Tag: Health Insurance Pricing

A Bitter Pill: How Big Pharma Lobbies to Keep Prescription Drug Prices High | CREW

A Bitter Pill: How Big Pharma Lobbies to Keep Prescription Drug Prices High | CREW

With the political heat on pharmaceutical manufacturers increasing in Washington, D.C., the industry is preparing for a fight over perhaps the most controversial issue confronting it: drug pricing. As many of the industry’s largest companies increase the prices of their products, they have also increased their lobbying spending on Capitol Hill, and some have reported […]

Price cap on medical devices: Price-control as a regulatory philosophy fundamentally dents the image of a country | HealthWorld

Price cap on medical devices: Price-control as a regulatory philosophy fundamentally dents the image of a country | HealthWorld

India’s $5 billion medical device market may be going through an existential threat. The Indian healthcare industry has been registering a double-digit growth rate, with a CAGR of 17% in the last five years. However, India’s drug pricing authority – the National Pharmaceutical Pricing Authority (NPPA), notified the Medical Devices Rules, 2017, which has come […]

Posting prices may help both surgeons and patients | Futurity

Posting prices may help both surgeons and patients | Futurity

Publicly posting the price of tonsillectomies, uncomplicated births, and other common procedures can increase business, revenue, and patient satisfaction at outpatient surgery centers, according to a small study. “There’s a growing movement in the United States for transparent and fixed pricing for predictable services…” A report in the American Surgeon suggests that hospitals and other […]

Want to help patients? Get rid of drug rebates, HHS chief says | FiercePharma

Want to help patients? Get rid of drug rebates, HHS chief says | FiercePharma

Drug rebates and list prices have been on a race to the top, and patients have paid the price. One solution, according to HHS Secretary Alex Azar? Sweep the rebate system aside entirely. “[E]verybody wins when list prices rise, except for the patients,” and overhauling the pricing system to remove drug rebates would help with […]

Vt. Takes Aim at Prescription Drug Prices | Valley News

Vt. Takes Aim at Prescription Drug Prices | Valley News

Gov. Phil Scott has signed S.92, which features two different approaches to the state’s prescription problem: It requires more detailed financial reporting from insurers and drug companies; and it promotes lower-priced alternatives to expensive specialty drugs called biologicals. The statute — now labeled Act 193 — also calls for a group representing state government, pharmacies, […]

HHS Secretary Azar outlines Trump administration’s drug pricing plan | CNBC

HHS Secretary Azar outlines Trump administration’s drug pricing plan | CNBC

Health and Human Services Secretary Alex Azar intensified the Trump administration’s attack on drug middlemen Tuesday, even suggesting the elimination of discounts that critics say inflate pharmaceutical prices. President Donald Trump unveiled his administration’s blueprint to lower drug prices last month. It includes rethinking rebates, or discounts that firms called pharmacy benefit managers negotiate with […]

How early retail health clinics set the stage for today’s mega-mergers | STAT

How early retail health clinics set the stage for today’s mega-mergers | STAT

We did recognize the novelty of health care delivered by the right caregiver, in a convenient setting, at an affordable price that the clinician and the patient both knew. At the time, these concepts were new to health care and we believed that together they held the potential to have long-term influences on how the […]

NJ Passes Healthcare Price Transparency Law to Stop Surprise Bills | RevCycle Intelligence

NJ Passes Healthcare Price Transparency Law to Stop Surprise Bills | RevCycle Intelligence

New Jersey policymakers intend to alleviate the financial burden of surprise medical bills for emergency services by changing provider medical billing practices. For out-of-network services administered on an “emergency or urgent basis,” the law mandates that providers cannot charge in excess of a patient’s deductible, co-payment, or co-insurance amount applicable to in-network services. Health plans […]

Lawmakers have sights on middlemen blamed for rising drug costs | TheHill

Lawmakers have sights on middlemen blamed for rising drug costs | TheHill

With public outrage growing over the rising costs of prescription drugs, Congress is targeting the middlemen they say are to blame. Specifically, lawmakers are moving to ban “gag clauses” that prohibit pharmacies from telling customers they can save money on a drug if they pay with cash instead of using their health insurance. These clauses […]

MultiBrief: New House bill focuses on Medicare drug price reduction | MultiBriefs

MultiBrief: New House bill focuses on Medicare drug price reduction | MultiBriefs

According to Health and Human Services (HHS) Secretary Alex Azar, “President Trump’s plan to curb drug prices will allow Medicare to negotiate prices in a more aggressive approach.” It is important for Medicare Part D participants to have a level of transparency when it comes to how they are priced for specific drugs that they […]