- Iowa dentist disciplined for unsanitary practice conditions
- ADA honors 10 new dentists for excellence in field
- Orthodontist pay vs. cost of living by state
- Oral surgeon pay vs. cost of living by state
- Wildfire smoke strafes Midwest, Northeast: 6 things healthcare leaders should know
- 9 pharmacy groups warn revised ACIP charter could delay vaccine access: 6 notes
- Private equity’s legal playbook for physician practices
- The outpatient orthopedic model built around doing less
- Where ASCs can find cost savings after the easy wins are gone
- NYU Langone grows South Florida presence with 2 practices
- The hidden cost of the GLP-1 boom: 5 notes
- ‘Hospitals without an outpatient footprint will struggle’: Health systems race to build ASC networks
- ‘Hospitals without an outpatient footprint will struggle’: Health systems race to build ASC networks
- Montefiore leader joins Northwell hospital as CNO, VP of patient care services
- Bad debt, charity care surge continues to squeeze hospitals
- 3 cardiology societies urge CMS to update TAVR coverage rules: 5 priorities
- UCSF nurses, physicians protest ED ‘boarding crisis’
- Inova’s next clinical chief keeps a fish pillow in her office
- Missouri outlaws insurance time limits on anesthesia: 5 things to know
- Texas hospital temporarily closes due to flooding
- Trump’s CDC Nominee Praises Vaccines, Without Vowing Independence From Kennedy
- Why ASCs should be watching the Medicare Advantage exodus
- LightForce Orthodontics appoints new CEO
- 39 behavioral health executive moves to know
- Good news for anesthesia
- MAX Surgical Specialty Management selects Sensei Cloud as enterprise practice management system
- Why some ASCs ‘are going to be left out’ of healthcare’s next era
- Median pay for anesthesiologists reaches $391K: Breakdown by state
- Is dental school becoming unattainable? 6 dentists weigh in
- Peak Dental Services becomes 1st DSO to deploy clinician well-being framework
- Aspen Dental continues expansion with South Carolina practice
- Texas safety net behavioral health provider projects $15M shortfall
- 4 dental deals totaling $308M
- Huahai poaches quality chief from Hengrui amid FDA manufacturing citations
- 24 new behavioral health study findings to know
- Maryhaven CEO steps down amid financial concerns
- GE HealthCare, Catholic Health strike 10-year, $500M technology partnership
- Thriveworks launches insight dashboard for referring providers
- What’s driving Arizona’s drug death surge? 6 things to know
- CMS proposal to block third-party vendors will upend remote monitoring services, health tech leaders say
- FDA Clears First Cholesterol Pill, Lipfendra, To Rival Costly Injections
- Statement on Regulation E-Delivery
- Paper Taper: Statement on Proposed Regulation E-Delivery
- Statement on Proposed Regulation E-Delivery
- One Of The Largest Epidural Studies Ever Delivers Reassuring News For Parents
- Bipartisan Senate bill seeks to build vigilance around foreign companies making drugs in US
- Coalition for Health AI launches implementation initiative for public health agencies
- Vanda shifts Nereus marketing into high gear with Schumacher IndyCar sponsorship
- Could A Vaccine Prevent Pancreatic Cancer In Those At High Risk?
