Health Care Reform

Incentives for alternative payment models, which Congress created in 2015 to help providers move into new payment models that encourage high quality, cost-effective care, will expire Dec. 31 unless lawmakers extend it.

The lawsuit, which alleges that the pharmacy benefit manager colluded with Prime Therapeutics to charge higher fees, comes weeks after an independent pharmacy association launched an investigation into PBM fees.

Lawmakers took the first step last week to address longstanding issues with how much Medicare should pay doctors, as the Centers for Medicare & Medicaid Services proposed a 3.3% cut to Medicare payments for 2024.

For a monthly fee, GNC Health is offering members low-cost virtual health care for urgent conditions, primary care appointments, mental health, physical therapy, and $0 prescription medications.

When employers were asked about strategies for managing costs for 2024, utilization control initiatives, such as prior authorization, case management, disease management and nurse advice lines took center stage, says a new report.

Given recent increased litigation and its impact on the regulatory environment, benefits consultants and plan sponsors should rethink their past decisions to simply comply with the No Surprises Act (NSA).