Consumer Driven Health Care

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.

One key to success with transitioning to RBP is to secure buy-in throughout the firm, from employees to the C-suite - and as workers understand the financial benefits, they often become the best salespeople for their co-workers.

The new state regulations are aimed at increased transparency to consumers and employers, as well as rooting out spread-pricing, which enables PBMs to charge pharmacists higher prices than they pay to manufacturers.

Employers should invest time in understanding how precision medicine is addressed in their health plan and benefits strategy today.

Patients have been reporting mysterious claims to Medicare for months of catheters they never ordered or received, which led to a massive spike in billing the accounts of more than 450,000 Medicare beneficiaries in 2023.

Artificial intelligence could do more harm than good without careful oversight, according to the Senate Finance Committee, which met to address how to prevent algorithmic bias and unfair care denials by health plans.

According to the report, the state with the highest rate of private-sector employees choosing HDHPs in 2022 was South Dakota.