- Heatwaves During Pregnancy Could Affect Baby's Brain Development, Study Suggests
- Brain 'Microstimulation' Works Long-Term To Restore Sense Of Touch After Spinal Cord Injury
- Otters, bears and Pharma Lions: inside Gilead’s bronze-winning Cannes spot
- 'Night Owls' At Risk Of Wider Waistlines, Unhealthy Hearts
- Facing Funding Losses, States Call Out Big Businesses With Employees On Medicaid
- Listen to the Latest ‘KFF Health News Minute’
- A Sales Tax on Doctor Visits and Medicine? In Missouri, Some Worry
- Readers Share Personal Insights on Deadly Denials and Pregnancy Centers
- Merck scores at FDA as Lipfendra becomes world's first oral PCSK9 treatment
- UnitedHealth Group to maintain 'restless' even after topping investor's Q2 expectations, CEO says
- 6 weeks into California’s psychiatric staffing mandate: What hospital leaders should know
- The best opportunities to expand behavioral healthcare access
- PsychPlus acquires Koa Health to scale mental health platform
- Senate HELP committee grills CDC nominee Erica Schwartz on vaccine policy, resistance to political interference
- 2 states join in expanding psychologist prescribing authority
- Ohio behavioral health clinic owners indicted in $9.3M Medicaid fraud case
- Bipartisan House bill tying doc pay to inflation earns resounding applause from providers
- West Tennessee Healthcare expands critical care support through eICU Program in partnership with Philips and hellocare.ai
- Sanofi opens new chapters in Pfizer, Moderna mRNA patent litigation sagas
- Novo gains head start on Lilly with European Commission approval of Wegovy pill
- Merck touts Keytruda front-line win in endometrial cancer subtype, marking a PD-1 first
- Wildfire Smoke Puts Millions At Risk Across Midwest, Northeast
- Lark Health, Samsung team up on AI-powered health coach for U.S. seniors
- 340B drug purchases hit at least $100B in 2025, administrator reports
- Buzzy Veradermics shows its oral minoxidil can tackle female pattern hair loss, too
- No patent protection for Stelara? No problem for J&J as Tremfya fills the void
- Amazon Pharmacy partners with eNavvi to provide real-time medication pricing, delivery info to providers
- Are Microplastics Linked To Higher Heart Attack Risk?
- Impulsivity In Third Grade Could Point To Future Struggles
- AI Can Create 'Ghosts' Of Lost Loved Ones, But Would You Want To Meet Them?
- Blood Test May Predict Alzheimer's Risk Up To 10 Years Before Symptoms Begin
- Kelun scores sac-TMT win in first-line NSCLC population missing from Merck’s massive phase 3 program
- OpenAI’s health AI chief: ‘Bet on the models getting better’
- Knee Pain? Ragged Cartilage? Research Suggests Surgery's Not The Best Answer
- THC/CBD Combo Might Ease Agitation In Late-Stage Dementia
- Facing Funding Losses, States Call Out Big Businesses With Employees on Medicaid
- Full-body scan startup Neko Health scores $700M to break into the U.S. market
- Elevance Health leaves D.C. Medicaid market, mulls future exits
- Sanofi teams up with Special Olympics Unified Football World, raises respiratory health awareness
- Insilico signs on with CDMO Bora in $2.5B AI drug discovery deal
- CMS proposes major Medicare reforms to shift physician pay, phase out MIPS and expand ACO participation
- Judi Health rebrands PBM arm as Judi Rx, unveils Judi Care unit
- With FDA approval for its breast cancer blockbuster hopeful, Celcuity could ‘belong in the hands’ of a Big Pharma
- Anthropic bets bigger on healthcare with Optum tie-up, UST integration
- FTC, CVS unveil settlement in ongoing insulin pricing case
- HHS promises its final rule barring pediatric gender care providers from Medicare is still coming
- AMA interoperability initiative brings structured clinical terminology to CPT codes
- Director's Note on What to Expect at the 2026 Partnerships with Sites Summit
- Lettuce Suspected In Growing Multistate Cyclospora Outbreak
- Startup Sonata launches preventive healthcare membership, linking clinical decisions with AI
- Why Are Family Doctors Leaving The Workforce? Retirement, Burnout Creating A U.S. Primary Care 'Brain Drain'
- Huyabio scores with Opdivo combo in 'milestone' skin cancer trial
- Unruly Patients Are Stressing ER Staff, Undermining Care
- Heatwaves Raise Hospital Admissions For Mental Health Woes
- Pain Patients Should Taper Opioids At Their Own Pace, Study Suggests
- U.S. Gun Suicides Hit Record High, Even As Firearm Deaths Decline Overall
- AstraZeneca pays up to $1.5B for EGFR lung cancer drug Zegfrovy from its spinoff Dizal
- Worried About Your Aging Parents? Welcome To The Caregiving Club
- Lawmakers Look To Make Abortion Shield Laws Less Dependent on Who’s Governor
