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California fines Anthem Blue Cross for slow provider payments
Becker's Payer Issues The California Department of Managed Health fined Anthem Blue Cross of California $690,000 for failure to reimburse...

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1 min read
24 views
1 comment


Nearly half of every dollar spent by Medicare drug plans goes to private health insurers' pharmacy benefit managers and wholesalers
Healthcare UN-Covered by Wendell Potter As members of Congress get back to business after the holidays, they seem to be poised to pass...

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4 min read
43 views
1 comment


NYC Transit Retirees WIN Important Battle Against Medicare Advantage Push
TWU Local 100 retirees fighting to retain their traditional Medicare Benefits were dismissed back in October — this week, they won a...

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6 min read
164 views
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The House passed its health bill. How's the Senate doing?
Axios Pro The House's passage of its big health care transparency bill this week shifts the focus to the Senate, which will have to work...

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2 min read
20 views
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House passes site-neutral policy, transparency, PBM reform package
STAT News The House passed a relatively major health care package late Monday, an end-of-year victory after the same policies had to be...

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2 min read
45 views
2 comments


E&C approves PBM, Medicare coverage bills
Axios Pro The House Energy and Commerce Committee teed up a series of health bills for floor votes during a marathon markup on Wednesday...

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2 min read
32 views
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Sen. Warren finally wises up to the 'unintended consequences' of a key Obamacare rule
Blaze Media Sen. Elizabeth Warren (D-Mass.) is finally acknowledging some of the "unintended consequences" of Obamacare, according to the...

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2 min read
47 views
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Senate Finance Committee targets PBM reform in new legislation
The bill (which passed unanimously) would introduce more transparency and regulation to PBMs, and pharmacies would be required to report...

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3 min read
36 views
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Hospitals are dropping Medicare Advantage left and right
Beckers Hospital Review Reporter: Jakob Emerson Medicare Advantage provides health coverage to more than half of the nation's seniors,...

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4 min read
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Letters scare local Medicare patients
WAND News Two local pharmacies have been fielding dozens of phone calls after a pharmacy benefit manager, Express Scripts, sent out...

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2 min read
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Drug Prices Are Too Damn High
It's been a long road to Medicare price negotiation ... and there's still work to be done MedPage Today Remember the "Rent is Too Damn...

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5 min read
40 views
2 comments


California court resurrects Aetna retaliation lawsuit
The California Medical Association's lawsuit alleges Aetna had fired or threatened to fire doctors who referred patients to...

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2 min read
33 views
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Congress Making Progress on Bills to Regulate PBMs
All measures would require more transparency about the fees they collect MedPage Today Confused by all the bills being introduced in...

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4 min read
181 views
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How UHC’s acquisition of a popular Medicare Adv. algorithm sparked internal dissent over denied care
STAT News Reporters: Casey Ross and Bob Herman Frustration was boiling into open conflict within NaviHealth, a company that uses computer...

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12 min read
891 views
1 comment


State Insurance Commissioners Seek Meeting With FTC On PBMs
Inside Health Policy The group representing state insurance commissioners is seeking information from the Justice Department and Federal...

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3 min read
57 views
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Denials of health-insurance claims are rising — and getting weirder
Washington Post Opinion Author: Elisabeth Rosenthal Millions of Americans in the past few years have run into this experience: filing a...

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4 min read
163 views
1 comment


Prescription-drug costs in spotlight as pharmacy benefit reform advances in Senate
Drugmakers, prescription-drug middlemen trade jabs over high cost of medications MarketWatch A bipartisan effort to rein in prescription...

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3 min read
26 views
1 comment


Will Senate Hearing Expose PBMs’ Unscrupulous Drug Pricing Tactics?
Forbes Today , Sen. Bernie Sanders, I-Vt., will haul executives from three insulin manufacturers and three pharmacy benefit managers...

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3 min read
37 views
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Another powerful congressional committee is ready to take on PBMs
STAT+ House Oversight Committee Chairman James Comer plans to hold a hearing on the results of an investigation into the business...

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3 min read
55 views
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Bipartisan Senate plan would regulate PBM compensation, target ‘unfair’ drug price hikes
Healio Key takeaways: The bipartisan plan would decouple pharmacy benefit manager compensation from drug prices, among other reforms. The...

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2 min read
49 views
1 comment
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