Category: FierceHealthPayer

While physician group ACOs saved Medicare millions, hospital-integrated ACOs cost the program even more than usual, the Harvard-based researchers found.

Several hospital groups, including the American Hospital Association, refiled a lawsuit against the Department of Health and Human Services over cuts to the 340B drug discount program.

In the first of several announcements today, the FDA commissioner said two more insurers are joining a program that allows payers to tell manufacturers what information they need to make coverage decisions.

The drug industry continued its campaign to spread the blame for high prescription drug prices with its latest commissioned analysis and ad spots aimed at explaining the role other players in the system have in influencing prices.

Although WellCare hasn’t offered exchange plans since 2016, its CEO says this move positions it for “growth within government-sponsored programs.”

Congressional leaders in the House Energy and Commerce Committee sent letters to seven PBMs with detailed questions around list price negotiation and how their role in the supply chain impacts spending in federal health programs.

Arizona Governor Doug Ducey has generally supported efforts to repeal the ACA. The individual he appoints could support repeal as well—but not necessarily.

The legislation, which would cap profits on dialysis clinics affiliated with charities, has been highly contested by the industry.

New data released by CMS shows ACOs cut Medicare costs by hundreds of millions of dollars after accounting for shared savings payments. The National Association of ACOs said the data proves Track 1 ACOs are generating savings.

A joint resolution introduced this week in the Senate with 30 co-sponsors would overturn the administration’s recent expansion of association health plans. Plus: The Department of Justice says the judge assigned to the Arkansas work requirements is … i…