Consumer Driven Health Care

While the $20-a-month cost for Opill will likely be covered by health insurance with a prescription from a doctor, it may also be available for reimbursement under FSA or HSA accounts, depending on individual employer restrictions.

For now, insurers and employers are still not required to cover certain free preventive care services, such as cancer screenings and HIV-preventing medications, until the federal appeals court makes its decision later this year.

The Centers for Medicare & Medicaid Services is assisting providers that are struggling financially during what the AMA calls the "most significant and consequential incident of its kind against the U.S. health-care system in history,"

President Joe Biden made health care affordability a centerpiece of Thursday evening's address, announcing he is calling on Congress to expand the $2,000 out-of-pocket Medicare prescription cap to all private insurance.

Cost Plus Drugs CEO Mark Cuban was invited to the White House, along with other business and government leaders, to discuss PBM reform, while a trade group for pharmacy benefit managers said they were not invited.

The 3 federal agencies all but declared war Tuesday on private equity firms' growing ownership and control of health care at an FTC forum, as PE firms have spent more than $1 trillion on health care acquisitions over the past decade.

More and more employers are considering covering these drugs when prescribed for weight loss, while implementing certain "guardrails" to manage cost and improve health outcomes.

Sen. Chuck Schumer has urged the Centers for Medicare & Medicaid Services to intervene in response to the crippling health care ransomware attack by issuing advance payments to providers to lessen their financial burden.