The Impact of COVID-19 Years on the ACO REACH Model
The impact of the COVID-19 pandemic on accountable care organizations (ACOs) has yet to be determined, but according to the…
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PhRMA Focuses on Other Important Health Care System Improvements
The Pharmaceutical Research and Manufacturers of America (PhRMA) recently published a new page on their website covering the Cost…
Pioneer Institute Issues White Paper on Impact of PBMs and Copay…
The Pioneer Institute recently released a white paper that examines the impact of pharmacy benefit managers (PBMs) and copay…
AMA Survey Finds that Prior Authorization Harms Patient Care
A recent physician survey found that the prior authorization process exceeds the benefit of the process to patients, according to…
HHS OIG Releases Telehealth HHS OIG Toolkit
HHS OIG has said that during 2020, the use of telehealth services increased dramatically, with Medicare beneficiaries using 88…
CMS Outlines Medicare Drug Price Negotiation Program for 2026
On March 15, 2023, CMS released initial guidance detailing the requirements and parameters on key elements of the new Medicare…
CMS Releases 2024 MA Capitation Rates and Part C and D Payment Policies
On Friday, March 31, 2023, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year 2024 Medicare…
Ongoing Litigation Over ACA Provisions that Mandate Health Coverage
On March 30, 2023, the U.S. District Court for the Northern District of Texas vacated actions taken by HHS to implement provisions…
Medical Societies Support Legislation Aimed at Updating Medicare
The American Medical Association (AMA) led a coalition of more than 120 state medical societies and medical specialties in…
Stakeholders Provide Insight to CDER on Educational Needed in Rare Disease…
The United States Food and Drug Administration (FDA) Center for Drug Evaluation and Research (CDER) recently sought comments on…