Policy and Legislation
Regulatory changes for 2019 could save health plans up to $54 million a year, CMS says.
States with at least 85% of their Medicaid population in managed care could implement nominal payment cuts without ensuring providers will assure access to care.
Specialists say legislation is needed to grow workforce and hold pharmacy benefit managers accountable for driving prices up for consumers.
There's "no perceivable benefit" to patients as the chargemaster "rack rate" is not a reflection of what they'll end up paying, experts say.
Senate committee is taking a closer look at the drug discount program.
Medicaid waivers will not include lifetime limits, says CMS Administrator Seema Verma.
New research suggests members shifting out of Affordable Care Act marketplaces would drive ACA claims upward.
Strategies include increased competition and negotiation with incentives to lower list prices and out-of-pocket costs, HHS Sec. Alex Azar says.
The final rule will override state laws to create a nationwide telehealth program to improve care access and reduce wait times for veterans.
Health and Human Services Secretary Alex Azar's proposal would cut funding to the CDC and NIH, focus on opioid epidemic and drug pricing.