Payments and Financial Disparities Study. And this is financial stress felt among patients who were covered by health insurance – not the uninsured per se.

Prescription Drug Pricing 72

Prescription Drug Pricing Medical Billing Health Insurance Public Health 72

Hall Render

JUNE 2, 2023

Health Care Trends Toward Progress in Hawai‘i Hawaii health system names COO IDAHO Cyberattack forces Idaho hospital to send ambulances elsewhere Idaho Free Clinics rally for Idahoans losing Medicaid Idaho hospitals hit by cyberattack, closed clinic National grant puts $600,000 toward Payette community’s health care needs Idaho Statewide HIE Changes (..)

US Department of Health and Human Services 40

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

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

NOVEMBER 5, 2018

They fought to erode key elements embedded in the law meant to protect health consumers’ rights: among them, health promotion, disease prevention, and public health; and the assurance that sick people would be covered by health insurance plans without prejudice. The fact is that most U.S.

Medicaid 78

Medicaid Medicaid ACA Health Insurance 78

Health Populi

NOVEMBER 7, 2018

Another healthcare issue that should get traction in this legislative environment is prescription drug pricing. Doggett has been drafting legislation to allow the government such authority for drugs covered by Medicare Part D. Idaho, Nebraska, and Utah voters also opted into Medicaid expansion.

Prescription Drug Pricing 40

Prescription Drug Pricing Medicaid Medicaid Medicare 40

Health Populi

JUNE 28, 2019

Harris and VP Biden on race, busing, and segregation — which in the larger public health context continue to have a direct impact on health equity, health disparities, and socio-economic status. Sanders explained that the vast majority of people will pay significantly less for health care than they do right now.

Medicare 74

Medicare Medicare Health Insurance Governance 74

Jane Sarashon

NOVEMBER 14, 2024

Health Care Post #Election2024,” I’ll focus on U.S. consumer dissatisfaction with drug prices — across political party identification. Let’s set the context with data from a recently-published study from Navitus Health Solutions exploring 2,000 U.S. than anywhere else in the world.

Prescription Drug Pricing 52

Prescription Drug Pricing ACA Health Insurance Medicaid 52