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DOJ charges 60 health care providers in largest-ever opioid take down

April 18, 2019


The Department of Justice on Wednesday announced federal prosecutors are charging 60 health care providers for their alleged involvement in illegally distributing millions of pain pills.

What 'Medicare for All' would really cost, according to 5 experts

April 17, 2019


Health reform and so-called "Medicare-for-All" plans are shaping up to be key issues in the 2020 presidential election, but it is unclear how these plans would affect U.S. health care expenditures. To get some answers, the New York Times asked a group of economists and think tanks for their projections.

Healthy food subsidies could save more than $100B in health care costs, research shows

April 17, 2019


Providing Medicare and Medicaid beneficiaries with so-called "healthy food prescriptions" could lower the risk of chronic illnesses and lead to billions of dollars in savings, according to a study recently published in the journal PLOS One.

Inside this little-known alternative to 'Medicare-for-All'

April 16, 2019


Democratic presidential candidates in recent months have voiced support for so-called "Medicare-for-All" proposals, but there is another more incremental health reform approach that is gaining traction among Democrats looking to move the United States toward a single-payer health care system.

Sanders just revised his 'Medicare-for-All' proposal. Here's what you need to know.

April 11, 2019


Sen. Bernie Sanders (I-Vt.) on Wednesday unveiled a new version of his so-called "Medicare-for-All" legislation that would expand benefits under the bill to include long-term care coverage.

How PBM execs want to reform the Rx pricing system

April 10, 2019


Executives from five of the nation's largest pharmacy benefit managers (PBMs) during a Senate Finance Committee hearing on Tuesday said they would support legislation to reform PBMs' current drug pricing system by increasing transparency and prohibiting PBMs from charging Medicare and Medicaid higher rates for prescription drugs than pharmacies.

340B providers can now access ceiling prices for 340B drugs

April 10, 2019


HHS' Health Resources and Services Administration last week opened its ceiling-price verification website for 340B drugs to all 340B providers—a move that will allow hospitals to determine whether drugmakers are overcharging them for drugs.

How CMS wants to ease Medicare Part D plans' transition to proposed rebate rules

April 9, 2019


If CMS moves forward with proposed changes to eliminate certain prescription drug rebates in Medicare and Medicaid plans, the agency will launch a two-year demonstration program to ease Medicare Part D plans' transition.

The new telehealth benefits coming to MA plans

April 8, 2019


CMS on Friday finalized a rule that aims to increase Medicare beneficiaries' access to care by broadening the telehealth services covered under Medicare Advantage plans.

Sens. unveil 'Medicare X' bill to create public option health plans

April 4, 2019


Two Democratic senators on Tuesday introduced legislation to create so-called "public option" health plans that would use Medicare payment rates and networks.

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