Improvements in vision from innovative treatments generated $5.1 to $8.2 billion in patient benefits.
Category: Health Insurance
White House Unveils Finalized Health Care Price Transparency Rule
The final directive drew swift responses from the hospital and insurance industries. The Trump administration also released a proposed rule that would require health insurers to spell out for all services beforehand just how much patients may owe for their out-of-pocket costs.
Post-market price changes alone account for most recent spending growth for biologics
Annual spending by U.S. public programs and beneficiaries nearly doubled from $5.3 billion to $10.3 billion from 2012 to 2016.
CMS releases final and proposed rules on price transparency bound to get provider and payer pushback
The final rule for hospitals, which goes into effect in 2021, includes the ability for CMS to impose civil monetary penalties of $300 per day.
Affordable Care Act enrollment is down 20% since November 1.
Since open enrollment for 2020 plans began two weeks ago, there are 244,183 fewer ACA enrollees.
Sanford Health, UnityPoint Health call off plans for $11 billion merger
No reason was given for the decision, which negates plans that would have resulted in a system ranking among the biggest U.S. nonprofits.
Large drugmakers could lose $1 trillion in sales and still be the most profitable industry, analysis shows
The findings refute assertions that a reduction in drug spending would endanger access to life-saving drugs.
CMS cracks down on regulatory loopholes and state schemes in Medicaid payments
A proposed rule seeks to stop the numerous schemes known to CMS that states have used to circumvent federal statute.
‘An Arm And A Leg’: Mom Vs. Texas In A Fight To Get Kids’ Hearing Aids Covered
Health insurance in Texas didn’t cover hearing aids for kids — which can cost $6,000 and need to be replaced about every three years. So Stephanie Wittels Wachs teamed up with other moms to lobby the Texas legislature for change, and they won.
Dialysis Patients Panic As Financial ‘Life Raft’ Becomes Unmoored
An organization that helps nearly 4,000 California dialysis patients pay for their insurance is threatening to cut off aid in January because of a new law that is expected to reduce dialysis industry profits. Patients fear they won’t be able to afford their life-saving treatment.
