Amid growing concern about rising drug costs, the practices of prescription benefit management firms are drawing a new level of attention.
The Medicare Payment Advisory Commission outlined a package of changes to Medicare’s drug program that could save billions of dollars.
A proposal to change the way Medicare pays for some drugs has set off intense reaction and lobbying — all tied to a common theme: How far should the government go in setting prices for prescription drugs?
The federal agency says the wellness programs can get health details about workers and their spouses as long as the financial rewards or penalties do not exceed 30 percent of the cost for an individual in the company’s group health plan.
Gina McCarthy met with Kaiser Health News to answer a range of questions, including how the agency is involved in efforts to combat Zika and the ongoing water crisis in Flint, Michigan.
The proposal that Medicare made this month to better control prescription drug costs involves testing strategies used with some success in the private sector.
The Department of Health and Human Services issues new rules designed to simplify health coverage consumers buy through Healthcare.gov.
Regulators unveiled a two-part plan that will change payments and test ways in which the Medicare Part B program can change the incentives that some policy experts say encourage doctors to choose higher-cost medications.
A market is emerging for products that enlist data and technology to identify patients who might be at risk for hospitalization or readmission.
Agency For Healthcare Research and Quality data show that more women with breast cancer are opting for mastectomies over less-invasive options, and more are having the procedure in outpatient facilities where they don’t spend even one night in the hospital.
The decision by Independence Blue Cross of Pennsylvania to pay for whole genome sequencing for some cancer patients adds to the debate about how to handle these expensive tests.
Some medicines, particularly intravenous treatments, are not listed in plans’ pharmacy benefit section and, therefore, it’s difficult to confirm coverage specifics.
In a recent interview, Cordani discussed the evolution of exchange health plans as well the proposed merger between Cigna and Anthem.
A trend among this year’s marketplace plans leaves some consumers responsible for potentially unlimited out-of-network health care bills, even though they chose plans in which they thought they had some financial protections.
A KHN analysis finds a sharp difference in premium prices between plans that offer out-of-network care and those that do not.
Some analysts and health policy experts view the move as an effort to compel the Obama administration to make changes.
The advocacy arm of the American Cancer Society said Wednesday that federal and state governments should move to restrict insurers from charging patients a percentage of the cost of their prescription drugs.
Because of the complexity of insurance available through healthcare.gov and state exchanges, and the broad variation in how prescription drugs are covered, experts encourage consumers to compare options to figure out which one best fits their needs.
This proposal allows these workplace wellness programs to set financial incentives for participation as high as 30 percent of the cost of family coverage. A separate draft rule pegs this amount to the cost of employee-only coverage.
As part of an effort to pinpoint what’s driving up health expenditures, the insurer is broadening a pilot program to include about 500 more oncologists, bringing the total to 650 physicians in seven states.