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For years, Medicare has paid hospitals double the rates it pays other providers for the same services, such as colonoscopies and blood tests, but a new House bill requires Medicare to pay the same rates for such services.

Last year, lawmakers in 29 states considered some 90 bills that would regulate quicker response times from insurers, according to the American Medical Association, with victories in New Jersey and Washington, D.C.

The Federal Trade Commission launched its inquiry of the 6 largest PBMs in June 2022, after Sen. Chuck Grassley (R-Iowa) had pressed the commission for years to review their role in determining prices for prescriptions like insulin.

The DOL's complaint against BCBSM, Inc., as well as the series of lawsuits against other TPAs and insurers, may redefine the landscape of fiduciary responsibilities and the role of TPAs in plan administration.

This upcoming year will see new plans, programs and point solutions in the marketplace to support employers seeking to manage increasing health care costs.

President Trump secured significant health care policy changes still in place today, including efforts to bring more transparency to prices charged by hospitals and paid by insurers, but he still wants to repeal and replace the ACA.

The House of Representatives on Monday passed the Lower Costs, More Transparency Act, which would ban pharmacy benefit managers from spread pricing or charging Medicaid more than they pay pharmacies for drugs.

Keeping just one newborn out of the neonatal intensive care unit (NICU) could bring joy to a family and save hundreds of thousands of dollars in health…