Supreme Court Ruling Opens Door to State Regulations of PBMs
On December 10, 2020, the Supreme Court of the United States held that Arkansas Act 900 is not pre-empted by…
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CMS Unveils Rule to Streamline, Quicken Prior Authorization Decisions
On December 10, 2020, the Centers for Medicare and Medicaid Services (CMS) proposed a new rule aimed at reducing the…
CMS’s New Transparency Rule Requires Plans to Disclose Copay Accumulator Programs and Other Details
On October 29, 2020, the Centers for Medicare and Medicaid Services (CMS) released a new rule aimed at improving transparency…
GAO Report Reveals Insurance Reps’ Deceptive Practices When Selling Junk Plans
According to a new report released by the U.S. Government Accountability Office (GAO), some health insurance sales representatives are engaging…
New Study Shows Out-of-Pocket Spending Decreased Significantly After States Cap the Copay
According to a new study in the New England Journal of Medicine (NEJM), three states have helped their residents save…
FDA Tests CBD Products to Determine If They Are Mislabeled and Adulterated
On July 8, the U.S. Food and Drug Administration (FDA) sent a report titled “Sampling Study of the Current Cannabidiol…
House to Vote on Bill to Expand the ACA But It Also Includes Drug Price Controls
Today, the House is set to vote on H.R. 1425, “Patient Protection and Affordable Care Enhancement Act.” The bill contains…
New CMS Rule Creates Disincentive for Drug Makers To Offer Copay Assistance
The Centers for Medicare and Medicaid Services (CMS) proposed a new rule that could prevent drug makers from offering copay…
Louisiana Enacts Stronger Step Therapy Legislation
On June 11, 2020, Louisiana Governor John Bel Edwards signed HB 263 into law. The new law includes stronger step…
HHS Allows Plans to Implement Copay Accumulators Without Any Patient Protections
On May 7, 2020, the Departments of Health and Human Services (HHS) released its Notice of Benefit and Payment Parameters…