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Blue Shield of California challenges PBM model to lower cost of Humira biosimilar
The lower price for members is due to a new Pharmacy Care Reimagined model that unbundles the traditional PBM model, company says.
HIMSSCast: Out-of-pocket expenses are a challenge to keeping people well
Prioritizing wellness means taking into account the out-of-pocket cost for patients, according to Alberto “Beto” Casellas, EVP & CEO of Health and Wellness Platform at Synchrony.
HHS releases guidance for second round of drug price negotiations
The Centers for Medicare and Medicaid Services has released final guidance on the process for the second cycle of drug price negotiations.
Humana is challenging lower Medicare Advantage star ratings for 2025
Humana blames higher industry cut points and one contract decreasing to a 3.5-star rating from a 4.5-star rating in 2024.
CMS releases Acute Hospital Care at Home study
The report compares cost, care, patient experience and more to brick-and-mortar care, ahead of the expiration of the waiver.
J&J backs down from its planned 340B rebate model
The drugmaker says it believes the rebate model is legally permissible and needed to improve the integrity of the 340B program.
Steward CEO steps down, sues Senate HELP Committee
The HELP Committee wanted to punish de la Torre for invoking his Fifth Amendment right, the lawsuit says.
HHS announces 54 drugs subject to rebates and lower coinsurance
The rebates paid by drug companies will be deposited into the Medicare Trust Fund.
Free COVID-19 tests are now available
The Department of Health and Human Services’ Administration for Strategic Preparedness and Response (ASPR) and the U.S. Postal Service are once again offering free COVID-19 tests.
Four tests at no cost are now available through COVIDtests.gov.
Generative AI being used to develop antimicrobial resistant antibiotics
The Department of Health and Human Services has announced funding for antibiotic research and development using Generative AI.
The stop Emerging Threats (TARGET), through the Advanced Research Projects Agency for Health (ARPA-H), will use genAI to spee…
