Category: The Commonwealth Fund

Senate Passes Bill to Ban ‘Gag Clauses’ and Free Pharmacists to Discuss Drug Pricing Options

The Senate on Monday overwhelmingly passed a bill that would let pharmacists inform consumers when it’s cheaper to buy a drug without insurance, as lawmakers inched closer to delivering the Trump administration a win — albeit a small one — in the effor…

Virginia’s Medicaid Work Requirement Won’t Hit Until Long After Program Expands Next Year

Virginia is gearing up to expand Medicaid eligibility to as many as 400,000 residents in January, but requirements that recipients work and pay premiums could lag two years behind, officials said this week. The gap has infuriated Republican state senat…

Justice Department Greenlights Cigna-Express Scripts Merger

The U.S. Justice Department has approved the proposed $67 billion merger between health insurer Cigna Corp. and pharmacy benefit manager Express Scripts, the companies announced Monday. Cigna and Express Scripts still must secure certain state regulato…

Ruling on Health Care Subsidies Could Prove Costly for Government

A federal court ruled this month that a Montana insurer is entitled to federal compensation for subsidy payments under the Affordable Care Act (ACA) that President Trump abruptly ended last October, a ruling that could reverberate through insurance mar…

Gawande-led Venture Taps Consulting Giant to Hone Strategy for Chronically Ill

The health venture led by Dr. Atul Gawande is working with a global consulting powerhouse to hone its strategy for improving care of chronically ill patients who account for the vast majority of medical costs, according to a person familiar with the ar…

Alabama Hospital Association Begins Campaign for Medicaid Expansion

With one in every 10 patients walking into state hospitals without insurance, the Alabama Hospital Association on Thursday launched a campaign to push for expansion of the state’s Medicaid program. Politicians in the Deep South have often opposed expan…

Trump Administration to Review Alabama Work Requirements for Medicaid

The Trump administration will review Alabama’s proposal to require some Medicaid beneficiaries, including parents of young children, work to continue receiving benefits. The proposal would require beneficiaries work or complete other activities for 35 …

Quotable

“[The Senate passed opioid epidemic legislation] doesn’t include everything all of us want to see but it has important new initiatives and it’s a step in the right direction, Congress is committing itself to actually putting politics aside.” — Senator …

Bipartisan Senators Unveil Proposal to Crack Down on Surprise Medical Bills

A bipartisan group of senators is unveiling a draft measure to crack down on surprise medical bills, which they say have plagued patients with massive unexpected charges for care. The measure would prevent a health care provider that is outside of a pa…

One Big Problem With Medicaid Work Requirement: People Are Unaware It Exists

The Trump administration argues that imposing work requirements for Medicaid is an incentive that can help lift people out of poverty. But a test program in Arkansas shows how hard it is merely to inform people about new incentives, let alone get them …