Buried in Wegovy Costs, North Carolina Will Stop Paying for Obesity Drugs
Starting April 1, state employees in North Carolina will no longer have insurance coverage for costly weight-loss medications like Wegovy and Zepbound. (Source: NYT Health)
Source: NYT Health - January 27, 2024 Category: Consumer Health News Authors: Rebecca Robbins Tags: Health Insurance and Managed Care Drugs (Pharmaceuticals) Obesity Novo Nordisk A/S North Carolina Source Type: news
Group of Transparent Pharmacy Benefit Managers Form Transparency-Rx to Advocate for Clarity and Reform in Pricing of Prescription Drugs
Coalition is pushing for action among 43 pharmaceutical pricing bills currently before Congress Increased transparency that lets consumers see prices charged by hospitals, physicians, and clinical laboratories in advance of service is an important goal of healthcare policymakers and self-insured employers. But greater transparency has yet to affect how prescription drugs are first priced, marked […]
The post Group of Transparent Pharmacy Benefit Managers Form Transparency-Rx to Advocate for Clarity and Reform in Pricing of Prescription Drugs appeared first on Dark Daily. (Source: Dark Daily)
Source: Dark Daily - January 26, 2024 Category: Laboratory Medicine Authors: Jillia Schlingman Tags: Laboratory News Laboratory Resources Managed Care Contracts & Payer Reimbursement AffirmedRx anatomic pathology CEO clinical laboratory clinical pathology Congress Dark Daily dark intelligence group Dark Report Fierce Healthcare Source Type: news
Obamacare Sign-Ups Hit 21 Million for 2024. Will the Surge in Enrollment Last?
A record 21 million people signed up for marketplace plans for 2024, drawn in part by more generous federal subsidies. But the expanded subsidies are set to expire after next year. (Source: NYT)
Source: NYT - January 25, 2024 Category: American Health Authors: Noah Weiland Tags: Patient Protection and Affordable Care Act (2010) Health Insurance and Managed Care Health and Human Services Department Inflation Reduction Act of 2022 American Rescue Plan (2021) Biden, Joseph R Jr Trump, Donald J Law and Legislation Uni Source Type: news
It ’s Boom Times for Obamacare. Will They Last?
A record 21 million people signed up for marketplace plans for 2024, drawn in part by more generous federal subsidies. But the expanded subsidies are set to expire after next year. (Source: NYT)
Source: NYT - January 25, 2024 Category: American Health Authors: Noah Weiland Tags: Patient Protection and Affordable Care Act (2010) Health Insurance and Managed Care Health and Human Services Department Inflation Reduction Act of 2022 American Rescue Plan (2021) Biden, Joseph R Jr Trump, Donald J Law and Legislation Uni Source Type: news
Public Inspection: CMS: Medicare and Medicaid Programs: Patient Protection and Affordable Care Act; Advancing Interoperability and Improving Prior Authorization Processes for Medicare Advantage Organizations, etc. on the Federally-Facilitated Exchanges, etc.
Pre-publication notice of final rule from the Centers for Medicare& Medicaid Services (CMS) aiming to improve the electronic exchange of healthcare data and streamline processes related to prior authorization through new requirements for Medicare Advantage (MA) organizations, state Medicaid fee-for-service (FFS) programs, state Children's Health Insurance Program (CHIP) FFS programs, Medicaid managed care plans, CHIP managed care entities, and Qualified Health Plan issuers on the Federally-facilitated Exchanges. This final rule will also add new measures for eligible hospitals and Critical Access Hospitals (CAHs) to report...
Source: Federal Register updates via the Rural Assistance Center - January 19, 2024 Category: Rural Health Source Type: news
New Hampshire approves another contract with Centene managed care subsidiary
Centene Corp. (NYSE: CNC) has held on to a Medicaid contract in New Hampshire that it ’s had since 2013. (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - January 19, 2024 Category: Pharmaceuticals Authors: James Drew Source Type: news
Medicare Patients Alert! Biden Administration Finalizes Rule to Streamline Health Insurance Prior Authorization
On Wednesday, U.S. President Joe Biden’s administration finalized a rule requiring government backed-insurance plans such as Medicare Advantage organizations, Medicaid, Children’s Health Insurance Program (CHIP) fee-for-service programs, Medicaid managed care plans, CHIP managed care entities, and…#joebidens #medicareadvantage #medicaid #qualifiedhealth #cms #hhs #xavierbecerra #showdown #medicare (Source: Reuters: Health)
Source: Reuters: Health - January 18, 2024 Category: Consumer Health News Source Type: news
Six Reasons Drug Prices Are So High in the U.S.
