KHN examines the role of PBMs in the prescription drug-pricing pipeline.
A KHN video looks at a Republican plan to establish a federal high-risk insurance pool.
Republicans, who don’t have the votes to repeal the ACA directly, are hoping to use this strict budget strategy that requires only a majority vote to strip the health law of provisions they oppose.
The designation, which is made by the Food and Drug Administration, allows drugmakers to claim seven years of market exclusivity.
Research shows exercise-based cardiac rehab programs help heart patients heal faster and live longer. But fewer than a third take part. Time and cost are the main barriers, doctors and patients say.
You’re in a hospital and think you’re admitted. Maybe not. Many Medicare beneficiaries are surprised to learn that even after spending a couple of days, they are receiving observation care, which Medicare considers an outpatient service, so the seniors’ costs can be more than expected.
Presidential candidates from both parties have proposals they say would help lower the cost of prescription drugs. But most experts say that efforts to regulate prices might not end up saving much money.
Republicans have long touted a proposal to allow insurers to sell across state lines as a way to help keep coverage costs down. But there are some significant obstacles to making such a system work, as this video points out.