Compliancy Group

SEPTEMBER 25, 2024

PBM services also include negotiating or administering rebates, discounts, or similar incentives on behalf of health plans. PBMs determine the prescription drug prices that insurers pay and the payments that pharmacies receive. PBMs are often referred to as “middlemen.” PBMs wear many hats.

Prescription Drug Pricing 52

Prescription Drug Pricing HIPAA Compliance Health Insurance 52

Health Populi

JANUARY 18, 2019

Health Populi’s Hot Points: The top employee benefit workers value is health insurance, shown in the latest EBRI survey into health and workplace benefits published last week. EBRI also found in this study that most workers said the most important benefit in making a job decision is health insurance.

Prescription Drug Pricing 66

Prescription Drug Pricing Health Insurance Doctors Medicare 66

Health Populi

JUNE 30, 2023

Take prescription drugs pushing medical trend upward.

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Prescription Drug Pricing COVID-19 ACA Hospitals 87

Jane Sarashon

JANUARY 24, 2023

” These two programs come from outside of the legacy health care system of so-called incumbents — hospitals, health systems, health insurance — leveraging two brand-names beloved to many consumers for convenience, price transparency, and sheer cost. First, check out Amazon Pharmacy’s RxPass.

Prescription Drug Pricing 59

Prescription Drug Pricing Hospitals Health Insurance 59

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. Consumers will be facing greater medical price inflation in 2023 for health insurance plans, based on the latest forecast from WTW. Walmart) to do so, as well.

COVID-19 54

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

Health Populi

OCTOBER 8, 2019

More savings would accrue through the quicker adoption of value-based payment models, the authors assert, where clinicians take on financial risk for managing population health. Pricing failure, the second big waste factor, is predominantly challenged by pharmaceutical/prescription drug pricing based on this research.

Prescription Drug Pricing 108

Prescription Drug Pricing Medicare Medicare ACA 108

Health Law Advisor

MAY 26, 2023

On May 18, 2023, the Federal Trade Commission (FTC) filed a Notice of Proposed Rulemaking and Request for Public Comment (“NPRM”) seeking to amend the Health Breach Notification Rule (“HBNR”). Commissioner Phillips has since resigned.

Prescription Drug Pricing 52

Prescription Drug Pricing HIPAA Health Insurance Compliance 52

Health Populi

DECEMBER 30, 2019

As I pointed out in my 2020 Health Populi trendcast , the private sector is taking on more public health initiatives as policy progress at the Federal level feels frozen. Ironically, more social spending by the public sector could help address health outcomes for people, something for which we’ve had evidence for many years.

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

Health Populi

MAY 8, 2019

We agreed — prescription drug pricing, from the patient’s point of view, is complicated, indeed. “A therapy is useless if no one can afford it,” asserted Cathryn Donaldson from AHIP, the health insurance advocacy group, quoted in the story.

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Prescription Drug Pricing Medicare Medicare Health Insurance 63

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

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

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 to resolve fraudulent lab testing allegations Lilly to invest another $4.5B to make breast cancer treatments safer St.

US Department of Health and Human Services 40

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

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] 2d 327 (2020). [4] 1339 may apply to the different plan types. [7] 7] Amendment from Sen.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

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. The graph is the Nasdaq U.S.

Prescription Drug Pricing 48

Prescription Drug Pricing Governance ACA Medicare 48

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

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.

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

Health Populi

OCTOBER 19, 2020

Women were surveyed on perspectives for health care in America in the wake of the COVID-19 pandemic, the prospects for the Affordable Care Act and health insurance security, and views on health, well-being, and health care. Women identified the top five personal health issues they face as: Mental health.

COVID-19 105

COVID-19 Health Insurance Prescription Drug Pricing ACA 105

Health Populi

MARCH 13, 2019

Furthermore, the difference in information seeking between more educated Americans versus less could exacerbate health disparities and the inequities of health literacy. Finally, to the fourth paper, looking at the roles of assisters and automated decision support tools in consumers’ health insurance marketplace choices.

ACA 102

ACA Health Insurance Prescription Drug Pricing Bioethics 102

Hall Render

NOVEMBER 11, 2022

Rogers Behavioral Health opens first Colorado location in Arapahoe County. As RSV cases fill Colorado hospitals, health officials preparing for respiratory illness ‘trifecta’. Cost of health insurance on Colorado’s marketplace to rise 10% next year. in prescription drug pricing case. MISSISSIPPI.

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

Nursing Homes 40

Nursing Homes COVID-19 Nurses Hospitals 40

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. Health Populi’s Hot Points: What most U.S.

Prescription Drug Pricing 74

Prescription Drug Pricing ACA Health Insurance Governance 74

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

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

Kaiser Health News

SEPTEMBER 9, 2024

She and other farmworkers told Becerra they need guaranteed sick leave — to care for themselves when the smoke and heat sickens them — and affordable health insurance. Healthbeat is a nonprofit newsroom covering public health published by Civic News Company and KFF Health News.

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

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 96

Medicare Medicare Prescription Drug Pricing Governance 96

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

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

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

MAY 10, 2018

2017 reversed advancements in health insurance coverage increases since the advent of the Affordable Care Act, and for the first time since 2014 no states’ uninsured rates fell. Health Populi’s Hot Points: It’s insightful and correct that Gallup posts this survey on the uninsured under the tab, “Well-Being.”

Health Insurance 75

Health Insurance Prescription Drug Pricing Medical Billing Governance 75

Bill of Health

DECEMBER 3, 2024

This article explores the role of PBMs in the health care system and potential next steps for federal reform. PBMs: The Health Care Middlemen PBMs act as intermediaries among pharmaceutical companies, drug wholesalers, pharmacies, and health insurers.

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Prescription Drug Pricing Health Insurance Governance 174

Health Populi

JULY 12, 2019

We must hasten to add that Rx CPI was driven down by the influence of generic drug prices in the past year]. [We We must hasten to add that Rx CPI was driven down by the influence of generic drug prices in the past year].

Prescription Drug Pricing 76

Prescription Drug Pricing Health Insurance Hospitals ACA 76

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 Health Insurance ACA 78

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

Health Populi

NOVEMBER 7, 2018

Another healthcare issue that should get traction in this legislative environment is prescription drug pricing. In these midterms, governors flipped from Republican to Democrat in Kansas, Maine and Wisconsin, all of whom promised to expand Medicaid through the Affordable Care Act.

Prescription Drug Pricing 40

Prescription Drug Pricing Medicaid Medicaid Medicare 40

Health Populi

JUNE 28, 2019

” Buttigieg would call it “Medicare for All Who Want It,” made available on health insurance exchanges. and Canada have some private insurance. Biden, too, told his personal story of family health trauma and financial coverage with health insurance. Even countries like the U.K.

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Medicare Medicare Health Insurance Governance 74