Bill of Health

OCTOBER 7, 2022

County-level variation in cardioprotective antihyperglycemic prescribing among medicare beneficiaries. Reforming Patient Cost Sharing for Cancer Medications in Medicare Part D. New Reforms to Prescription Drug Pricing in the US: Opportunities and Challenges. Am J Prev Cardiol. 2022 Aug 2;11:100370. Lancet Oncol.

Prescription Drug Pricing 130

Prescription Drug Pricing FDA Medicare Medicare 130

Health Populi

APRIL 26, 2019

Health Populi’s Hot Points: The third chart illustrates that pharma pricing is a unifying force across older voters across the three political parties. consumers to import cheaper prescription drugs from other countries. While deep understanding of how U.S.

Prescription Drug Pricing 59

Prescription Drug Pricing Medicare Medicare Governance 59

Health Populi

AUGUST 28, 2019

These two surveys are: The Morning Consult’s poll published today finding growing support among Democratic voters for Medicare for All as the centerpiece for health reform in America; and, A recent study from Eligibility.com on “Medicare Myths Explained,” with the tagline, “How much do you know about Medicare?”

Medicare 99

Medicare Medicare ACA Prescription Drug Pricing 99

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

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.

Prescription Drug Pricing 108

Prescription Drug Pricing Medicare Medicare Health Insurance 108

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 Medicaid Medicaid Medicare 52

Healthcare It News

APRIL 28, 2022

"With prescription drug prices rising at every turn, patients need price transparency and the ability to discuss options with their doctors during office visits," Davis advised. ADVICE FOR OTHERS.

Prescription Drug Pricing 250

Prescription Drug Pricing Hospitals Medicare Medicare 250

Health Populi

OCTOBER 15, 2021

Drug price negotiation, say by the Medicare program, is a unifying public policy in the current era of political schisms in America, based on the findings in a special Kaiser Family Foundation (KFF) Health Tracking Poll conducted in late September-early October 2021.

Prescription Drug Pricing 71

Prescription Drug Pricing Medicare Medicare COVID-19 71

HIT Consultant

JANUARY 21, 2022

An AARP report finds in 2020 that the price of hundreds of brand-name medications rose more than twice as fast as inflation. Part of Biden’s Build Back Better plan would enforce an annual out-of-pocket cap on what people on Medicare pay for their prescription drugs. Partnership Details.

Prescription Drug Pricing 95

Prescription Drug Pricing Medicare Medicare 95

Kaiser Health News

JULY 21, 2022

But work continues, particularly on a Senate bill that could, for the first time, allow Medicare to negotiate prescription drug prices and cap seniors’ out-of-pocket medication costs. The bill, which hasn’t been released in full, will include only those provisions that have been approved by Sen.

Medicare 82

Medicare Medicare Prescription Drug Pricing COVID-19 82

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. Unlike the IRA, which targeted the Medicare program, the provisions of S. 1339, adding several new amendments to create the version of S.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Health Populi

SEPTEMBER 9, 2022

The decline of the pharma industry reputation is an important reality-check here given that even Republican voters have been keen to see greater regulation of prescription drug pricing in recent health tracking polls.

Prescription Drug Pricing 62

Prescription Drug Pricing Health Insurance Medical Billing Medicare 62

Health Populi

MARCH 6, 2019

is prescription drug prices — that they’re too high, that the Federal government should negotiate to lower costs for Medicare enrollees, and that out-of-pocket costs for drugs should be limited. The biggest culprit/contributor to prescription drug prices? consumers were asked.

Prescription Drug Pricing 59

Prescription Drug Pricing Governance Medicare Medicare 59

Health Care Law Brief

JANUARY 19, 2022

On December 31, 2021, New York Governor Kathy Hochul signed landmark legislation to increase the transparency of prescription drug pricing and to establish requirements on pharmacy middlemen. Medicare and Medicaid have had similar price transparency rules, but now those rules will apply across all lines of business in New York.

