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In the Health Reform Update for the past week, the President appears likely to sign a permanent repeal of the Medicare physician payment formula should the bipartisan compromise from the House also clear the Senate. However, he pledged to veto budget plans passed by the House and Senate that include dramatic cuts to health spending and a full repeal of the Affordable Care Act (ACA). Congress urges greater oversight and transparency over the 340B drug discount program in response to studies c...
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Our recent update on Specialty Tiers is now available.
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PSI Government Relations is providing the following legislative update to explain the structural challenges faced by the 340B drug discount program in helping patients to access and afford needed prescriptions. It is an overview of proposed actions being debated by lawmakers and regulators and not an endorsement of any particular reform.
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In the Health Reform Update for the past week, the Obama Administration uses the fifth anniversary of the Affordable Care Act (ACA) next week to highlight that more than 16.4 million Americans have gained coverage under the law—the greatest expansion in four decades. The Urban Institute finds that the media overstated the number of individual health plans that were actually canceled in order to avoid upgrading to ACA standards. Congressional bills to fix Medicare physician payments, repea...
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In the Health Reform Update for the past two weeks, a key justice casts doubt on the U.S. Supreme Court challenge to the Affordable Care Act (ACA) subsidies received by 7.7 million consumers in federally-facilitated Marketplaces. Republican lawmakers offer several proposals to at least temporarily extend the subsidies should they be struck down in June. For the second time this year, the Congressional Budget Office cuts it estimate of total ACA costs due to lower than expected growth in he...
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Read our Specialty Tier update for the week of March 9, 2015.
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Key Justice casts doubt on Supreme Court challenge to ACA subsidies
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In the Health Reform Update for the past week, Republican governors press Congress to protect Affordable Care Act (ACA) subsidies if the U.S. Supreme Court strips them from roughly 87 percent of this year’s 8.8. million federally-facilitated Marketplace (FFM) consumers. The Department of Health and Human Services (HHS) denies having any back-up plan even though Avalere Health now predicts that an adverse Supreme Court decision could spike FFM premiums by an average of 255 percent. Errors on...
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Our latest update on specialty tiers is now available!
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In the Health Reform Update for the past two weeks, Marketplace sign-ups for the second open enrollment period far exceed federal targets with more than 11 million consumers selecting private plans. However, a surge of late applications forces all federal and state-based Marketplaces (SBMs) to extend the deadline past February 15th for those unable to complete the process. The Centers for Medicare and Medicaid Services (CMS) and several SBMs also create a special enrollment period through Apri...
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