Fourteen health insurers have voluntarily committed to CMS’ “Advancing Chronic Care with Effective, Scalable Solutions” model, according to a Feb. 12 CMS news release shared with Becker’s. The insurers that are on board will work toward achieving alignment with the…
Policy Updates
Vermont Republican state Reps. Patricia McCoy and Francis McFaun introduced a bill in January to shake up how payers operate in the state. The proposed legislation grants the governor a greater say in the makeup of health insurance company boards.…
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…
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…
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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…
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…