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Physician groups call for Senate to fix reimbursement in reconciliation bill
A group of medical societies and physician groups has sent a letter to senators saying that a fix to the Medicare Physician Fee Schedule that was passed in the House version of the reconciliation bill should be included in the Senate draft.
Patients overpaying for GLP-1 drugs, data shows
Overpaying for GLP-1 medications is extremely common, with a new data analysis of 102,166 drugs showing that 92% of those prescriptions could have been filled at a lower price.
The DoseSpot analysis estimated that if the prescriptions had been filled a…
CMS administrator touts insurance industry push for prior authorization reform
Dr. Mehmet Oz, administrator for the Centers for Medicare and Medicaid Services, said during a press conference on Monday that health insurers have “agreed to sheath their swords” and work together on a multipronged effort to overhaul the prior authori…
Health plans make commitment to streamline prior authorization
Health insurers, including Humana, Elevance and CVS Health, have committed to a number of actions meant to simplify and reduce prior authorization, with a focus on connecting patients to care more quickly and reducing providers’ administrative burdens.
Independent pharmacies can now contract with GoodRx
Prescription drug platform GoodRx has launched GoodRx Community Link, which uses a cost-plus pricing model based on National Average Drug Acquisition Cost to provide predictable pricing, and which allows independent pharmacies to contract with them dir…
Northwestern enhancing radiology productivity with AI
A generative artificial intelligence system developed in-house at Northwestern Medicine is boosting productivity by identifying life-threatening conditions in milliseconds.
Amazon’s PillPacket now available to Medicare Part D enrollees
People insured through Medicare can now access PillPack from Amazon Pharmacy to get access to presorted medication, according to the retailer.
Amazon said that presorted, labeled medication packets delivered to people’s homes will make it easier to man…
Johns Hopkins University preparing for ‘devastating cuts’
Johns Hopkins University in Baltimore said it’s preparing for what it believes will be “devastating federal cuts” that could impact the quality of care it provides to the community.
Hospital margins improving despite tariff uncertainty
Hospital financial performance has improved since the start of the year, with margins improving for nonprofit hospitals specifically.
This is despite tariff policies at the national level that are causing uncertainty and market volatility, according to…
Insurance exchanges implore senators to extend ACA tax credits
Executives at state-based insurance exchanges have written a letter to healthcare leaders in the Senate expressing concern over the contents of the Republican-led “Big Beautiful Bill,” saying proposals in the legislation would likely drive up costs for…
