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Supreme Court will hear insurers’ argument for billions in risk corridors funds

At question is whether a temporary cap on funds makes retroactive payments moot, even as insurers upheld their part of the bargain under the Affordable Care Act.

Supreme Court will hear insurers’ argument for billions in risk corridors funds

At question is whether a temporary cap on funds makes retroactive payments moot, even as insurers upheld their part of the bargain under the Affordable Care Act.

President Trump signs executive order requiring hospitals and insurers to reveal their negotiated prices

American Hospital Association, America’s Health Insurance Plans, say order will raise prices.

FTC approves UnitedHealth Group $4.3 billion acquisition of DaVita, with conditions

Two commissioners were ready to go to court over the decision not to pursue enforcement action in Colorado.

Amazon wants to displace CVS Caremark’s mail-based drug services, court documents show

PillPack and Amazon have no immediate plans to build a PBM but have ‘explored a number of things,’ say court documents.

Oak Street Health invests only in value-based care

While the nation is going digital for services, healthcare needs a physician presence and Amazon is also expanding that strategy.

Providers and payers should negotiate without government interference, AHA tells Senate committee

The Lower Health Care Costs Act from the Senate HELP committee will be marked up next week prior to going before the full Senate.

CMS proposes prior authorization update for Part D drugs

The expedited process and drug access would allow clinicians to complete the process online under new e-prescribing standards.

Drug makers sue HHS over rule mandating they post the list price of drugs in TV ads

Rule misleads patients about their out-of-pocket costs for prescription drugs, a factor the manufacturers say HHS already concedes.

AHIP wants more oversight over consolidation of hospitals and physicians

While most vertical mergers do not impair competition, it should not be assumed that all are benign or that savings are passed onto consumers, Senate Judiciary subcommittee hears.