Health Populi

JANUARY 18, 2019

As patients continue to morph into consumers who pay for health care services, they are seeking price transparency — but not finding it so easy. And see here on JD Supra for more details on the rules.

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Prescription Drug Pricing Health Insurance Doctors Medicare 64

Health Populi

OCTOBER 8, 2019

Pricing failure, the second big waste factor, is predominantly challenged by pharmaceutical/prescription drug pricing based on this research. The Centers for Medicare and Medicaid Services (CMS) forecasts that prescription drug spending will be the fastest-growing cause of rising health spending by 2027.

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Prescription Drug Pricing Medicare Medicare ACA 104

Hall Render

APRIL 12, 2024

New president tapped to lead major hospital system in Denver area New president to lead opening of $650M hospital in Wheat Ridge Telehealth program offers support to forensic nurses Colorado Medicaid program settles lawsuit over lack of mental health care for children Colorado is trying to cut prescription drug prices.

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Healthcare Law Blog

FEBRUARY 22, 2023

All rebate payments will be deposited into the Medicare Prescription Drug Account in the Federal Supplementary Medical Insurance Trust Fund. The Rebate Programs implement inflation-based rebates for the Medicare program that mirror those under the Medicaid Drug Rebate Program. 9, 2023). [2] 11] See DOJ Press Release No.

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Medicare Medicare Medicaid Medicaid 52

Hall Render

JULY 22, 2022

Delaware Adds Centene Plan to Medicaid Managed Care Offerings. Key advocates reflect on Hawaii postpartum Medicaid coverage extension. Hospital System Says It’s Hurt by Lack of Medicaid Expansion. Medicaid expansion discussions return as Mississippi hospitals face financial struggles. Will health systems step up?

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Hall Render

FEBRUARY 25, 2022

Why some Medicaid providers in Colorado aren’t getting paid. Whitmer signs bills designed to lower prescription drug prices in Michigan. Missouri Takes Months to Process Medicaid Applications — Longer Than Law Allows. North Carolina legislative Medicaid expansion panel eyes worker shortages, hospitals.

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COVID-19 Nursing Homes Nurses Hospitals 40

Hall Render

FEBRUARY 18, 2022

Colorado mental health professionals incensed after Medicaid forum that was intended to clear the air. Florida health system settles improper Medicaid payment allegations for $5.5M. Bill on prescription drug pricing inspires support from Maine residents, opposition from pharmaceutical industry. MISSISSIPPI.

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COVID-19 Nursing Homes Nurses COVID-19 Vaccine 40

Health Law Advisor

MAY 22, 2023

1339) reflects the overarching legislative push by members from both sides of the aisle and chambers of Congress to address drug pricing issues through federal fixes to the PBM framework. Other provisions in the legislation are similar to policy proposals to regulate PBM activity in other payor markets, such as Medicaid.

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Medicaid Medicaid Medicare Medicare 52

Hall Render

NOVEMBER 11, 2022

Supreme Court Weighs Whether Medicaid Residents Can Sue State-Owned Nursing Homes. Arkansas governor announces rural health coverage with Medicaid program. CMS Approves Arkansas Medicaid Waiver to Address SDOH. Supreme Court to hear Indiana nursing home case involving Medicaid benefits. in prescription drug pricing case.

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US Department of Health and Human Services Nursing Homes COVID-19 Nurses 40

Hall Render

FEBRUARY 24, 2023

Dunleavy adds $9M to budget to address food stamp, Medicaid backlog New study provides snapshot of increase in maternal deaths in Alaska Mental Health Trust Grants $1.6M Dunleavy adds $9M to budget to address food stamp, Medicaid backlog New study provides snapshot of increase in maternal deaths in Alaska Mental Health Trust Grants $1.6M

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Nursing Homes COVID-19 Nurses Hospitals 40

Medval Compliance Blog

SEPTEMBER 1, 2021

The Centers for Medicare & Medicaid Services (CMS) has identified 70 services that must be included in the list. In contrast, prescription drug prices could be high in some instances, as pharmacy benefit managers may not be getting the best pricing for drugs from a particular pharmacy.

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Prescription Drug Pricing Medicare Medicare Hospitals 52

Hall Render

JUNE 23, 2023

Greenwich Hospital Ribbon Cutting Celebrates Opening of New Pediatric Ambulatory Surgery Center Hartford HealthCare names Joanne Berger-Sweeney new board chair What changes did CT make to its Medicaid program in 2023? Here’s what we know. Some patients die waiting.

