PharmaAGs Urge Federal Action on PBM 'Abuses'
A bipartisan coalition of 39 AGs wants Congress and the FTC 'to ensure fulsome regulation of PBMs nationwide.'
PharmaPatients See First Savings From Biden's Drug Price Push, as Pharma Lines Up Its Lawyers
The law represents the most significant overhaul for the U.S. drug marketplace in decades.
PayerCMS Pumps the Brakes on AI for MA Plans
CMS is cracking down on AI use in Medicare Advantage.
InnovationCongress Eyes Expansion of Hospital at Home Care Model
A new bill before Congress would create a pilot program to examine whether the Hospital at Home care model could...
PayerThree Things Shaking Up Medicare Advantage
Medicare Advantage has seen a lot of turbulence recently.
PharmaHHS Opens Drug Price Dickering
With newfound authority granted by the IRA, HHS bids on 10 drugs selected for the first round of negotiations.
PayerCigna Sells Medicare Business to HCSC for $3.7B: What It Means
What the $3.7 billion dollar deal means for each company.
PayerMedicare Certifies Hospices in California Despite State Ban on New Licenses
The agency has rolled out sweeping changes to target end-of-life care providers that were billing for unneeded services, but some...
PayerACA Enrollment Hits 20.4M ─ And Counting
A record 20 million Americans signed up for marketplace health insurance, and that number is expected to grow.
InnovationSupport Grows for Making the Hospital at Home Program Permanent
A study released today by researchers at Mass General Brigham focuses on the safety and quality of care in the...
PayerMedicare Advantage: Too Big For Its Own Good?
Medicare Advantage has gained substantial popularity over recent years, but its growth may prove to not be the best trajectory...
StrategyCommunity Health Network Settles False Claims Allegations for $345M
The Indianapolis-based nonprofit system has admitted no wrongdoing.