Jul 17, 2020 | Federal Issues, Issues
It is now quite clear that the coronavirus disease (COVID)-19 leads to a much severe illness among the elderly and those with pre-existing health issues, such as cancer, diabetes, hypertension, obesity, compared to the general population. Additionally, racial...
Mar 12, 2020 | Issues, News
The past few years have seen some progress in efforts to rein in how pharmacy benefit managers (PBMs) operate. However, a lot remains to be done, especially with respect to state and federal laws that can mandate procedural changes. PBMs are the third-party...
Mar 11, 2020 | Federal Issues, Issues, News, State Issues
Consolidation is primarily a business decision that is made to increase monopoly or exercise rigorous control. Over the years, the health care industry has been a constant witness to mergers and acquisitions, such as hospitals buying individual physician practices or...
Mar 10, 2020 | Issues, News, State Issues
California has a new healthcare law beginning this year in 2020 under which state residents: Are required to have qualifying health insurance (employer-sponsored plans, coverage through Covered California or from insurers, Medicaid and most Medicaid plans) Without...
Mar 10, 2020 | Issues, Letters Submitted
We write to express our strong opposition to portions of the recently released 2021 Notice of Benefit and Payment Parameters (NBPP) proposed rule. Specifically, we are concerned that this proposed rule would reverse a patient-friendly policy about how health plans...
Jan 27, 2020 | Federal Issues, Issues, News
An effort by the Trump administration to help patients battling sky-high surprise medical bills is earning high praise from patients, consumer advocates and even former health care advisers to President Obama. Under a Department of Health and Human Services rule...