Prescription Drug Pricing 52

Prescription Drug Pricing Medicaid Medicaid Compliance 52

Health Populi

APRIL 30, 2021

As such, the debate on prescription drug pricing in the U.S. is heating up, with President Biden mentioning the scenario of Medicare negotiating drug prices with pharmaceutical manufacturers in his latest speech measuring progress at 100 days in the White House.

COVID-19 62

COVID-19 Prescription Drug Pricing Medicare Medicare 62

Health Populi

OCTOBER 24, 2022

health care system not seen since the 1968 creation of Medicare, coupled with decreased reimbursement due to health care reform. The XY supply demand curve shown above from Trilliant’s analysis illustrates a government price ceiling shock to health care pricing.

Health Insurance 54

Health Insurance COVID-19 Prescription Drug Pricing Health Care Reform 54

Health Populi

OCTOBER 28, 2019

When asked what factors contribute to rising health care costs in America, most consumers cite the cost of prescription drugs. Taken together, these two data points demonstrate the potent political import of prescription drug prices as the U.S. approaches the 2020 Presidential election.

Hospitals 54

Hospitals Prescription Drug Pricing Medical Billing Pharmaceutical Industry 54

Health Populi

JANUARY 18, 2019

As the Harvard Chan-POLITICO study points out, prescription drug costs are top-of-mind for health consumers in America. 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.

Health Insurance 66

Health Insurance Prescription Drug Pricing Medicare Medicare 66

Health Populi

FEBRUARY 4, 2020

voters’ priorities, across political party – prescription drug prices. voters in 2020 quite like supporting Medicare’s ability to negotiate drug prices with pharmaceutical companies, shown by the October 2019 Kaiser Family Foundation Health Tracking Poll. Few issues unite U.S.

Prescription Drug Pricing 83

Prescription Drug Pricing Medicare Medicare Health Insurance 83

Hall Render

NOVEMBER 11, 2022

Physician leaders balk at Medicare 4.48% physician fee cut. Bright Health exiting Florida Medicare Advantage market. in prescription drug pricing case. Duke LifePoint hospital at risk of losing its Medicare contract — again. Wilson hospital again facing federal threat to end Medicare contract.

US Department of Health and Human Services 40

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

Hall Render

FEBRUARY 24, 2023

NATIONAL Addressing Staff Burnout In Healthcare Design Amazon completes $3.9B Staff shortages could spur next public health crisis, Baystate Health CEO warns CommonSpirit, Mass General, Moffitt execs to judge telehealth challenge Brigham and Women’s, AI company get $2.5M grant to improve early cognitive decline detection via EHRs How Mass.

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40

Health Populi

FEBRUARY 8, 2023

We capped the cost of insulin at $35 a month for seniors on Medicare. But there are millions of other Americans who are not on Medicare, including 200,000 young people with Type I diabetes who need insulin to save their lives. For example, one in ten Americans has diabetes. Not anymore. Let’s finish the job this time.

Prescription Drug Pricing 146

Prescription Drug Pricing Medicare Medicare 146

Hall Render

FEBRUARY 25, 2022

The 55 hospitals penalized by Medicare 8 years straight over patient complications. Medicare penalizes 40 hospitals in Florida for patient safety. Whitmer signs bills designed to lower prescription drug prices in Michigan. Ohio ASC, health system to pay $3M to settle improper Medicare claims allegations.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

Hall Render

JUNE 2, 2023

Health Care Trends Toward Progress in Hawai‘i Hawaii health system names COO IDAHO Cyberattack forces Idaho hospital to send ambulances elsewhere Idaho Free Clinics rally for Idahoans losing Medicaid Idaho hospitals hit by cyberattack, closed clinic National grant puts $600,000 toward Payette community’s health care needs Idaho Statewide HIE Changes (..)

