Payers can reduce unnecessary healthcare spending by incentivizing consumers to choose lower cost healthcare providers, a study from the Pioneer Institute focusing on Massachusetts-based payers...
Bonnie Burns, a training and policy specialist at California Health Advocates, has been advocating for consumers in the Medicare space for over four decades, including in the area of Medigap benefits. She was involved in the lawsuit that...
As payers lean more heavily on remote care, consumers stressed the need for greater convenience in care delivery and prefer to turn to telehealth and digital solutions, in part, as the answer,...
A bipartisan vote in the House Committee on Education and Labor advanced the Ban Surprise Billing Act on February 11, which aims to reduce surprise billing and increase healthcare transparency.
The...
The HHS Transparency in Coverage proposed rule is not an actionable or secure method to achieving price transparency, nor is it an authorized exercise of HHS authority, AHIP argues in its comments on...
Three in four adults would not support a federal regulation that improved healthcare price transparency if the rule raised the cost of health insurance premiums, according to a new Morning Consult...
HHS announced the Transparency in Coverage proposed rule requiring payers offering group and individual health insurance plans and employer-sponsored group health plans to offer price transparency...
The Health Care Cost Institute and Blue Health Intelligence, a data division of Blue Cross Blue Shield Association, have struck a multiyear data partnership that will see the latter’s medical...
Humana filed a 600-page lawsuit against 37 pharmaceutical companies over an alleged conspiracy to drive up the cost of generic drugs. Among the defendants are industry giants such as Teva...
When it comes to lowering skyrocketing drug prices, employers are making their voices heard on drug price transparency, drug price increase caps, and other price reducing strategies through the...
The American healthcare industry unnecessarily spent over $250 billion on tangled administrative complexity, out of the $760 billion to $935 billion that healthcare professionals consider wasteful each...
CMS released a new Medicare Plan Finder that helps beneficiaries compare Medicare Advantage and Part D plans.
“The redesigned Medicare Plan Finder is another example of how CMS is empowering...
Payer organizations are voicing their opposition to CMS’s Medicare Outpatient Prospective Payment System (OPPS) rule, stating that publishing negotiations would prevent payers from obtaining...
The Senate Finance Committee has passed the Prescription Drug Pricing Reduction Act (PDPRA), a bipartisan piece of legislation that checks pharmacy benefit managers’ practices of overpayment and...
Healthcare payers are continuing to respond to industry pressure to address price transparency challenges, tapping healthcare technologies that will help them understand the true cost of patient...
On Thursday, the White House backed down from its proposed rule that would have prohibited pharmacy benefit manager rebates because the rule would have raised seniors’ premiums and Medicare...
A federal judge recently ruled in favor of a group of pharmaceutical companies challenging a new drug price transparency rule from HHS that required manufacturers to disclose wholesale acquisition cost...
President Trump’s regulation requires healthcare price transparency on treatment costs and price negotiations, the White House announced in a press release on Monday
“To make fully...
CMS is seeking to modernize the way Medicare beneficiaries access information about their care and coverage with eMedicare, an initiative that uses online tools and mobile applications to improve...
Senators from both sides of the aisle have requested information from providers and payers regarding surprise medical billing.
In a recently released letter, Senators Bill Cassidy (R-LA), Michael...
