Tea Leaves: June 28, 2024: Payers

A House committee overwhelmingly passed four bills on Thursday that would expand Medicare coverage of obesity drugs and cancer screening blood tests and place guardrails around Medicare’s discretion in covering drugs and devices approved by the Food and Drug...

Tea Leaves: June 27, 2024: Payers

Employee health care costs are increasingly eating up larger shares of payroll costs for America’s smallest businesses, according to a new analysis from the JPMorgan Chase Institute. The pain of health care costs is nothing new, but this analysis, based on...

Tea Leaves: June 21, 2024: Payers

The issue of high prescription drug costs in America extends beyond the commonly blamed entities like drug companies and insurers. Pharmacy Benefit Managers (PBMs), often overlooked but immensely influential, play a pivotal role. These middlemen, controlled by giants...

Tea Leaves: June 20, 2024: Payers

Republicans on the House Energy and Commerce Committee sharply criticized the Center for Medicare and Medicaid Innovation (CMMI) during a recent hearing on value-based care, accusing it of failing to achieve cost savings since its inception in 2010. They proposed...

Tea Leaves: June 18, 2024: Payers

The Centers for Medicare and Medicaid Services (CMS) announced the conclusion of its financial relief program for providers impacted by the Change Healthcare cyberattack. Starting July 12, CMS will no longer accept new applications for accelerated or advance payments,...