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Specialty medications Q&A: key trends and strategies for brokers and employers

By BenefitsPRO editors

We recently caught up with Mark Campbell, vice president at RxBenefits, to discuss the current state of specialty medications, key strategies for benefits advisors and employers, and what to expect in the second half of 2023 and beyond.

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Update

Will ACA preventive care coverage be protected? Court seeking compromise

Update

As Medicaid purge begins, 'staggering numbers' of Americans lose health coverage

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June 12, 2023

New CMS multi-state initiative to test out value-based primary care

The Centers for Medicare & Medicaid Services' new initiative will focus on primary care organizations, especially in rural areas, with limited experience in alternative payment models to help set up infrastructure.

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June 09, 2023

Inflation Reduction Act's impact on retiree benefits: What employers need to know

As the new law rolls out, some plan sponsors are questioning whether the government's capabilities to negotiate with Medicare on lower drug prices could prompt manufacturers to increase medication costs for employer plans.

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June 09, 2023

Top 10 healthiest (and unhealthiest) states in the U.S.

A new study diagnoses the current health of the U.S., revealing which states have taken great strides in reducing health risks—and which ones have a little farther to go.

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June 08, 2023

Denials of health insurance claims are rising: Are algorithms to blame?

Insurers appear increasingly likely to employ computer algorithms or people with little relevant experience to issue rapid-fire denials of claims — sometimes bundles at a time — without reviewing the patient's medical chart.

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June 08, 2023

Status of freeze on ACA free preventive care ruling? An appeals court hears arguments

On Tuesday, an appeals court weighed lifting freeze on Affordable Care Act's preventive health services mandate nationwide in a case most likely headed to the Supreme Court.

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June 08, 2023

The coverage reshuffle: Health insurance projections & health care spending, 2023-33

The end of COVID continuous coverage requirements for Medicaid and the expiration of enhanced Obamacare premium subsidies after 2025 will affect both spending and sources of coverage, says Congressional Budget Office.

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June 07, 2023

Merck sues HHS and CMS, calling plan to negotiate drug prices 'extortion'

In a lawsuit filed Tuesday, Merck becomes the first major drugmaker to challenge Biden's Inflation Reduction Act, which it says "violates the Constitution" by allowing the government to unilaterally impose its preferred price.

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Consumer Driven Health Care

Top Consumer Driven Health Care Stories

Specialty medications Q&A: key trends and strategies for brokers and employers

Will ACA preventive care coverage be protected? Court seeking compromise

As Medicaid purge begins, 'staggering numbers' of Americans lose health coverage

Recommended Just For You

Consumer Driven Health Care Stories

New CMS multi-state initiative to test out value-based primary care

Inflation Reduction Act's impact on retiree benefits: What employers need to know

Top 10 healthiest (and unhealthiest) states in the U.S.

Denials of health insurance claims are rising: Are algorithms to blame?

Status of freeze on ACA free preventive care ruling? An appeals court hears arguments

The coverage reshuffle: Health insurance projections & health care spending, 2023-33

Merck sues HHS and CMS, calling plan to negotiate drug prices 'extortion'