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Nearly 20% of Medicare Advantage plans lose star revenue for 2023
Modern Healthcare Just half of Medicare Advantage plans with prescription drug coverage received ratings that will earn them bonuses for...

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3 min read
73 views
1 comment


Anthem must face Medicare Advantage fraud lawsuit, judge rules
Modern Healthcare Author: Nona Tepper Anthem must face a Justice Department lawsuit alleging the Medicare Advantage insurer intentionally...

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2 min read
43 views
1 comment


Health insurers are painting a misleading picture of Medicare Advantage savings, experts say
STAT News The health insurance industry is continuing its campaign to convince the public that Medicare Advantage saves taxpayers money,...

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3 min read
75 views
1 comment


Seeking to Kick-Start Biden’s Agenda, Schumer Unveils a Bill for Medicare Drug Price Negotiations
Kaiser Health News Democratic senators on Wednesday took a formal step toward reviving President Joe Biden’s economic agenda, starting...

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4 min read
24 views
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8 in 10 registered voters support requiring insurance & PBMs to share rebates directly with patients
A new PhRMA/Ipsos poll finds that there is wide support for policies that require health insurers and their pharmacy benefit managers...

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2 min read
20 views
2 comments


Lawmakers ask GAO to probe pharmacy benefit managers over their role in drug pricing
STAT News Amid intensifying scrutiny of pharmacy benefit managers, a group of House Republicans is urging the U.S. Government...

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4 min read
41 views
0 comments


Beat cancer? Your Medicare Advantage plan might still be billing for it
Firms mined patient records for outdated, irrelevant conditions to increase profits, Justice Department contends The Washington Post...

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11 min read
14 views
0 comments


Ohio Medicaid accused of strong-arm tactics on pharmacies, just like PBMs
The Columbus Dispatch Pharmacy deserts for the poorest and disabled Ohioans could grow unless a dispute over new state Medicaid contracts...

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4 min read
31 views
1 comment


AHA presses for False Claims Act probes to target payers over Medicare Advantage denials
The Justice Department needs to create a task force to study potential False Claims Act violations conducted by Medicare Advantage plans,...

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2 min read
9 views
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Improve the Pharmaceutical Ecosystem for Patients
Health care policy decisions based on sound data and research are essential for addressing the challenges. Pharmacy Times Pharmacists are...

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4 min read
15 views
0 comments


Biden plan to slash pharmacy fees, cut seniors' out-of-pocket costs delayed until 2024
The Columbus Dispatch Millions of U.S. seniors were supposed to get price relief soon on their prescription drugs under a revamp of...

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4 min read
23 views
0 comments


Vertically integrated payer-provider groups raise antitrust concerns
Modern Healthcare More commercial insurers are overhauling their business models in response to changes ushered in by the Affordable Care...

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9 min read
112 views
0 comments


Yost opens investigation into PBM maneuver
Insurance NewsNet Ohio Attorney General Dave Yost has launched an investigation into an obscure drug-pricing maneuver that could be both...

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3 min read
32 views
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