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The ins and outs of the new House health package House Republicans on three panels circulated a draft health price transparency package with some reforms to payment practices of PBMs and hospitals, I reported yesterday. Sign up here to receive this newsletter in your inbox on Tuesdays and Thursdays.
WASHINGTON — Congress will not move forward with a controversial policy to equalize certain Medicare payments to hospitals and physicians’ offices in an upcoming government funding package, five lobbyists and sources following the talks told STAT.
8 on legislation that includes substance abuse and mental health policies, reforms to drug middlemen’s business practices, and extensions to provider payment policies in Medicare and Medicaid, according to five health care lobbyists. WASHINGTON — The Senate Finance Committee plans to vote Nov. Read the rest…
WASHINGTON — A prominent Senate panel on Wednesday passed a new package of health policy reforms that would rein in certain pharmacy middlemen practices and ensure Medicare patients aren’t paying more than insurers do for medications. The package passed the committee 26-0 with no amendments added. Ron Johnson (R-Wis.)
About last night… House leadership last night canceled a scheduled vote on a health care package that included transparency requirements for hospitals and insurers, reforms to some PBM practices, and a small site-neutral payment policy for administering drugs, Rachel writes.
The House Ways & Means Committee package includes a new provision that would ensure that patients in the Medicare program pay for medicines they pick up at the pharmacy counter based on the discounted price that insurers negotiate with drugmakers, instead of higher sticker prices, starting in 2027.
The company had said in April it would pause or discontinue at least four studies of experimental drugs to focus on more lucrative options including the Leqembi launch and trim costs. The bill includes a separate version of price transparency legislation for hospitals, pharmacy benefit managers, and insurers.
Why specialized software is essential for successful 340B programs As we’ve mentioned in several previous posts, many hospitals taking full advantage of 340B programs’ discounts save millions of dollars a year on prescription costs. Once TPAs have 340B prices, we order the eligible drugs for those 340B programs.
Between late 2019 and the end of 2023, ProxsysRx’s 340B Support program went from Zero to more than $500 million in savings generated for the hospitals and health systems we serve. Nevertheless, notes Chance, “There’s a lot going on in the regulatory area at the state level.” The Supreme Court voted unanimously to reverse 340B cuts.
Between late 2019 and the end of 2023, ProxsysRx’s 340B Support program went from Zero to $435 million in savings generated for the hospitals and health systems we serve. A single hospital can easily have five TPAs and 70 contract pharmacies. The Supreme Court voted unanimously to reverse 340B cuts.
This integrated approach keeps everything together in one package that is coordinated by your primary medical health plan vendor. In their view, just as you wouldn’t separate drug therapies from medical care, pharmacy and medical benefits should be tightly integrated too. What does it mean to carve in pharmacy? And we agree.
Congressional leaders had reached a deal to rein in prescription drug middlemen earlier this week, but the larger package it was tacked onto fell apart following backlash from conservatives and top advisers to President-elect Trump. Continue to STAT+ to read the full story…
Lawmakers agreed to extend telehealth flexibilities, fund public health programs, and enact these major changes as part of a government funding package they are planning to pass before the end of the year. The language of the government funding package has not been publicly released, and could still change. The move came after the U.S.
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