Consumer Driven Health Care

The comprehensive new bill, which advanced on Wednesday, would introduce more transparency, such as requiring pharmacies to report medication costs – and would be paired with another PBM bill that passed earlier this year.

The Affordable Care Act requires insurers to cover a variety of preventive services without a patient paying out-of-pocket, but it is not uncommon for medical practices to narrowly interpret the term "preventive service."

After lawmakers called for oversight over Medicare Advantage marketing practices three weeks ago, the Centers for Medicare and Medicaid Services is now proposing to limit the compensation brokers can receive from insurers.

Tirzepatide, the active ingredient in Lilly's new drug, is already approved under the trade name Mounjaro, a diabetes drug, but Zepbound will list for a lower pre-insurance price than Novo Nordisk's weight loss drug, Wegovy.

Employers will be facing a changing landscape when it comes to health care in 2024, as they continue to see significant spending in the areas of mental health, prescription drugs and cancer treatment, says a new survey.

Under pressure from patient advocates and government regulators, credit agencies have taken steps to remove some medical debts from credit reports, but this could be costing physicians nationwide potentially billions of dollars.