Consumer Driven Health Care

In January, the Biden administration pledged to increase public access to Medicare information to conduct research studies that can influence public health reforms, but this week the CMS announced a proposal to diminish access.

The suit is part of a wave of cases, including suits against UnitedHealth and Cigna, challenging health insurers' denial of coverage for inpatient mental health and substance abuse treatment for mentally ill teenagers and young adults.

The amount an organization can absorb on behalf of their employees will depend on the market data, trends and individual company size.

Finding affordable family-forming programs for certain vulnerable or under-served employee populations represents an opportunity for brokers and advisors to be more strategic about serving their employer clients.

PhRMA argued that the Inflation Reduction Act delegated too much power to HHS, however, the DOJ said the industry association lacked standing because it doesn't manufacture or sell prescription drugs.

For years, Medicare has paid hospitals double the rates it pays other providers for the same services, such as colonoscopies and blood tests, but a new House bill requires Medicare to pay the same rates for such services.