Optum Rx, one of America’s largest PBMs sent a letter to drug companies outlining several demands the companies must meet if they seek to lower list prices for their medicines. This would put another obstacles in the path of lowering drug prices. In it, Optum demanded: 1) at least seven quarters notice before a company reduces its list prices, and 2) equivalent rebates off of lowered prices as compared to existing prices.

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Gov. Brian Kemp unveiled legislation Wednesday that could remake health care for hundreds of thousands of Georgians. Or just a few. The Patients First Act would give the governor wide latitude to approve a range of options in pursuit of federal “waivers” with the aim of improving government-funded health care access for the poor and…

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HCCI’s annual reports examine year-over-year and 5-year cumulative trends in health care spending for individuals with employer-sponsored insurance, segmented by health care service category. Downloadable tables and interactive tools allow for further exploration of the data that power these reports. This year’s report found that average annual health care spending for individuals with employer-sponsored insurance…

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The Utah Legislature on Monday passed a bill to replace the voter-approved Medicaid expansion with a skinny expansion, a move that may encourage other states to seek similar scaled-back expansions with full federal funding. The Republican-controlled Utah Senate approved legislation passed by the state House of Representatives Friday that replaces the voter-passed expansion to adults with incomes…

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Galen Institute president Grace-Marie Turner testified before the House Energy and Commerce Committee on Feb. 13 about preserving consumer protections in health insurance while giving consumers more choices of affordable coverage. She focused on the administration’s Section 1332 guidance and the importance of the new rule allowing people to purchase temporary health insurance.

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Democrats and Republicans on the House Energy and Commerce Committee on Wednesday signaled they could band together to slap clear consumer warnings on short-term limited-duration health plans. Rep. Morgan Griffith (R-Va.) and Grace-Marie Turner, president of the conservative Galen Institute who defended the Trump administration’s expansion of short-term plans as a needed low-cost alternative to ACA…

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A political party is asking for trouble when it embraces a position on a high-profile issue that most Americans oppose. But it isn’t easy to avoid this pitfall when a majority of the party’s own members endorse that position. As the campaign for the Democratic presidential nomination heats up, the Medicare for All plan first…

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The laser focus on expanding the government’s role in health care has coincided with a double-digit slide in net support for “Medicare for all” among voters from January to February, according to new data from a Morning Consult/Politico poll.

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The only people more eager than progressive Democrats for hearings on Medicare for All are conservative Republicans. GOP lawmakers, fresh off an electoral shellacking fueled in large part by health care concerns, are now trolling Democrats with demands for hearings on the sweeping single-payer bill set to be introduced this month. They’re confident that revelations about its…

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Many things affect your health. Genetics. Lifestyle. Modern medicine. The environment in which you live and work. But although we rarely consider it, the degree of competition among health care organizations does so as well. Markets for both hospitals and physicians have become more concentrated in recent years. Although higher prices are the consequences most…

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