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. 9, 2023), [link] , [link]. [6]

Medicare 52

Medicare Medicare Prescription Drug Pricing Medicaid 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 219

Prescription Drug Pricing Hospitals Medicare Medicare 219

Jane Sarashon

DECEMBER 15, 2023

Zocdoc learned the top reasons consumers booked medical appointments were for primary care, such as getting an annual physical or women’s preventive care services (e.g., pap smear, gyn exam), dermatology, and mental health issues.

Prescription Drug Pricing 67

Prescription Drug Pricing Doctors 67

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. Price transparency. Failure to obtain a license by 2023 could result in a cease and desist order from DFS and financial penalties.

Prescription Drug Pricing 52

Prescription Drug Pricing Licensing Compliance Medicaid 52

Jane Sarashon

JANUARY 24, 2023

” These two programs come from outside of the legacy health care system of so-called incumbents — hospitals, health systems, health insurance — leveraging two brand-names beloved to many consumers for convenience, price transparency, and sheer cost.

Prescription Drug Pricing 56

Prescription Drug Pricing Hospitals Health Insurance 56

Health Populi

JUNE 30, 2023

Take prescription drugs pushing medical trend upward. CMS) and commercial/private side of health plan strategies. For this study, PwC conducted 21 surveys and 12 interviews in April through May 2023 among health plan actuaries covering about 100 million employer-sponsored lives and 10 million ACA marketplace members.

Prescription Drug Pricing 81

Prescription Drug Pricing COVID-19 ACA Hospitals 81

Health Populi

OCTOBER 24, 2022

The second drawing illustrates the fact that health care service patterns have not returned to their pre-pandemic levels. Aside from care for COVID-19, volumes are down except for services related to mental and behavioral health (with rates of mental health prescribing increasing for antidepressant and anti-anxiety drugs).

COVID-19 52

COVID-19 Prescription Drug Pricing Health Insurance Health Care Reform 52

Health Populi

OCTOBER 28, 2019

rank prescription drugs, lab tests, emergency room visits, dental and vision care, preventive services, chronic disease management and mental health care as the “most essential” health care services, according to the 2019 Survey of America’s Patients conducted by The Physicians Foundation.

Hospitals 54

Hospitals Prescription Drug Pricing Pharmaceutical Industry Medical Billing 54

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.

Prescription Drug Pricing 52

Prescription Drug Pricing Compliance Governance 52

Health Populi

APRIL 24, 2019

Healthcare’s score is marginally greater than fashion, energy, consumer packaged goods, and financial services at the bottom at 57 points. 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.

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Prescription Drug Pricing Health Insurance Hospitals Governance 82

Health Populi

JANUARY 18, 2019

He co-wrote the first “It’s The Prices Stupid” research article in Health Affairs with Gerard Anderson et. higher-than-world-average health care spending is mostly about how services are priced, versus whether Americans use more healthcare.

Prescription Drug Pricing 64

Prescription Drug Pricing Health Insurance Doctors Medicare 64

Health Populi

OCTOBER 8, 2019

The second largest waste component was pricing failure, associated with medication pricing failure (the largest piece of three components), payer-based health services pricing failure, and lab and ambulatory pricing. Pricing failure as a waste-factor accounted for nearly another third of total waste in U.S.

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Prescription Drug Pricing Medicare Medicare ACA 104

Health Law Advisor

MAY 26, 2023

Over the past several months, the FTC followed through with its policy statement, bringing, and publicly settling, cases against prescription drug price tracking app GoodRx , online counseling service BetterHelp , and, most recently, ovulation tracking app Premom. Commissioner Phillips has since resigned.

Prescription Drug Pricing 52

Prescription Drug Pricing HIPAA Health Insurance Compliance 52

Hall Render

JULY 22, 2022

3 spine surgeons sign professional services contract with Banner Health. Treasure Valley hospitals seeing impacts to service, but COVID-19 isn’t entirely to blame. Dealing with mental health crisis: KS offers specialized services through 988. Acadia Hospital receives $1 million donation to bolster pediatric services.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

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. FOOTNOTES [1] See Press Release – HHS Releases Initial Guidance for Medicare Prescription Drug Inflation Rebate Program, CMS (Feb. 9, 2023). [2]

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Hall Render

FEBRUARY 25, 2022

Delta Dental gives $750K for oral health services. Nursing homes dealing with price gouging from staffing agencies. Northwest Health expands mental health services. Universal Health Services Plans $375M Hospital In D.C. Local primary care practice expands healthcare services for LGBTQ+ community, tackles substance abuse.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

Hall Render

FEBRUARY 18, 2022

Hartford HealthCare fined after ending maternity services at 1 hospital. Franciscan Health Michigan City teams up with Signet Health on behavioral health services. Federal initiative expanding services at Kentucky health clinics. 9 hospitals ending services, closing departments. 64M VA health clinic opens in Portland.

COVID-19 40

COVID-19 Nursing Homes Nurses COVID-19 Vaccine 40

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.

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40

Health Populi

SEPTEMBER 9, 2022

economy for some sectors — and inflation hitting household budgets for basic needs like food, energy costs, and petrol (with gas at the pump prices having fallen).