Research shows prices in the United States are nearly double those in other well-off countries. (Source: NYT Health)
Source: NYT Health - January 17, 2024 Category: Consumer Health News Authors: Rebecca Robbins and Christina Jewett Tags: Prices (Fares, Fees and Rates) Drugs (Pharmaceuticals) Inventions and Patents Health Insurance and Managed Care Inflation Reduction Act of 2022 Pharmaceutical Research and Manufacturers of America AbbVie Inc United States your-feed-healthc Source Type: news
Clayton health care giant Centene completes sale of U.K. hospital company
The acquisition of Circle Health under then-CEO and Chairman Michael Neidorff raised questions last year from a financial analyst about why a U.S-based managed care company would branch out into an overseas country with a universal health care system. Dave Windley, a managing director at Jefferies and founding member of the firm ’s Healthcare Equity Research team, said Circle Health was a “non-core” acquisition by Centene. (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - January 12, 2024 Category: Pharmaceuticals Authors: James Drew Source Type: news
More Than 20 Million People Have Signed Up for Obamacare Plans, Blowing by Record
The Biden administration said that a record number of Americans had signed up for coverage in 2024 through the Affordable Care Act ’s marketplaces, a sign of the law’s durability. (Source: NYT)
Source: NYT - January 10, 2024 Category: American Health Authors: Noah Weiland Tags: Patient Protection and Affordable Care Act (2010) Health Insurance and Managed Care Medicaid Federal Aid (US) United States Politics and Government Source Type: news
Integration of Medicaid Physical, Mental Health Does Not Aid Outcomes
MONDAY, Jan. 8, 2024 -- Financial integration of mental and physical health care at the managed care organization level is not associated with significant changes in most measures of utilization, quality, and outcomes, according to a study published... (Source: Drugs.com - Pharma News)
Source: Drugs.com - Pharma News - January 8, 2024 Category: Pharmaceuticals Source Type: news
Fact-Checking Trump and Others ’ Sparring Over Social Security and Medicare
The top presidential candidates are vowing to protect the entitlement programs for current seniors, though some have floated changes for younger generations. But they ’ve muddied each other’s current positions. (Source: NYT)
Source: NYT - January 6, 2024 Category: American Health Authors: Angelo Fichera Tags: Presidential Election of 2024 Social Security (US) Health Insurance and Managed Care Medicare Committee for a Responsible Federal Budget Republican Party Biden, Joseph R Jr DeSantis, Ron Haley, Nikki R Trump, Donald J United States Pol Source Type: news
Centene PBM settlement with South Carolina raises total payout to $964.8M
Without admitting guilt, the Clayton-based managed care giant agreed to make the payment after the state charged that Centene had misrepresented the true cost of PBM services, failed to disclose discounts to the state and filed improper reporting to the state about services provided, according to South Carolina Attorney General Alan Wilson. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - January 4, 2024 Category: Biotechnology Authors: James Drew Source Type: news
Florida Managed Care Providers
Rank
Business name
Enrollees, statwide
Assets
Liabilities
Premiums 2022
Net Income 2022
1
Sunshine (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - December 29, 2023 Category: Biotechnology Source Type: news
Custom Health to Go Public, Grow Tech-Enabled Medication Management Solution
Custom Health, a provider of a technology-enabled medication management and managed care solution, plans to go public. The firm has entered into a definitive business combination agreement with Berenson Acquisition Corp. (BACA) that will result in Custom Health becoming a publicly-listed company,…#customhealth #shanebishop #customhealths #clinicians #subject #amirhegazy #pymnts #carecredit (Source: Reuters: Health)
Source: Reuters: Health - December 22, 2023 Category: Consumer Health News Source Type: news
