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 Governance Medicare Medicare 59

Mobi Health News

APRIL 19, 2024

Doug Hirsch, cofounder and chief strategy officer at GoodRx, sat down with MobiHealthNews to talk about reducing prescription drug prices through partnerships.

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Prescription Drug Pricing 111

Fierce Healthcare

MARCH 7, 2024

Healthcare policy wins and promises of further action on prescription drug prices, insurance coverage and reproductive care access are primed for the spotlight when President Joe Biden takes the ro | Speech previews from the White House celebrate and call for expansions to the Inflation Reduction Act.

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Prescription Drug Pricing 108

Fierce Healthcare

JULY 26, 2023

In a largely harmonious Senate Committee on Finance markup hearing, members supported bipartisan efforts to rein in pharmacy benefit managers (PBMs) that they say operate without transparency to dr | The Senate wants to improve transparency surrounding pharmacy benefit managers and bring down prescription drug prices for the average person.

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Prescription Drug Pricing 98

Health Populi

JUNE 10, 2025

health policy of (1) prescription drug pricing reforms coupled with (2) legislation being considered/reconsidered/reconciled for the future of Medicaid. .” I can’t help trying to shake off a sort of simultaneous déjà vu in this statement when working now on the dual challenges in U.S.

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Prescription Drug Pricing Medical Billing Medicaid Medicaid 62

Bill of Health

OCTOBER 7, 2022

New Reforms to Prescription Drug Pricing in the US: Opportunities and Challenges. Reforming Patient Cost Sharing for Cancer Medications in Medicare Part D. JAMA Oncol. 2022 Aug 4. Epub ahead of print. Hwang TJ, Kesselheim AS, Rome BN. 2022 Aug 19. Epub ahead of print. Lumpkin MM, Hamburg MA, Schultz WB, Sharfstein JM.

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Prescription Drug Pricing FDA Medicare Medicare 130

HIT Consultant

DECEMBER 5, 2023

This innovative approach will establish a transparent formula for drug cost and reimbursement, moving away from the traditional complex and opaque pricing structure.

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Prescription Drug Pricing 98

Healthcare IT News - Telehealth

JANUARY 25, 2023

OptumRx launched Price Edge, a tool that compares pricing for traditional generic drugs to ensure members get the lowest prescription drug prices. It's a new year, and healthcare technology vendors are rolling out their latest innovations, market approvals, acquisitions and staffing shake-ups.

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Prescription Drug Pricing Doctors FDA Health Insurance 159

Health Populi

OCTOBER 14, 2024

For Tier 3, only applicable to plans with three or more tiers, the average copay is $65 and coinsurance 35%; and, For Tier 4, again for plans with 3 or more tiers, the average copay is $128 and coinsurance a 33% share (generally applicable to specialty drugs).

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Health Insurance Prescription Drug Pricing COVID-19 Governance 62

Health Populi

JANUARY 29, 2019

Health Populi’s Hot Points: I introduced this post noting today is the first of what will be a long and deep look into prescription drug pricing in America. Federal government has proposed a sweeping set of pricing reforms for government programs with varying levels of impact and probability of being enacted.”

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Prescription Drug Pricing FDA Patient Advocacy Governance 101

Healthcare IT Today

APRIL 7, 2023

Real-time Prescription Benefit High prescription drug prices create affordability challenges for patients and the health care system as a whole.

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US Department of Health and Human Services Prescription Drug Pricing Hospitals 107

HIT Consultant

SEPTEMBER 28, 2022

What You Should Know: – Prescryptive Health , a health tech company empowering consumers with prescription drug pricing data, has acquired Northwest Pharmacy Services Inc, a full-service, non-profit Pharmacy Benefit Manager. NWPS serves over 44,000 members in the Pacific Northwest.

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Prescription Drug Pricing 52

Center for Health Insurance Reform

JANUARY 9, 2025

This month we read about prescription drug pricing and the impacts of rebates on consumers, as well as market shares of Medicare Advantage carriers. A snowy first week of January gave us plenty of time to read some of the last research from 2024.

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Prescription Drug Pricing Medicare Medicare 52

HIPAA Journal

FEBRUARY 2, 2023

GoodRx is a Santa Monica, CA-based provider of a telemedicine platform that includes a free-to-use website and mobile app that consumers can use to track prescription drug prices and obtain coupons that provide discounts on medications. The platform can also be used to arrange telehealth visits and access other health services.

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Prescription Drug Pricing HIPAA Compliance Telemedicine 113

Jane Sarashon

FEBRUARY 27, 2024

In addition to highlighting the Patient’s Bill of Rights, NABIP’s keynotes and general sessions will speak to similar topics being brainstormed at VIVE this week — including mental health, maternal health, pharmacy and prescription drugs (pricing, PBMs), population health, and Medicare and Medicaid innovations.

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ACA Prescription Drug Pricing Health Insurance Hospitals 118

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.

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Prescription Drug Pricing Governance Doctors Medicare 59

Health Populi

JUNE 28, 2018

Another unifying health care issue is prescription drug prices, which KFF has tracked for several years. Most voters across party have told previous KFF polls they believe in more government regulation or intervention on drug costs.

