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Lawmakers could be headed for a showdown on Rx drug prices

December 10, 2019


Leaders on the Senate Finance Committee on Friday unveiled a new, bipartisan bill intended to lower prescription drug prices, and House Republicans on Monday announced a similar bill—both of which clash with a separate proposal introduced earlier this year by House Speaker Nancy Pelosi (D-Calif.).

With opposition from industry, the future of surprise billing legislation remains uncertain

December 10, 2019


The White House on Monday expressed support for a new, bipartisan agreement to address so-called "surprise" medical bills, but the proposal's future is uncertain, as it faces opposition from the provider industry and has yet to receive an endorsement from congressional leadership.

Issues with Medicare Plan Finder leads to call for special enrollment period

December 10, 2019


A group of 15 senators on Thursday urged CMS to offer Medicare beneficiaries who have experienced issues with the recently updated Medicare Plan Finder tool an opportunity to change their coverage during a special enrollment period.

Senate, House lawmakers announce a deal to fix 'surprise' medical bills

December 9, 2019


Three federal lawmakers on Sunday announced that the Senate Health, Education, Labor and Pensions Committee and the House Energy and Commerce Committee have reached a bipartisan agreement in principle on legislation to address so-called "surprise" medical bills that could be attached to a year-end spending bill.

'Silver loading' lowered premiums for some rural exchange plan enrollees, study finds

December 9, 2019


A recent Health Affairs study found that some exchange plan enrollees in rural areas paid slightly lower premiums than their urban counterparts in 2018 and 2019 because of a practice among health insurers known as "silver loading."

US health spending growth accelerated last year. Here's why.

December 6, 2019


U.S. health spending growth increased at a faster rate in 2018 when compared with 2017, in part because the net cost of health insurance rose more quickly due to the return of the Affordable Care Act's health insurance tax, according to a CMS report released Thursday.

How much would a 'public option' disrupt health care? More than you might think.

December 6, 2019


In the Democratic presidential debates, public option health plans are being positioned as more "moderate" and less "disruptive" alternatives to single-payer proposals, such as Medicare for All—but what is lost in that framing is just how much public option plans would disrupt the current system, Margot Sanger-Katz writes for the New York Times' "The Upshot."

The White House wants hospitals to disclose their 'secret' prices. Now, hospitals are suing.

December 5, 2019


The American Hospital Association and other hospital groups on Wednesday filed a lawsuit against the Trump administration that seeks to block a final rule that that requires hospitals to publicly post their insurer-negotiated rates.

HHS launches program to provide no-cost PrEP to uninsured US residents

December 5, 2019


HHS on Tuesday unveiled a new program called Ready, Set, PrEP, which will provide uninsured U.S. residents with HIV-prevention medication at no cost as part of the Trump administration's goal to nearly eliminate new transmissions of HIV in the United States.

Federal exchange signups reach 2.9M, CMS data shows

December 5, 2019


CMS on Wednesday announced that about 2.9 million people have signed up for federal exchange plans so far during the Affordable Care Act's current open enrollment period, which is down by about 10% when compared with the first five weeks of last year's open enrollment period.

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