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CMS may have overcorrected in cancellation of cardiac models

CMS may have overcorrected in cancellation of cardiac models

The CMS may have overcorrected when it honored some hospitals' requests to cancel mandatory cardiac pay models. The move means hospitals that were ready to embrace the models could be out millions of dollars.

Bipartisan plan to curb health premiums gets strong support

By Associated Press  |  October 20, 2017
Bipartisan plan to curb health premiums gets strong support

Sens. Lamar Alexander's and Patty Murray's bill to resume paying cost-sharing subsidies to insurers has support from all 48 Democratic and independent senators, as well as 24 total co-sponsors from both parties. But its fate remains unclear as some Republicans seek changes that could threaten...



Insurance

Anthem's new PBM to spark change throughout the industry

Anthem's new PBM to spark change throughout the industry

There has been heightened scrutiny over pharmacy benefit managers' role in drug pricing in recent years. Anthem's creation of its own pharmacy benefit management company could drive change throughout the industry as health plans and PBMs aim to maintain their competitive edge, experts said.

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