US Department of Health and Human Services 40

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

Hall Render

FEBRUARY 18, 2022

13-year Medicare payment dispute will return to HHS, court rules. A layoff list, expired medicine, neglected patients: Illinois hospital loses Medicare contract. Bill on prescription drug pricing inspires support from Maine residents, opposition from pharmaceutical industry. 64M VA health clinic opens in Portland.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

Hall Render

JULY 22, 2022

CMS releases Medicare OPPS and ASC proposed rule. Long Beach Memorial avoids losing Medicare funding after serious patient care lapses. Rising prescription drug prices contributed to 49% jump in Oregon healthcare costs over 6-year period: report. CMS pitches outpatient payment rule. CMS proposes 2.7% PENNSYLVANIA.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

Health Populi

APRIL 10, 2019

In typical markets, as products mature and get mass adoption, prices fall. But then prescription drug pricing doesn’t conform with how typical markets work in theory. The study analyzed medical claims for millions of patients, both commercially insured and enrolled in Medicare. of family income.

Prescription Drug Pricing 121

Prescription Drug Pricing Medicare Medicare Governance 121

Health Populi

JUNE 28, 2019

Sanders, noting his call for big new government benefits like universal health care through Medicare for All and free college tuition. Senator Harris, too, mentioned government benefits like free college and Medicare for All as her health plan preference. Instead, he is for “Medicare for All Who Want It,” in his words.

Medicare 74

Medicare Medicare Health Insurance Hospitals 74

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.

Medicare 52

Medicare Medicare Hospitals Prescription Drug Pricing 52

Health Populi

MAY 8, 2019

In 2018, we saw more incentives to inspire adherence to prescription drug regimens, particularly in Medicare Part D along with increasing focus by pharmacists and providers. For people enrolled in Medicare Part D, 20% faced over $500 in OOP costs. A cost of $125 or more yields abandonment of at least 50%.

Medicare 63

Medicare Medicare Prescription Drug Pricing Health Insurance 63

Health Populi

DECEMBER 30, 2019

Humana’s Bold Goal initiative targeting Medicare Advantage enrollees. Even seemingly popular plan ideas like prescription drug pricing and coverage for pre-existing conditions can’t get traction in Congress or through the White House’s executive pen.

US Department of Health and Human Services 130

US Department of Health and Human Services Prescription Drug Pricing Public Health Medicare 130

Health Populi

OCTOBER 12, 2018

Since the CVS+Aetna announcement last December, the Kaiser Family Foundation ran some numbers on how the merged organization could impact Medicare — a key payor for both health insurance and prescription drugs under Part D. The Academy convened a team with experience and gravitas to inform this report.

US Department of Health and Human Services 61

US Department of Health and Human Services Health Insurance Medicare Medicare 61

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. ” These prescriptions for lower pharma costs contrast with what most U.S. The graph is the Nasdaq U.S.

Prescription Drug Pricing 48

Prescription Drug Pricing Medicare Medicare ACA 48

Health Populi

DECEMBER 20, 2019

The House passed its prescription drug bill earlier this month, named the Elijah E. The biggest known-unknown for 2020 is politics on the macro/national U.S. level, and then the tighter lens on health politics and health policy. This legislation passed with universal votes from Democrats plus two Republicans.

Public Health 96

Public Health Prescription Drug Pricing Medicare Medicare 96

Health Populi

MARCH 13, 2018

President Trump made clear on the campaign trail and in his interview with TIME magazine as Person of the Year that pharmaceutical companies’ pricing needed to be reined in using government pressure.

Prescription Drug Pricing 67

Prescription Drug Pricing FDA Medicare Medicare 67

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.

Medicaid 78

Medicaid Medicaid Health Insurance ACA 78

Health Populi

NOVEMBER 7, 2018

Another healthcare issue that should get traction in this legislative environment is prescription drug pricing. Doggett has been drafting legislation to allow the government such authority for drugs covered by Medicare Part D. Idaho, Nebraska, and Utah voters also opted into Medicaid expansion.

Medicaid 40

Medicaid Medicaid Prescription Drug Pricing Medicare 40