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Payer Notebook: Kaiser donates $1 million to the Bernard J. Tyson Impact Fund

AHIP names Humana CEO and President Bruce B. Broussard as chair for 2021.

Kaiser agrees to pay $6.4 million to settle claims it received inflated Medicare Advantage payments

The allegations were brought by a whistleblower former employee who will receive about $1.5 million as her share of the recovery.

AMA promotes benefit design to mitigate cost of high-deductible plans

Payers, employers, organized medicine and researchers can alter the mounting financial and clinical barriers patients face, the AMA says.

CMS is expected to release new rebate rule soon

Drug rebate rule is expected to end PBM rebate system.
Better Medicare Alliance said the rule threatens to raise seniors’ health costs amid a global pandemic. 

Moderna vaccine candidate shows 94.5% efficacy against COVID-19

Two vaccines and two therapeutics may be approved before the end of the year.

HHS partners with chain and independent pharmacies to increase access to future COVID-19 vaccines

Agreement leverages existing private sector infrastructure as majority of public live within 5 miles of a pharmacy.

Facing COVID-19 surges, hospitals want additional money for the provider relief fund

Providers are also looking for full accelerated payment forgiveness for all hospitals, among other provisions.

Supreme Court appears favorable to keeping Affordable Care Act

Photo portraits of the Supreme Court members in two rows
Congress has already decided it doesn’t want the entire law to fall, says Justice Sonia Sotomayor.

Supreme Court to hear oral arguments this morning to determine validity of Affordable Care Act

The severability issue of the individual mandate is where "the rubber hits the road," says AHIP Attorney Pratik Shah.

President-elect Joe Biden announces COVID-19 Advisory Board

Members of the advisory board include Dr. Atul Gawande, former CEO and now chairman of Haven.