This article examines the PBM-related provisions in the 2026 Consolidated Appropriations Act in the context of other federal and state efforts to regulate PBMs, then offers recommendations on ...
Last summer, the Trump administration announced a voluntary pledge by health insurers to reform prior authorization, but patient advocates and medical providers remain skeptical.
While no single school district in New Jersey is large enough to counter the insurance industry on its own, all districts ...
HHS proposed three new rules today related to the Patient Protection and Affordable Care Act, and the rules involved several major portions of the law, including essential health benefits, health ...
BOSTON (SHNS) – State insurance regulators unveiled sweeping prior authorization reforms that would scrap pre-approval requirements for “many routine and essential” health care services, Gov. Maura ...
Options that might seem like alternatives, like fixed indemnities and short-term plans, don’t offer comprehensive medical coverage and aren’t subject to ACA patient protections. Somehow, at some point ...
BOSTON — Massachusetts health insurers will be required to streamline, and in some cases scrap altogether, pre-approval for many routine medical procedures and medications under proposed new state ...
It’s an imperfect solution, but Republicans likely need to do a temporary extension of Obamacare subsidies while they get fixes up and running. This week, the House passed a bill full of vital ...