by Jordana Choucair | Jan 7, 2022 | Payers
The CMS released a proposed rule outlining several regulatory changes for Medicare Advantage (MA) and Medicare Part D starting in 2023. The changes include: 1) requiring all Part D plans to apply the concessions they get from drugmakers to the point-of-sale, 2)...
by Jordana Choucair | Jan 5, 2022 | Payers
A report from the HHS Office of Inspector General found that roughly 20 percent of the $8 billion Medicare spent on lab tests in 2020 went toward COVID-19 tests. COVID-19 drove up Medicare’s overall spending on tests by 4 percent from 2019 to 2020, but spending...
by Jordana Choucair | Jan 4, 2022 | Payers
Starbucks Corp. announced that it will require all workers in its U.S. cafes, offices and manufacturing plants to be vaccinated by February 9 or get tested weekly. The company is one of the first large restaurant chains to take such a step ahead of potential federal...
by Jordana Choucair | Dec 29, 2021 | Payers
The CMS released its proposed Notice of Benefit and Payment Parameters rule late Tuesday, revealing that payers would have to offer standardized plan options for every product network type, plan tier type, and plan classification. The CMS said the goal is to allow...
by Jordana Choucair | Dec 28, 2021 | Payers
Goldman Sachs announced it will require employees and visitors to its U.S. offices to have booster shots, beginning in February. Beginning in January, in-person staff will get tested twice weekly. Goldman was among the Wall Street banks that have pushed hardest to...
by Jordana Choucair | Dec 20, 2021 | Payers
According to the CMS, insurers gave out approximately $2 billion in rebates for 2020 to nearly 10 million consumers under the ACA’s medical loss ratio provision. Health insurers provided approximately $1.3 billion in rebates in the individual market, $384 million in...
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