Wednesday, June 22, 2022: Payers

The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that proposes to update payment rates and policies under the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for Calendar Year (CY) 2023. The rule proposes to increase the...

Wednesday, June 22, 2022: Payers

he Supreme Court ruled 7-2 that an employer-sponsored health plan can designate all dialysis providers as out-of-network. In 2018, DaVita sued Marietta Memorial Hospital alleging that its plan violated federal law by not having an in-network option for dialysis and...

Wednesday, June 22, 2022: Payers

Senators Jeanne Shaheen and Susan Collins introduced legislation to reduce insulin prices and cap monthly copays at $35 or 25 percent of the list price — whichever is lower — for both commercial and Medicare plans. The bill would block pharmacy benefit managers from...

Wednesday, June 22, 2022: Providers

CVS announced that it is expanding its Project Health initiative into two new regions and adding four new mobile units in 2022. The provider plans to host more than 1,600 screening events in 45 states and Puerto Rico over the course of this year. The events are hosted...

Tuesday, June 21, 2022: Life Sciences

The Centers for Disease Control and Prevention (CDC) recommended Saturday that children as young as 6 months old receive COVID-19 vaccines developed by Pfizer-BioNTech and Moderna. The move follows unanimous votes earlier from the CDC’s Advisory Committee on...