Wednesday, June 14, 2023

New Senate bill targets PBM fees rebates under Medicare Part DNew Senate bill targets PBM fees rebates under Medicare Part DNew Senate bill targets PBM fees rebates under Medicare Part D

New Senate bill targets PBM fees, rebates under Medicare Part D

The Senate Finance Committee is poised to consider bipartisan legislation that challenges key aspects of how pharmacy benefit managers operate.



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U.S. health spending projected to exceed $7T in 2031U.S. health spending projected to exceed $7T in 2031U.S. health spending projected to exceed $7T in 2031

U.S. health spending projected to exceed $7T in 2031

National health expenditures will increase an average of 5.4% each year from 2022 to 2031, according to the latest projections from the Centers for Medicare and Medicaid Services' Office of the Actuary.



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5 takeaways from Modern Healthcare's ESG summit5 takeaways from Modern Healthcare's ESG summit5 takeaways from Modern Healthcare's ESG summit

5 takeaways from Modern Healthcare's ESG summit

Health system executives at Modern Healthcare’s ESG: The Implementation Imperative Summit addressed strategies to reduce carbon emissions and vetting suppliers based on their carbon footprints. 



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Tuesday, June 13, 2023

CMS reiterates call to action on Medicaid terminationsCMS reiterates call to action on Medicaid terminationsCMS reiterates call to action on Medicaid terminations

CMS reiterates call to action on Medicaid terminations

The Centers for Medicare and Medicaid Services is urging states to take advantage of federal regulatory flexibilities to ease Medicaid redeterminations and avoid mass disenrollments.



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Hedge fund investor calls for sale of home health provider Enhabit Hedge fund investor calls for sale of home health provider Enhabit Hedge fund investor calls for sale of home health provider Enhabit

Hedge fund investor calls for sale of home health provider Enhabit

Arex Capital Management called Enhabit's poor share price "primarily self-inflicted."



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'Obamacare' to still cover prevention for HIV, other illnesses amid court battle'Obamacare' to still cover prevention for HIV, other illnesses amid court battle'Obamacare' to still cover prevention for HIV, other illnesses amid court battle

'Obamacare' to still cover prevention for HIV, other illnesses amid court battle

The pact approved by the 5th U.S. Circuit Court of Appeals preserves — at least for now — cost-free preventive care coverage for millions of Americans.



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AMA delegates call for more oversight of A.I. AMA delegates call for more oversight of A.I. AMA delegates call for more oversight of A.I.

AMA delegates call for more oversight of A.I.

The AMA previously established three policies on A.I., supporting how it can advance patient care, but also acknowledging the need for increased supervision.



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Digital therapeutics industry looks to move past Pear's bankruptcyDigital therapeutics industry looks to move past Pear's bankruptcyDigital therapeutics industry looks to move past Pear's bankruptcy

Digital therapeutics industry looks to move past Pear's bankruptcy

As the digital therapeutics industry deals with a lack of reimbursement pathways, companies like Akili Interactive are taking alternate approaches to growth.



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How insurers fared during the first quarterHow insurers fared during the first quarterHow insurers fared during the first quarter

How insurers fared during the first quarter

UnitedHealth Group was the most profitable insurer and Bright Health Group was the least. Here's how publicly traded insurers fared during 2023's first quarter.



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Monday, June 12, 2023

HHS expands Medicaid redetermination flexibilities amid coverage loss concernsHHS expands Medicaid redetermination flexibilities amid coverage loss concernsHHS expands Medicaid redetermination flexibilities amid coverage loss concerns

HHS expands Medicaid redetermination flexibilities amid coverage loss concerns

HHS Secretary Xavier Becerra called on governors to make use of the new flexibilities to assist in Medicaid redeterminations and avoid more procedural disenrollments. 



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