Healthcare Law Blog

JUNE 2, 2023

In the underlying Seventh Circuit cases, relators alleged that retail pharmacies had knowingly submitted false reports of their Usual and Customary (“U&C”) drug prices to the government for reimbursement under Medicare Part D and Medicaid, because the reports allegedly did not account for discounted drug prices offered through certain prescription (..)

Prescription Drug Pricing 52

Prescription Drug Pricing Governance Medicaid Medicaid 52

Healthcare Law Blog

FEBRUARY 22, 2023

The Rebate Programs are administered as part of the prescription drug affordability provisions of the Inflation Reduction Act (the “IRA”), which is aimed at “lower[ing] out-of-pocket drug costs for people with Medicare and improv[ing] the sustainability of the Medicare program for current and future generations.” [1]

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Medval Compliance Blog

SEPTEMBER 1, 2021

Recognizing the mounting attention given to hidden fees and surprise billing, on June 24, 2019, former President Trump signed an executive order (EO) directing the Department of Health and Human Services (and additional agencies) to take steps to improve price and quality transparency in healthcare. Medicare Set-Aside Considerations.

Prescription Drug Pricing 52

Prescription Drug Pricing Medicare Medicare Hospitals 52

Jane Sarashon

DECEMBER 20, 2023

At the end of each year since I launched the Health Populi blog, I have put my best forecasting hat on to focus on the next year in health and health care. At this moment, the price of gas at the pump was playing a big role in U.S. There’s a sort of health care “shrinkflation” that has been shaping patients-as-payors of medical bills.

Prescription Drug Pricing 72

Prescription Drug Pricing Medical Billing Health Insurance Public Health 72

Health Populi

NOVEMBER 5, 2018

In my 11 years of writing every one of over 2,000 Health Populi posts on this blog, I have never, ever mentioned the “f-word” here. There will be major health care access implications based on who is voted into their State leadership positions specifically on whether Governors will expand Medicaid to health citizens.

Medicaid 78

Medicaid Medicaid Health Insurance ACA 78