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Prescription Drug Pricing ACA Health Insurance Governance 74

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.

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Prescription Drug Pricing Medicare Medicare COVID-19 71

HIT Consultant

MAY 20, 2025

With the ongoing rise in prescription drug prices and extended pharmacy wait times in the U.S., many Americans are turning to trusted prescription referral services for more affordable, efficient options. Addressing the High Cost of Prescription Drugs Prescription drug prices in the U.S.

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Innovaare Compliance

JUNE 28, 2024

These requirements include: Detailed Reporting: Plans must submit comprehensive data on prescription drug pricing, utilization, and patient outcomes. Price Transparency: Increased transparency in drug pricing to enable beneficiaries to make informed decisions.

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Medicare Medicare Prescription Drug Pricing Compliance 94

Health Populi

JUNE 30, 2023

Take prescription drugs pushing medical trend upward.

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Prescription Drug Pricing COVID-19 ACA Hospitals 87

Jane Sarashon

DECEMBER 15, 2023

Entering 2024, we should be mindful that patients have been morphing into consumers, facing greater out-of-pocket costs and growing demand for omnichannel living and convenience, voting with their feet and clicks for, say, online appointments and access to health care which Zocdoc has pioneered for 16+ years.

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Prescription Drug Pricing Doctors 72

Health Populi

APRIL 24, 2019

This data point gives further impetus to prescription drug price hearings in Congress and various proposals promulgated on Capitol Hill to address the cost of medicines. ” Cost continues to be top-of-mind for healthcare consumers, who largely blame pharma first in the Edelman research.

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Prescription Drug Pricing Health Insurance Hospitals Governance 83

HIT Consultant

FEBRUARY 22, 2024

What You Should Know: Waltz Health, a digital health company developing smarter, technology-enabled ways to price, distribute and prescribe medications, today announced its entry into the Medicare market.

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Medicare Medicare Prescription Drug Pricing Health Outcomes 52

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 (..)

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Prescription Drug Pricing Governance Medicaid Medicaid 52

Health Law Advisor

MARCH 7, 2023

However, CMS’s release of the Initial Rebate Guidances represents the agency’s first significant opportunity to submit substantive and specific input from the broader stakeholder community with regard to one of the most significant components of the prescription drug pricing changes of the IRA.

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Medicare Medicare Prescription Drug Pricing Medicaid 52

Health Populi

OCTOBER 22, 2019

This latter point was emphasized in the survey noting that 71% of Americans said that drug prices were too high; 78% of people agreed that the government should be permitted to negotiate/regulate prescription drug prices.

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Prescription Drug Pricing Health Insurance Doctors Governance 54

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.

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Prescription Drug Pricing Licensing Compliance Medicaid 52

Health Populi

APRIL 25, 2023

middle-class households finding that health care has returned to the #1 household fiscal concern ahead of inflation in 2023.

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Prescription Drug Pricing COVID-19 Hospitals Public Health 62

Jane Sarashon

JANUARY 24, 2023

Take Optum, which this week launched the Price Edge tool to help steer patients to the “lowest price generic medicines” according to the program’s press release. The price-comparison tool exclusively focused on generic drugs will be available to Optum Rx members.

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Prescription Drug Pricing Hospitals Health Insurance 59

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 Pharmaceutical Industry Medical Billing 54

Compliancy Group

SEPTEMBER 25, 2024

PBMs determine the prescription drug prices that insurers pay and the payments that pharmacies receive. PBMs also negotiate rebates and discounts from drug manufacturers for the health insurance plans they work with. PBMs wear many hats.

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Prescription Drug Pricing HIPAA Compliance Health Insurance 52

Health Populi

JANUARY 18, 2019

The top four health care issues consumers want Congress to prioritize in 2019 all deal with health care costs and access , for large majorities across political party ID: to lower prescription drug prices, to make sure insurers provide coverage for people with pre-existing conditions, to ensure Medicare benefits aren’t cut, and to lower the overall (..)

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Prescription Drug Pricing Health Insurance Doctors Medicare 66

Health Populi

JULY 2, 2018

Credit scores, payment plans for hospital stays and specialty drugs, and the expanding financial risk due to high-deductibles all play into the patient-as-payor and trust. These financial and trust-risks impact Republicans and Democrats alike.

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Prescription Drug Pricing Hospitals 48

Innovaare Compliance

JUNE 27, 2024

These requirements include: Detailed Reporting: Plans must submit comprehensive data on prescription drug pricing, utilization, and patient outcomes. Price Transparency: Increased transparency in drug pricing to enable beneficiaries to make informed decisions.

Medicare 52

Medicare Medicare Compliance Prescription Drug Pricing 52

HIT Consultant

NOVEMBER 8, 2022

Designed to shed light on the true cost of drugs and to ensure that consumers and insurers aren’t being gouged, drug pricing transparency laws seek to level the playing field by delivering greater visibility into drug costs.

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Prescription Drug Pricing Compliance Governance 52

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. 2] While it is still relatively early in the legislative process, enactment of provisions in the current iteration of S.

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Medicaid Medicaid Medicare Medicare 52