Editorials Pioneer Institute Issues White Paper on Impact of PBMs and Copay… Thomas Sullivan May 26, 2023 0 The Pioneer Institute recently released a white paper that examines the impact of pharmacy benefit managers (PBMs) and copay…
AMA AMA Survey Finds that Prior Authorization Harms Patient Care Thomas Sullivan May 25, 2023 0 A recent physician survey found that the prior authorization process exceeds the benefit of the process to patients, according to…
HHS-OIG HHS OIG Releases Telehealth HHS OIG Toolkit Thomas Sullivan May 24, 2023 0 HHS OIG has said that during 2020, the use of telehealth services increased dramatically, with Medicare beneficiaries using 88…
CMS CMS Outlines Medicare Drug Price Negotiation Program for 2026 Thomas Sullivan May 23, 2023 0 On March 15, 2023, CMS released initial guidance detailing the requirements and parameters on key elements of the new Medicare…
CMS CMS Releases 2024 MA Capitation Rates and Part C and D Payment Policies Thomas Sullivan May 22, 2023 0 On Friday, March 31, 2023, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year 2024 Medicare…
Affordable Care Act Ongoing Litigation Over ACA Provisions that Mandate Health Coverage Thomas Sullivan May 19, 2023 0 On March 30, 2023, the U.S. District Court for the Northern District of Texas vacated actions taken by HHS to implement provisions…
Congress Medical Societies Support Legislation Aimed at Updating Medicare Thomas Sullivan May 18, 2023 0 The American Medical Association (AMA) led a coalition of more than 120 state medical societies and medical specialties in…
Government Agencies Stakeholders Provide Insight to CDER on Educational Needed in Rare Disease… Thomas Sullivan May 17, 2023 0 The United States Food and Drug Administration (FDA) Center for Drug Evaluation and Research (CDER) recently sought comments on…
COVID-19 DEA Announces Extension of Telemedicine Flexibilities, Despite PHE Ending Thomas Sullivan May 16, 2023 0 Just one day before the COVID-19 Public Health Emergency was set to expire, the United States Drug Enforcement Administration…
Drug Prices Ohio Attorney General Sues Express Scripts and Others for Driving Up Drug… Thomas Sullivan May 15, 2023 0 Ohio Attorney General David Yost filed a lawsuit against Ascent Health Services, Express Scripts Inc., Cigna Group, Evernorth…