Tag: Drug Pricing

Medicare Part A will run out of funds in 8 years, Medicare trustee report says | Healthcare Finance News

Medicare Part A will run out of funds in 8 years, Medicare trustee report says | Healthcare Finance News

“Absent a change in the delivery system or level of update by subsequent legislation, access to Medicare-participating physicians may become a significant issue in the long-term under current law,” trustees said. They recommend the consideration of reforms to prevent the widening of this gap. If the health sector cannot transition to more efficient models of […]

Price transparency is sound health-care policy | TheHill

Price transparency is sound health-care policy | TheHill

Americans agree on one thing: health care costs too much, both individually and to our nation. In 1960, the average U.S. health care cost per person was $146. As a nation, we expended $27.2 billion, which represented 5 percent of GDP. Fast forward to 2016 when average per capita spending on health care was $10,348, […]

A Surgical Approach To High Prescription Drug Prices | Forbes

A Surgical Approach To High Prescription Drug Prices | Forbes

President Trump’s plan to lower prescription drug costs uses a surgeon’s scalpel to address a range of issues, offering nearly 30 policy recommendations to modernize payment policies, weed out counter-productive regulations, improve price transparency, and expand competitive price negotiations. The plan reflects the complexity of the industry and the regulatory system that governs government approval and […]

City or country: Where will reference-based pricing work best? | Employee Benefit Adviser

City or country: Where will reference-based pricing work best? | Employee Benefit Adviser

Benefits brokers know that healthcare is local. When it comes to alternatives to a fully-funded benefit strategy, brokers typically consider new ideas and plan designs in the context of whether it will work in their specific market. Reference-based pricing, which is changing the way self-funded employers pay for healthcare, is no different. Brokers on the […]

Whistleblower files lawsuit against CVS Caremark for falsifying drug prices | wkyc.com

Whistleblower files lawsuit against CVS Caremark for falsifying drug prices | wkyc.com

In fact, we announced in March (https://cvshealth.com/newsroom/press-releases/cvs-health-kept-drug-price-growth-nearly-flat-and-improved-medication) that in 2017, we kept drug price growth nearly flat for our PBM clients, despite manufacturer price inflation near 10 percent. Annual out-of-pocket costs for PBM members also declined, with three out of four members spending less than $100 out of pocket for their prescriptions, and nearly 90 […]

State Policies to Address Prescription Drug Prices | Center for American Progress

State Policies to Address Prescription Drug Prices | Center for American Progress

Over the past few years, high and rising prescription drug prices have generated significant controversy. Large, bipartisan majorities of the public support increased government action to reduce drug prices.1 However, little action has been taken at the federal level to reduce prices. Despite President Donald Trump’s repeated promises during the campaign to crack down on […]

Price Transparency Worsens Despite Recent Efforts | Medpage Today

Price Transparency Worsens Despite Recent Efforts | Medpage Today

Calling 120 hospitals to seek the lowest bundled price (including all hospital and physician fees) for a potential patient’s total hip arthroplasty in 2016, Safiyyah Mahomed, of Toronto General Hospital, and colleagues found that they were only given one in 6.7% of cases (down from 15.8% in 2012, OR 0.2, 95% CI 0.0-0.8). They had […]

Prices that insurers pay can help end hospital price gouging | TheHill

Prices that insurers pay can help end hospital price gouging | TheHill

Last month the Texas Supreme Court decided In Re Cypress Medical Center, a case focused on whether the payments hospitals receive for insured patients are relevant to determining the price an uninsured or out-of-network patient must pay. The question of how to measure the reasonable and customary value of health care services is being raised […]

Mary Meeker on healthcare consumerization driving down costs | CNBC

Mary Meeker on healthcare consumerization driving down costs | CNBC

People are spending more on healthcare than ever before, Meeker’s data shows, and people are starting to view it with the same expectations that they would have for other consumer products, including desires for on-demand access and transparent pricing. Technology companies, from startups to top firms, have started to fill gaps and provide solutions. Major […]

Cassidy Health Care Proposal | The Daily Caller

Cassidy Health Care Proposal | The Daily Caller

The senator, along with GOP Sen. Lindsey Graham of South Carolina, wrote a bill last fall that would have drastically cut down on federal spending toward Obamacare and gave greater flexibility to states in how they chose to implement the health care law. Cassidy and his team are now focusing their efforts away from repeal […]