Prescription Drug Pricing 62

Prescription Drug Pricing Health Insurance Medical Billing Doctors 62

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

Health Populi

DECEMBER 30, 2019

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. In peer OECD nations where social spending is a bigger piece of national GDP, health indicators tend to be much better than in the U.S.,

US Department of Health and Human Services 125

US Department of Health and Human Services Prescription Drug Pricing Public Health Medicare 125

Hall Render

NOVEMBER 11, 2022

Color Health expands into behavioral health to tackle access challenges for mental care services. Terry Reilly Health Services awarded funds to expand behavioral health services in Idaho. Franciscan Health Hammond ends in-patient services, its emergency room closes in December. in prescription drug pricing case.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes COVID-19 Nurses 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. 1339 framework to differentiate their services. Further, enactment of S. In its current form, S.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Health Populi

MAY 8, 2019

Looking to the future toward 2023, IQVIA identified a roster of policies that relate to the American Patients First Blueprint that President Trump and Secretary of Health and Human Services Alex Azar unveiled in 2018. We agreed — prescription drug pricing, from the patient’s point of view, is complicated, indeed.

Prescription Drug Pricing 59

Prescription Drug Pricing Medicare Medicare Health Insurance 59

Health Populi

MARCH 13, 2019

Asking consumers to shop for services and be “prudent purchasers” of services? In the article to which this assertion ties , Harris Meyer talks about the growing push for price regulation in the U.S.

ACA 102

ACA Health Insurance Bioethics Prescription Drug Pricing 102

Hall Render

JUNE 23, 2023

Vincent’s ending free shuttle service, riders concerned how they’ll access medical care Bayfront Health opens new ER in St. Newsom is proposing a boost in mental health funding. Million to Resolve False Claims Act Allegations S. Here’s what we know.

US Department of Health and Human Services 40

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

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.

Prescription Drug Pricing 48

Prescription Drug Pricing Governance ACA Medicare 48

Hall Render

FEBRUARY 24, 2023

judgment against nursing home chain over woman’s death Arkansas BCBS names VP of group market U of Arkansas to offer dual DNP-MBA program Unity Health welcomes Jacksonville community to new hospital Baptist Health Opens Behavioral Services Clinic in North Little Rock Arkansas Children’s Hospital gets $2.5

Nursing Homes 40

Nursing Homes COVID-19 Nurses Hospitals 40

Health Populi

OCTOBER 12, 2018

This post updates my initial thoughts on the deal, given the morphing US healthcare market on both the traditional health services front and fast-evolving retail health environment. Eli Lilly is currently under investigation for working, under your tenure, with other drug companies to needlessly raise the price of insulin.”

US Department of Health and Human Services 58

US Department of Health and Human Services Prescription Drug Pricing Health Insurance Medicare 58

Health Populi

MARCH 13, 2018

Health Populi’s Hot Points: The big wild card in forecasting what prescription drug spending will look like in the U.S. is just how aggressive Dr. Alex Azar at the Department of Health and Human Services, and Dr. Scott Gottlieb at FDA, want to be regarding drug pricing.

Prescription Drug Pricing 67

Prescription Drug Pricing FDA Hospitals Medicare 67

Health Populi

JUNE 18, 2020

By demographics, more women than men are concerned about rising costs for the three health care spending categories the survey studied: drug prices, insurance premiums, and healthcare costs (medical care services spending). Across-the-board, nonwhites are more concerned than whites on the three spending categories, as well.

Prescription Drug Pricing 76

Prescription Drug Pricing COVID-19 Medicaid Medicaid 76

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. Yes, there’s the issue of price which the President and Secretary of HHS continue to discuss.

Prescription Drug Pricing 56

Prescription Drug Pricing Governance Medicare Medicare 56

Jane Sarashon

DECEMBER 20, 2023

health care ecosystem, basing shoppable services on price and convenience. Grocery stores with co-located pharmacies also provide health care services and, of course, vaccinations for those health citizens keen to protect themselves and loved ones from exposure to the coronavirus.

Prescription Drug Pricing 67

Prescription Drug Pricing Medical Billing Health Insurance Public Health 67

Health Populi

OCTOBER 19, 2020

A new study from Tia, the women’s health services platform, looks deeply into COVID-19’s negative impacts on working-age women and how they would advise the next occupant of the White House on health policy in Dear Future President — What Women Want for Healthcare in America.

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COVID-19 Health Insurance Prescription Drug Pricing ACA 105

Health Populi

JANUARY 29, 2019

DTx companies have been striking partnerships with pharma companies to help them “surround the pill” with service. 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.

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Prescription Drug Pricing FDA Patient Advocacy Governance 96

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. This patient experience crosses political parties in the U.S.,

Prescription Drug Pricing 68

Prescription Drug Pricing Medicare Medicare COVID-19 68

Health Populi

JULY 2, 2018

There’s a subtle finding that is akin to healthcare surveys of patients and consumers: most Americans say technology’s products and services have more a positive than negative impact on peoples’ personal lives, but less so on society-at-large. Trust underpins health engagement.

Prescription Drug Pricing 48

Prescription Drug Pricing Hospitals 48