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How a bipartisan group of lawmakers wants to make sure you're paying the lowest price for Rx drugs

March 19, 2018

A bipartisan group of senators are sponsoring two bills that would prohibit clauses sometimes included in contracts between insurers, pharmacies, and pharmacy benefit managers that prevent pharmacies from proactively telling customers if they would save on a prescription drug by paying for it out of pocket instead of using insurance.

The top Senate proposals to reform Medicare's 340B drug discount program

March 19, 2018

Senators on the Health, Education, Labor, and Pensions Committee say entities involved in the 340B drug discount program should be more transparent about drug prices and savings generated under the program.

A penalty for being insured? Study highlights practice of overcharging for Rx drugs

March 15, 2018

Geoffrey Joyce, a coauthor on the study who directs health policy at the Schaeffer Center for Health Policy and Economics at the University of Southern California, says overcharging insured individuals higher out-of-pocket fees for prescription drugs than the drug's actual cost "is going on (at a) much higher frequency than most people imagine" and "penalize[s] people for having insurance."

White House panel calls for quick action to reduce cancer drug prices

March 15, 2018

The President's Cancer Panel in its latest report writes, "More than ever, affordable access to drugs will be the difference between life and death for cancer patients."

CVS, Aetna shareholders approve proposed merger

March 15, 2018

CVS Health's proposed merger with Aetna still is subject to regulatory approval, and Joe Goode, director of corporate public relations for CVS, says, "Both companies continue to cooperate with the Department of Justice staff in its review of the transaction."

More ED visits to be reviewed under new UnitedHealthcare policy

March 15, 2018

According to UnitedHealthcare, "The goal of this revised policy is to ensure accurate coding by hospitals, and ultimately promoting accurate coding of health care services is an important step in achieving the triple aim of better care, better health, and lower overall cost."

Why does the US spend so much on health care? It's not what you might think.

March 14, 2018

A new study finds that the United States' spends more on health care than other wealthy nations—not because U.S. residents use more services than those countries, but because U.S. residents pay more for procedures and treatments.

Lawmakers are considering funding CSR payments—but for millions that could raise premium costs

March 13, 2018

An analysis by the Center on Budget and Policy Priorities finds that restoring cost-sharing reduction payments called for under the Affordable Care Act in 2019 would result in between 1.6 million and 3.3 million U.S. residents facing higher premiums for federal exchange plans.

UnitedHealthcare to pass on 'overwhelming majority' of drug rebates to medication consumers

March 13, 2018

UnitedHealthcare says beginning in 2019 it will pass along most of its drug rebate savings to members who take relevant medications within UnitedHealth's fully insured employer plans—making it the first insurer to enact such a policy, according to UnitedHealthcare President Dan Schumacher.

Gottlieb blames 'rigged payment scheme' for 'exorbitant' biologic drug prices

March 8, 2018

FDA Commissioner Scott Gottlieb says health insurers should "lead the way" on changes intended to increase access to lower-cost biosimilar drugs.

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