Employee-Paid

The Centers for Medicare & Medicaid Services made "historic strides" in making health care and prescription drugs affordable, said Administrator Chiquita Brooks-LaSure, who updated stakeholders about CMS's accomplishments.

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.

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.