The Labor Department’s Employee Benefits Security Administration proposed regulation Jan. 29 that would require pharmacy benefit managers to disclose their compensation with self-insured group health plans. Under the rule, PBMs would have to share information on their rebates and other…
Payer Policy Updates
A Kentucky bill introduced Jan. 21 would require the state’s insurers to offer prior authorization exemptions in the state. The bill has bipartisan backing and includes two Republican healthcare professionals — state Reps. Kimberly Moser and Robert Duvall — as…
The House of Representatives voted 341 to 88 on Jan. 22 to pass a government funding package that includes several long-sought healthcare provisions backed by hospital and provider groups. The three-bill “minibus” is part of a broader bipartisan legislative package…
Missouri Republican state Sen. Benjamin Brown introduced a bill Jan. 7 to slash prior authorization requirements for providers. Providers would be exempt from prior authorization unless the insurer or party carrying out utilization review determined that less than 90% of…
The Indiana Hospital Association, Indiana State Medical Association and Indiana Physicians Health Alliance are all backing a bill targeting Elevance Health’s out-of-network provider penalties, the organizations shared in a Jan. 21 news release. The bill advanced in the state’s legislature…
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Democratic Oklahoma state Sen. Julia Kirt is pitching a bill that would eliminate credit scores as a factor in determining health insurance premiums. Ms. Kirt is introducing three bills targeting costs across the insurance industry, according to a Jan. 12…
The CEOs of most of the nation’s largest health insurers plan to lay blame for rising healthcare costs on hospitals, pharmaceutical companies and specialty providers during testimony before Congress on Jan. 22. In written testimonies submitted ahead of back-to-back hearings…
President Donald Trump released a sparsely detailed healthcare policy framework Jan. 15 that calls on Congress to codify voluntary drug pricing agreements with major pharmaceutical companies, direct payments to Americans over extending enhanced ACA subsidies, and expand price transparency requirements…
Massachusetts Gov. Maura Healey is the latest state leader to push for prior authorization reform, fleshing out her plan in a Jan. 14 news release. Just one day prior, New York Gov. Kathy Hochul had shared her intentions to tackle…
Democratic Gov. Kathy Hochul proposed several initiatives Jan. 13 that aim to shore up healthcare in New York state. Affordability has been a pressing concern among New Yorkers. In the news release, Ms. Hochul said she will direct the state’s…