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Mar 22

2019

Are Prior Authorization Insurance Requirements Killing Patients?

Colin J. Haller was smart, funny, ambitious and athletic. And he was just 25 when he was diagnosed with metastatic melanoma. The Maryland native had already launched a successful internet marketing business. An outstanding student, he was applying to medical schools to pursue his dream of a career in medicine when he got that terrible

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Mar 22

2019

Senate Panel to Hear from Pharmacy Middlemen on Drug Prices

The Senate Finance Committee said Thursday that it has secured commitments from executives of five major pharmacy benefit managers (PBMs) to testify next month about the high costs of prescription drugs.

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Mar 22

2019

It Will Take More Than Transparency To Reduce Drug Prices, Economists Say

A new drug to treat postpartum depression is likely to reach the U.S. market in June, with a $34,000 price tag. The approval of the drug by the Food and Drug Administration comes on the heels of another approval, just two weeks ago, of a different antidepressant, whose retail price will be as much as

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Mar 22

2019

Kentucky Launches Probe into Drug Overcharges by Pharmacy Benefit Managers

Kentucky Attorney General Andy Beshear said on Thursday he had launched an investigation into allegations that pharmacy benefit managers (PBMs) had overcharged state health insurance programs for drugs and discriminated against independent pharmacies.

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Mar 22

2019

Health Plans For State Employees Use Medicare’s Hammer On Hospital Bills

States. They’re just as perplexed as the rest of us over the ever-rising cost of health care premiums. Now some states are moving to control costs of state employee health plans. And it’s triggering alarm from the hospital industry. The strategy: Use Medicare reimbursement rates to recalibrate how they pay hospitals.  If the gamble pays

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Mar 22

2019

State Report: CarePoint Health Owners Pocket $157M in ‘Management’ Fees

How big was your bill the last time you were treated at one of Hudson County’s CarePoint Health hospitals and where did the money go? A state report released this week revealed that CarePoint Health’s three hospitals paid management companies created by their owners $157 million from 2013 to 2016, even though the companies had

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Mar 21

2019

The Next Drug Pricing Push in the States

Several states are considering new "affordability boards" to rein in prescription drug prices. And they're hoping that approach would avoid the legal pitfalls that tripped up earlier state-based policies, Axios' Caitlin Owens reports.

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Mar 21

2019

Scott Gottlieb’s Exit Interview on ‘Pulse Checl

The FDA commissioner reflects on his two-year tenure, his legacy and unfinished business.

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Mar 21

2019

The President’s 2020 Budget Keeps 340B Program in the Spotlight

On March 11, 2019, the President delivered his proposed 2020 budget to Congress. While a President’s budget proposal is the beginning of a lengthy budget process, this proposed budget nonetheless keeps the 340B Program in the national focus and delineates the President’s position on desired 340B Program changes.

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Mar 21

2019

Understanding The Burning Platform Of Health Care Spending Growth

In January, we were honored to co-chair the inaugural meeting of the Health Affairs Council on Health Care Spending and Value. This diverse group of 22 health care leaders has come together to stimulate a national discussion about whether we should—and how we could—constrain what feels like runaway health care spending.

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