Cost-Containment

A number of Republicans are jumping on board a proposal by Senators Lindsey Graham of South Carolina and Bill Cassidy of Louisiana to replace the Affordable Care Acts insurance subsidies with block grants to states.

Nearly all major insurance plans cover common opioids, with very few requiring prior approval for them to be prescribed.

A federal report from the Office of the Inspector General found that numerous care providers failed to document patient assessments, provide community-based services or provide written care plans to patients. However, their contracts with the state obligated them to fulfill all these requirements.

Lawmakers and health care groups are hoping to get the Center for Medicare and Medicaid Services to become actively involved in making sure that advance directives are in place.

The Midwest Business Group on Health offers recommendations for employers to work with a middleman, particularly pharmacy benefit managers, to reduce drug costs and drive efficiency.

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