Category Archives: Health Plans

Is Paul Ryan Already Eyeing Medicare Cuts?

House Speaker Paul D. Ryan said Thursday that Medicare has “serious problems” that would need to be addressed when Congress moves to repeal and replace President Obama’s health-care reform law — a signal that he is willing to immediately enter … Continue reading

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Senators Demand Mylan Repay $50M to the Pentagon for EpiPen

A group of senators wants to know if Mylan Pharmaceuticals will refund $50 million for charging the Department of Defense “exorbitant rates” at retail pharmacies for the EpiPen emergency allergy device. Their demand followed a Reuters report last week that Pentagon spending … Continue reading

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Feds Probing Express Scripts’ Relationships with Drugmakers, Specialty Pharmacies

Federal investigators are looking into Express Scripts’ dealings with pharma companies, charitable foundations and specialty pharmacies. The nation’s largest pharmacy benefit manager on Tuesday revealed it received a civil investigative demand in August from the U.S. Attorney’s Office for the Southern … Continue reading

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What the 2016 Presidential Election Could Mean for ACA’s Future

At the federal level, the nation’s two major political parties have vastly different visions for the future of healthcare. The election will help to determine which course the nation follows for the foreseeable future. What are the likely outcomes depending … Continue reading

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CMS’ Slavitt Signals Tough Stance on Drug Costs

Dive Brief: As the U.S. faces increasing drug costs, pharmaceutical companies and investors can either continue to fight reality or to face it, CMS acting Administrator Andy Slavitt told attendees at last week’s Biopharma Congress in Washington, DC. As things stand, … Continue reading

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Lawmakers Getting Earful Over Rising Health Care Premiums

The skyrocketing cost of health care premiums is suddenly center stage in Campaign 2016. State lawmakers are calling for a Special Session to fix what they say are catastrophic premium hikes. But now, political experts say the rate hike crisis … Continue reading

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AARP Sues US Agency Over Wellness Incentive Rules

A lobbying group representing older Americans sued the Obama administration on Monday claiming regulations for programs designed to rein in employee health care costs will subject workers to invasions of their medical privacy. Rules released in May by the U.S. … Continue reading

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3 Truths About the 2017 ACA Marketplace

HHS confirmed an average 25% increase for next year’s benchmark ACA plan premiums. It was Christmas in October this Monday for health insurance wonks. Earlier in the day, HHS opened the blinds for individuals to preview and window-shop premium prices … Continue reading

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Obamacare Patients Granted ‘Special’ Enrollments Cost Insurers

Special enrollments that give Americans a second chance to sign up for health coverage under the Affordable Care Act are 5% more costly than patients who sign up during the annual fall open enrollment period. A new analysis from research … Continue reading

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HHS Chief Hints at Tweaks to ObamaCare Marketplace

Health and Human Services (HHS) Secretary Sylvia Mathews Burwell on Wednesday sought to calm fears about the still-shaky ObamaCare marketplaces in the final stretch before this year’s sign-up period. Speaking to health insurance executives in Washington, Burwell stressed that the … Continue reading

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