Healthcare Cost

In Most of the US, Self-insured Employers Lack Power at the Bargaining Table With Hospitals

July 20th 2021, 9:25pm


In this episode of Managed Care Cast, the lead author of an article in the July issue of The American Journal of Managed Care describes the latest research that looks at the power of self-insured employers to negotiate hospital prices and the relationship between employer market power and hospital prices.

How Biogen’s Aduhelm Approval Marks a Precipitous Turning Point for the FDA

July 14th 2021, 6:03pm


A string of controversies surrounding the approval of Biogen's Alzheimer disease drug aducanumab (Aduhelm) has not only called into question the independent nature of the FDA, but puts both providers and patients in a challenging position when it comes to deciding whether or not to prescribe or take the treatment.

Contributor: To Address Uncontrolled Asthma, Understand the Right Treatments for the Right Patients

July 2nd 2021, 12:15pm


Not all asthma is created equal, nor will all therapies work for all patients. With continued innovations in asthma treatments offering new, improved options for patients, we are more prepared than ever to address uncontrolled asthma head-on.

US Releases First Rule to Protect Against Surprise Medical Bills

July 1st 2021, 10:26pm


The measure is designed to end surprise medical billing and balance billing, taking the first step to implement the so-called No Surprises Act that passed Congress at the end of last year.

Underscoring Disparities in Rural Health: Challenges, Solutions for a Long-standing and Growing National Issue

July 1st 2021, 12:40pm


With systemic health and social inequalities contributing to a lack of health care access and a growing mortality risk among rural Americans, the COVID-19 pandemic has further exacerbated health issues present between community lines. We spotlight several health challenges in these communities and potential solutions to improve the general health of rural populations.

Senator, Health Care Executives Discuss What’s Next in Payment, Access Issues

June 24th 2021, 8:15pm


The head of AHIP sat down with a senator and 3 health care executives for a conversation about payment and access issues at the organization's 2021 Institute and Expo Online.

Xcenda Report Shows Biosimilar Competition Lowered Drug Prices of Reference Oncology Biologics

June 23rd 2021, 4:01pm


A report from Xcenda showed that biosimilars for 8 blockbuster reference biologics have successfully kept drug prices from increasing by an average of 56%, restoring the possibility that biosimilars could achieve significant discounts despite facing several barriers to uptake.

Next Steps for HHS, CMS Following Supreme Court Decision to Uphold ACA

June 18th 2021, 6:00pm


HHS Secretary Xavier Becerra and CMS Administrator Chiquita Brooks-LaSure discussed next steps following the Supreme Court’s decision to uphold the Affordable Care Act (ACA), including continued expansion of Medicaid benefit coverage and addressing disparities in maternal mortality rates nationwide.

Supreme Court Tosses Challenge to ACA for Lack of Standing

June 17th 2021, 4:23pm


In a 7 to 2 decision, the Supreme Court ruled Thursday that the Affordable Care Act (ACA) will stand, as plaintiffs seeking to declare the law unconstitutional did not have standing.

Pandemic Factors Driving Predictions for 2022 Medical Cost Trends

June 15th 2021, 10:00pm


On this episode of Managed Care Cast, we speak with the author of the annual PwC Behind the Numbers report, which looks ahead at medical cost trends in the United States.