Final Rule Paves Way for Drug Imports to Reduce Patient Costs

The Department of Health and Human Services and the Food and Drug Administration have issued a final rule and guidance that paves the way for states to allow pharmacists and wholesalers to import prescription drugs in order to reduce costs for patients. The final rule implements a provision of federal law that allows FDA-authorized programs to import [...]

By | 2020-10-27T16:07:59-07:00 October 27th, 2020|Uncategorized|0 Comments

How to Distribute Group Health Plan Rebates to your Staff

Group health plan insurers are paying out $689 million in rebates to plan sponsors this year, as required by the Affordable Care Act’s “medical loss ratio” provision. The provision requires insurance companies that cover individuals and small businesses to spend at least 80% of their premium income on health care claims and quality improvement, leaving [...]

By | 2020-10-07T11:26:49-07:00 October 7th, 2020|Uncategorized|0 Comments

Trump Issues Executive Orders to Reduce Drug Costs

President Trump has issued executive orders aimed at reducing the cost of medications by tying Medicare payment for outpatient drugs to international prices, passing drug-maker rebates to patients and not middlemen, and allowing individuals to import prescription medications. Another executive order aims to force community health centers that receive 340B drug discounts to pass discounts [...]

By | 2020-09-01T12:55:37-07:00 September 1st, 2020|Uncategorized|0 Comments

Large PBMs Balk at Push to Reduce Drug Prices

In a move that exemplifies the potential conflict of interest that some large pharmacy benefit managers have, the nation’s largest PBM earlier this year said it would demand that rebates remain unchanged when drug makers roll out new price cuts. Drug makers earlier in the year said they would start reducing prices as well as [...]

By | 2019-11-19T12:16:12-08:00 November 19th, 2019|Uncategorized|0 Comments

Surprise Medical Bills and ‘Balance Billing’ in Crosshairs

When your medical care provider charges more than your insurance company is willing to reimburse, you may get a bill asking you to pay the difference - a practice called "balance billing." The Trump administration is moving to put a stop to the practice. In a recent White House round table on limiting health care [...]

By | 2019-05-14T11:42:05-07:00 May 14th, 2019|Healthcare|0 Comments

Despite Ruling That ACA Is Invalid, the Law Stands for Employers

A ruling by a U.S. District Court judge in December 2018 that the Affordable Care Act is unconstitutional is not expected to stand but, if it does, the moves that have been made in the health insurance space to reduce costs, deliver better care outcomes and make the system more efficient would be expected to [...]

By | 2019-04-03T14:44:45-07:00 April 3rd, 2019|Uncategorized|0 Comments
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