Washington state announced this week that it had requested a waiver from the federal government to allow currently ineligible immigrants to receive health insurance through the state marketplace exchange – a move that could cost Washington taxpayers up to $1 billion per year.
WASHINGTON -- Medicare recipients will get a premium reduction — but not until next year — reflecting an overestimate in costs of covering an expensive and controversial new Alzheimer's drug.
A case asking whether insurers and pharmacy benefit managers face ERISA liability when negotiating drug prices doesn’t merit US Supreme Court review, according to a federal government brief advising the justices to skip a case involving Anthem Inc. and Express Scripts Inc.
Since 2021, in an effort to encourage greater transparency in the prescription drug industry, there has been a national trend toward increased state licensing and regulation of Pharmacy Benefit Managers (PBMs). PBMs are paid third-party administrators of prescription drug coverage for insurers and employers.
People who buy their own health insurance in Maryland may find again that they must pay more next year, likely due to costs from the coronavirus pandemic. The three carriers offering policies on Maryland’s health exchange or directly to consumers under the Affordable Care Act requested rate increases from state insurance regulators averaging 11%.
