Friday, June 24, 2022: Payers

The Centers for Medicare & Medicaid Services (CMS) approved Colorado’s Section 1332 state innovation waiver to create its own state-specific public option plan starting next year. Colorado is the first state to get approval for a public option plan. The plan,...

Thursday, June 23, 2022: Payers

Walmart announced it is expanding health care coverage for employees who want to enlist the services of a doula to address racial inequities in maternal care. The retailer started offering doulas to employees in Georgia last year and will expand the same benefit to...

Wednesday, June 22, 2022: Payers

The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that proposes to update payment rates and policies under the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for Calendar Year (CY) 2023. The rule proposes to increase the...

Wednesday, June 22, 2022: Payers

he Supreme Court ruled 7-2 that an employer-sponsored health plan can designate all dialysis providers as out-of-network. In 2018, DaVita sued Marietta Memorial Hospital alleging that its plan violated federal law by not having an in-network option for dialysis and...

Wednesday, June 22, 2022: Payers

Senators Jeanne Shaheen and Susan Collins introduced legislation to reduce insulin prices and cap monthly copays at $35 or 25 percent of the list price — whichever is lower — for both commercial and Medicare plans. The bill would block pharmacy benefit managers from...

Tuesday, June 21, 2022: Payers

New research published in the Annals of Internal Medicine found that Medicare could have saved almost $4.0 billion if it were purchasing generic drugs directly from the Mark Cuban Cost Plus Drug Company (MCCPDC) online pharmacy. Specifically, Medicare could have saved...