Reimbursement
Letter to CEO Andrew Witty follows report of DOJ launching investigation into the company's billing methods.
The FTC maintains that PBMs systematically prefer high list price insulin products with high rebates and fees over low list products.
Sequestration and bad debt reimbursement continue to place added pressure on revenues.
Challenges include technology gaps, provider shortages and reliance on data, the paper finds.
A 2.8% payment cut went into effect on January 1 after a spending bill stripped a provision to prevent the decrease.
The figure of 190 million people has been amended from past estimates, which put the total at about 100 million.
UnitedHealth had won its case over a secret shopper phone call that lowered its MA star rating from 5 to 4 stars.
AMA says it's unbelievable that insurance companies are getting a pay increase while physician practices are struggling to survive.
Enhanced tax credits that allow for low ACA premiums expire at the end of 2025.
All commercial prescriptions dispensed at CVS Pharmacy will be reimbursed through CVS CostVantage.