From Drug Benefit News - A new report from a coalition of stakeholders suggests that a considerable portion of hospitals enrolled in the 340B Drug Pricing Program provides a negligible amount of free or reduced-price care to indigent, uninsured patients. This report, which was partly funded by PBMs, adds to the growing body of analysis questioning whether hospitals that qualify for special drug pricing under the federal program are actually using the savings for their intended purpose. Read more
From AIS's Health Reform Week - With billions of federal dollars at stake, an increasing number of Republican-controlled states are reconsidering their opposition to Medicaid expansion under the Affordable Care Act (ACA). Twenty-five mostly “blue states” already have tapped that voluntary expansion option, which allows them to access increased federal dollars to cover residents with annual incomes up to 138% starting in 2014. But now, at least a half-dozen holdout states are indicating a new interest… Read more
From Inside Health Insurance Exchanges - In May, insurance carriers will begin filing their 2015 rates for the products they intend to sell on government-run exchanges next fall. But actuaries are just beginning to analyze the limited information they have on the 2014 exchange enrollees, including their potential risk. Read more
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