Regulation Tag

Industry groups representing hospitals and health systems across the nation sued HHS last year, challenging a rule that requires hospitals to disclose the rates they negotiate with insurers beginning in 2021. On June 23, a federal judge granted HHS' motion for summary judgement. Under a final...

Ed Day discusses the healthcare and benefits market in general with Michael Andrade of the Solving Healthcare podcast. The discussion provides a good overview of HST and details of services, strategies and results. Listen to the Podcast - click here...

Holding PBMs Accountable for Clinical Management by Kenneth B. Berry and Kristin Begley, Pharm.D. Drug plan sponsors can lower drug spending and improve member outcomes by working with pharmacy benefit managers (PBMs) that use strong, high-touch clinical management programs. Amid rising drug plan costs, the employee benefits industry...

(Modern Healthcare) California hospitals are on edge over a bill dropped late Monday that would mandate regulated rate-setting for providers. The measure would use Medicare rates as the benchmark to calculate commercial insurer payments, and would cost state hospitals $18 billion in the first year...