Employers Haven’t a Clue How Their Drug Benefits Are Managed
The Big Three pharmacy benefit managers say they return nearly all the rebates they get from drugmakers to the employers and insurers who hire them. But most employers seem to doubt that.
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The Big Three pharmacy benefit managers say they return nearly all the rebates they get from drugmakers to the employers and insurers who hire them. But most employers seem to doubt that.
This year’s start date in most states is Nov. 1, and consumers may encounter new scams as well as important rule changes.
In California, where abortion rights are guaranteed, there’s a loophole. The growth of Catholic hospital systems, which restrict reproductive health care, has left patients with no other option for care. That will be the case for pregnant women in Northern California, with a hospital set to close its birth center.
A famed breast cancer surgeon has created a California alternative to a major Texas event. Yet many doctors believe boycotting medical conferences in states that criminalize abortion accomplishes nothing and can be harmful.
The former president instead favored a temporary model that could’ve brought down prices of some prescription drugs, but it was blocked by the courts.
KFF Health News gives readers a chance to comment on a recent batch of stories.
Employers are showing interest in a type of health reimbursement account that gives workers a contribution to choose and buy their own plans, rather than participating in group plans.
New court filings and lobbying reports reveal an industry drive to tamp down critics — and retain billions of dollars in overcharges.
A remote Wyoming community hoped for years to have more access to health care. Now, after receiving federal funding, it is bucking dismal closure trends throughout the rural U.S. and building its own hospital. And it’s not the only one.
A KFF Health News investigation reveals that employers and the government have offered nursing aides little assistance for PTSD and other ongoing maladies triggered by hazardous work during the pandemic.
State officials threatened to withhold public money from hospitals, pioneering a strategy that could become a national model.
A new bill would create a scholarship program for students who agree to work with specialized courts in California to get patients into treatment, but some people argue the state shouldn’t restrict scholarship aid to a new, untested program given broader behavioral health workforce shortages.
Health care weathered more ransomware attacks last year than any other sector, and that was before a debilitating February hack of payments manager Change Healthcare. Executives, lawyers, and policymakers are worried the federal government’s response is underpowered, underfunded, and too focused on hospital security.
Ballad Health, a 20-hospital system with the nation's largest state-sanctioned hospital monopoly, serves patients in Tennessee, Virginia, Kentucky, and North Carolina.
Federal law requires states to provide pregnancy-related Medicaid coverage through 60 days after delivery. Arkansas has not expanded what’s called postpartum Medicaid coverage, an option that gives poor women uninterrupted health insurance for a year after they give birth.
California lawmakers are moving to rein in the pharmaceutical middlemen they say drive up costs and limit consumers’ choices. The bill sent to Gov. Gavin Newsom would require pharmacy benefit managers to be licensed in California and would ban some business practices. Newsom vetoed a previous effort three years ago.
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