Tag: Insurance Pricing

HHS Secretary Alex Azar warns drug makers to pay full Medicaid rebate amount | MDLinx

HHS Secretary Alex Azar warns drug makers to pay full Medicaid rebate amount | MDLinx

“In fact, I am pleased to announce here, to all of you, that HHS is issuing a guidance today to drug manufacturers that will ensure they are paying the full Medicaid rebates they owe on certain prescription drugs,” HHS Secretary Alex Azar said Thursday during the 45th American Legislative Exchange Council Annual Meeting in New […]

Good for Patients: Trump Finalizes Rule Forcing Hospitals to Reveal Prices Online | LifeZette

Good for Patients: Trump Finalizes Rule Forcing Hospitals to Reveal Prices Online | LifeZette

The CMS rule goes further than current regulations, and it requires hospitals to share prices in a bid to “encourage price transparency” and enhance “public accessibility,” notes The Hill. The Trump administration is also looking into new ways to “allow consumers to more easily access relevant health care data and compare providers.” “The agency is considering […]

The problem with price transparency: ‘Price’ doesn’t always mean ‘out-of-pocket’ cost, says NorthShore Assistant VP Justin Brueck | Becker’s Hospital Review

The problem with price transparency: ‘Price’ doesn’t always mean ‘out-of-pocket’ cost, says NorthShore Assistant VP Justin Brueck | Becker’s Hospital Review

Q: What is the biggest barrier to price transparency in the healthcare industry?  JB: One of the biggest barriers in price transparency is that many health system contracts have payer confidentiality provisions, which makes it difficult to discuss such matters. Additionally, we must remember that ‘price’ does not necessarily reflect ‘out-of-pocket’ cost — and out-of-pocket […]

Here’s Why Big Pharma Loves This Plan to Lower Drug Prices | The Motley Fool

Here’s Why Big Pharma Loves This Plan to Lower Drug Prices | The Motley Fool

The White House is currently mulling a proposal that could slash list prices on branded drugs. If you find that hard to believe, this next one will make your head explode: We can expect Big Pharma to put a lot of weight behind this proposal’s passage. The Health and Human Services Department (HHS) recently submitted […]

Merck’s price cuts are flashy, but no more benevolent than Pfizer’s freeze: analysts | FiercePharma

Merck’s price cuts are flashy, but no more benevolent than Pfizer’s freeze: analysts | FiercePharma

Little more than a week after Pfizer drew praise from President Donald Trump for simply delaying planned price increases on 40 drugs, Merck & Co. pledged several strategies for “responsible pricing,” including slashing the price of its hepatitis C drug Zepatier by 60% and instituting price-hike controls across its entire portfolio. At first glance, it […]

Drug Manufacturers Raise Prices | Heartland Institute

Drug Manufacturers Raise Prices | Heartland Institute

Several major drug manufacturers raised list prices for many drugs in July, two months after President Donald Trump offered his blueprint to lower prescription medication costs. The announced price increases by Pfizer, Inc., Bayer, Novartis, and several other drug makers hike drug prices by an estimated 9.4 percent, with double-digit increases expected for the year […]

Maryland health regulator expands hospital price transparency efforts | FierceHealthcare

Maryland health regulator expands hospital price transparency efforts | FierceHealthcare

The Maryland Health Care Commission is expanding its price transparency initiative with tools aimed at getting consumers pushing for information about cost and quality directly from hospitals and doctors. Launched last fall, the MHCC’s “Wear the Cost” initiative provides prices at Maryland hospitals for common nonemergent procedures including hip replacements, knee replacements, hysterectomies and vaginal births to allow residents see the differences […]

Changing The Way Medicare Pays Doctors | Forbes

Changing The Way Medicare Pays Doctors | Forbes

Cutting the reward money But small physician practices and even larger groups with few Medicare patients may opt out of the new payment system.  CMS is also said it wants to experiment with excluding physicians in Medicare Advantage managed care plans from MIPs participation. As a result, reports the online journal Modern Healthcare, the amount […]

Trump’s Drug Plan Picks Up Momentum as Merck Lowers Some Prices | Bloomberg

Trump’s Drug Plan Picks Up Momentum as Merck Lowers Some Prices | Bloomberg

The Trump administration moved swiftly in the past 24 hours to implement pieces of its plan to bring down drug prices, preparing several significant steps as one of the biggest U.S. drugmakers said it would bring down the cost of some medicines. The Health and Human Services Department on Wednesday night submitted a proposal to […]

All-Payers Claims Databases May Increase Healthcare Price Transparency | Health Payer Intelligence

All-Payers Claims Databases May Increase Healthcare Price Transparency | Health Payer Intelligence

July 18, 2018 – Leveraging the data of all-payers claims databases (APCDs) could improve healthcare price transparency for consumers, according to testimony presented at a House Energy and Commerce Committee hearing. Jamie S. King, a professor at the USC Hastings College of Law, told the committee that APCDs could address price transparency challenges if stakeholders use […]