While Congress moves closer to pharmacy benefit manager reform with new legislation pending, "achieving large reductions in prescription drug costs" will require a different approach, says the Brookings Institution.
As the U.S. struggles with the shortages, a group of Republican governors wrote a letter to Congressional leaders, citing shortfalls of critical meds like amoxicillin and called for added transparency in the pharmaceutical supply chain.
The Centers for Medicare & Medicaid Services sent a letter to Medicaid directors in all 50 states, requiring them to determine whether they have an eligibility systems issue that could cause children to be dis-enrolled from Medicaid.
This latest federal ruling strikes down the methodology insurers use to calculate "qualifying payment amount," which includes "rates for items and services that providers have no intention to provide," according to the ruling.