US Department of Health and Human Services 40

US Department of Health and Human Services Nurses Hospitals Nursing Homes 40

Health Populi

MAY 8, 2019

Adherence is not equal across every state in America, IQVIA Institute learned: for major chronic conditions of hypertension, cholesterol and diabetes, adherence was a low of around 50% among Medicaid enrollees in Arkansas, Iowa and New York; and as high approaching 90% in Minnesota for Medicare Part D enrollees in that state.

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Prescription Drug Pricing Medicare Medicare Health Insurance 59

Health Populi

MAY 14, 2018

This is what happened to pharma stock prices on Friday after President Trump and Secretary of Health and Human Services Alex Azar outlined their new policies focusing on prescription drug prices. The graph is the Nasdaq U.S.

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Prescription Drug Pricing Governance ACA Medicare 48

Health Populi

JUNE 18, 2020

Kesselheim, are affiliated with the London School of Economics and Brigham and Women’s Hospital in Boston, note that 1% of medicines dispensed under Medicare Part D and Medicaid accounted for nearly $1 in $3 of drug spending in each program in 2015. bn for Medicaid. bn to $32.8 bn to $9.9

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Prescription Drug Pricing COVID-19 Medicaid Medicaid 76

Health Populi

OCTOBER 19, 2020

Women, being Chief Health Officers of their Families, influencing 80% of health care decisions, well know how to connect the dots between health care costs and their household financial wellness.

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COVID-19 Health Insurance Prescription Drug Pricing ACA 105

Jane Sarashon

DECEMBER 20, 2023

Complementing this effort, Kroger also launched a personalized health and nutrition program collaborating with Soda Health earlier in December – importantly, aimed at people enrolled in Medicaid and Medicare programs.

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Prescription Drug Pricing Medical Billing Health Insurance Public Health 67

Health Populi

DECEMBER 6, 2023

The future of Medicare and Medicaid as well as access to mental health care also rank high among two-thirds of U.S. Stay tuned to IRA components addressing prescription drug costs, and Medicare and Medicaid status (provider payments for the former, state-level moves for the latter).

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Prescription Drug Pricing Medicaid Medicaid ACA 81

Hall Render

JUNE 2, 2023

operating margin, $579M net gain for its first post-merger quarter GE HealthCare invests in augmented reality firm on ‘X-ray vision’ technology Marshfield Clinic reports $32.6M

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US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Kaiser Health News

AUGUST 12, 2022

Never before have we been able to negotiate prescription drug prices. Under the bill, all vaccines recommended by the federal Advisory Committee on Immunization Practices will be fully covered by Medicare, as well as by Medicaid and the Children’s Health Insurance Program. “It’s historic.

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Medicare Medicare Prescription Drug Pricing Governance 88

Health Populi

NOVEMBER 5, 2018

Lowering the costs of care, ensuring the integrity of Medicare benefits, ensuring that low-income people don’t lose Medicaid coverage, and lowering prescription drug prices gain majority support across all health care voters who say health care is extremely important in the choice for members of Congress this year.

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Medicaid Medicaid Health Insurance ACA 76

Health Populi

AUGUST 28, 2019

In fact, Democrats’ keen concern for several health care issues — at the top of that list, prescription drug prices, guaranteed coverage for pre-existing conditions, and women’s health care access — drove many voters to the polls in the 2018 mid-term elections.

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Medicare Medicare ACA Prescription Drug Pricing 94

Health Populi

NOVEMBER 7, 2018

While we have a divided government via split legislature, one winner in the 2018 midterm outcome is Medicaid. In these midterms, governors flipped from Republican to Democrat in Kansas, Maine and Wisconsin, all of whom promised to expand Medicaid through the Affordable Care Act.

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Prescription Drug Pricing Medicaid Medicaid Medicare 39

Health Populi

JUNE 28, 2019

“Millions do not have health insurance as they make too much money to get on Medicaid.” ” Lower my drug prices. The cover theme of the May 2019 AARP Bulletin focused on “the fight to lower prescription drug prices,” saying that, “medicine can be made more affordable.

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Medicare Medicare Health Insurance Governance 70