Plus, a 'tsunami of exclusion' on GLP-1s

This Week

Sep 2, 2023

Humana launches in-home primary care through CenterWell


Rite Aid reportedly plans bankruptcy filing to restructure debt, halt pending opioid lawsuits


‘Tsunami of exclusion’: Patients shut out while payers cut obesity drug coverage


CMS suspects auto-renewal process at fault for wrongful Medicaid disenrollments 


Eliquis, Jardiance, Xarelto headline CMS' price negotiation list - Paige Minemyer 

 

Featured

Humana launches in-home primary care through CenterWell

Humana's senior-focused primary care business, CenterWell, is bringing its services into patients' homes.
11-14
Sep
Philadelphia, PA
 

Top Stories

Rite Aid reportedly plans bankruptcy filing to restructure debt, halt pending opioid lawsuits

The bankruptcy would reportedly pause the many legal claims against the retailer and allow it to consolidate and resolve them in one place. 

'Tsunami of exclusion': Patients shut out while payers cut obesity drug coverage

Obesity impacts roughly 40% of Americans, but insurers are becoming less willing to cover weight loss drugs for the disease. Health companies are looking to bridge the gap.

CMS suspects auto-renewal process at fault for wrongful Medicaid disenrollments

As more Medicaid beneficiaries are wrongly kicked off the program, CMS is requiring states to reevaluate its eligibility systems and auto-renewal process.

Eliquis, Jardiance, Xarelto headline CMS' price negotiation list

CMS released its highly anticipated list of 10 drugs subject to Medicare price negotiations Tuesday, a big first step in pushing back against the pharmaceutical industry, says the Biden administration.

Pharmaceutical industry rips 'draconian' price negotiation provision

Critics of President Joe Biden's policies to rein in prices for 10 Medicare Part D drugs believe the policy is "draconian" and will stunt innovation in biotech and pharma startups.

Trilliant Health's national provider directory to be publicly available via API

Basic access to the API will be available for free, while premium licensing will be available for specific use cases, like consumer applications or advanced analyses. The directory, the result of years of data science and engineering work, is said to contain data on 2.7 million healthcare facilities, physicians and allied health professionals.

Providers can now see patients' insurance coverage in GoodRx's cost comparison tool

The feature, embedded in GoodRx's provider solution, surfaces a patient’s coverage and benefits at the point of care with the goal of increasing price transparency and access to drugs.

As large employers back away from self-insurance, small- and medium-sized ones embrace it: EBRI

The share of large employers offering self-insurance options to employees steadily declined since the passage of the Affordable Care Act, with it dropping to 72% in 2022, the lowest it’s been since 2010, according to the EBRI.

Texas docs' 4th courtroom win over HHS interrupts out-of-network billing arbitration yet again

The ruling over calculation of the qualifying payment amount used during independent dispute resolution is another black spot for HHS' implementation of the No Surprises Act.
 
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'Podnosis': The challenges with new email policies, and the importance of diverse investors and founders

This week on "Podnosis," we take a closer look at the challenges with new email policies, and the importance of diverse investors and founders.
 

Resources

eBook

The 5 stages of building a modern healthcare contact center ebook

Patient expectations for great experiences are higher than ever, but fragmented patient journeys across channels and data silos are impacting patient experience, acquisition, and loyalty. Here is what your organization can do to match patient expectations.
 
 

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