- Knee Pain? Ragged Cartilage? Research Suggests Surgery’s Not the Best Answer
- Real Chemistry builds body of AI healthcare commercialization tools with Anatomi launch
- Inside agency view: Havas SO on authenticity, connection and pushing back against the ‘sea of sameness’
- Cellares' recent automated cell therapy wins have 'opened the biotech floodgates'
- Insulet, Calm join forces for diabetes care offerings with ‘Mind in Range’ wellness tools
- Remarks before the American-Hellenic Chamber of Commerce
- What Is An Aortic Dissection? The Condition That Killed Sen. Lindsey Graham
- Weight-Loss Drugs Help, But Exercise Is Still The Key To A Healthier Heart
- FDA's latest onshoring move homes in on streamlined facility registration, foreign plant scrutiny
- GSK to seek FDA approval for Jemperli in small but high-profile cancer use after phase 2 win
- Smartphones Can Increase Seniors' Risk Of Depression
- Pro Soccer Players Show Signs Of Shrinking Brains
- Adderall Misuse Falls Sharply Among Young Adults, Study Finds
- New KFF Poll Reveals Who Is Most Likely To Endorse Vaccine Myths
- A New Option For Long-Term Care Costs
- As GOP Cries Fraud, Newsom Backs Medicaid Spending on Housing and Food
- Lupin recalls more than 2.5M prescription eye drop bottles, citing possible contamination
- Journalists Discuss Raw-Milk Marketing, Extreme Heat, Opioid Settlement Spending
- Katie Couric's Memory Loss Scare Puts Rare Brain Condition In Spotlight
- Mild COVID Can Lead To Long-Term Hidden Eye Problems
- LGBTQ+ People Less Likely To Be Screened For Some Common Cancers
- Smartphone App Uses Voice To Predict Asthma, COPD Flare-Ups
- Seniors Know How Sharp They Are At Any Given Time, Study Finds
- Patients Face A Thicket of Red Tape Trying To Maintain Consistent Health Coverage
- AI Can Detect Previously Invisible MS Scars In The Brain
- A New Option for Long-Term Care Costs
- Remarks at the Society for Corporate Governance Conference
- GLP-1 Use Hits Record High As Medicare Opens Access To Weight-Loss Drugs
- Foundation Fights Medical Errors That Claim 200,000 U.S. Lives A Year
- New, Highly Accurate Brush Test Can Detect Mouth Cancer Within An Hour
- Innovative Hip Replacement Cuts Post-Surgery Risk Of Dislocation By 70%
- Global Study Finds Kids Worldwide Skipping Fruits And Vegetables
- Zimmer Biomet to Hire 500 in India as New Bengaluru Technology Centre Drives AI and MedTech Innovation
- AdaptHealth Investigates Data Breach After Social Engineering Attack, Possible Link to ShinyHunters Emerges
- Statement on the 2026 Regulatory Agenda
- Applying Agentic AI to Healthcare Delivery: The Key to True Transformation
- From Compliance to Clinical Action: Fixing the Broken Loop in Post-Market Surveillance
- SCAN Health Plan, Alignment Healthcare sue to challenge CMS' MA star ratings recalculations
- Regulatory tracker: Eisai, Biogen scoop up subQ Leqembi starter dose nod
- Remarks at the Economic Club of New York
- Is Your Organization Ready to Govern AI in Regulatory Affairs?
- CMS Proposes TAVR Medicare Coverage is Potential Boost for Edwards Lifesciences
Michigan healthcare freedom community forum
The breathtakingly expensive blood thinner Eliquis, used so much to counter COVID 19 symptoms, is at the top of the list:
HHS Selects the First Drugs for Medicare Drug Price Negotiation
For the first time, Medicare will be able to negotiate prices directly with drug companies, lowering prices on some of the costliest prescription drugs.
For the first time, thanks to President Biden’s Inflation Reduction Act – the historic law lowering health care costs – Medicare is able to negotiate the prices of prescription drugs. Today, the U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), announced the first 10 drugs covered under Medicare Part D selected for negotiation. The negotiations with participating drug companies will occur in 2023 and 2024, and any negotiated prices will become effective beginning in 2026. Medicare enrollees taking the 10 drugs covered under Part D selected for negotiation paid a total of $3.4 billion in out-of-pocket costs in 2022 for these drugs.
“For far too long, pharmaceutical companies have made record profits while American families were saddled with record prices and unable to afford life-saving prescription drugs. But thanks to the landmark Inflation Reduction Act, we are closer to reaching President Biden’s goal of increasing availability and lowering prescription drug costs for all Americans,” said HHS Secretary Xavier Becerra. “Although drug companies are attempting to block Medicare from being able to negotiate for better drug prices, we will not be deterred. The Biden-Harris Administration will continue working to ensure that Americans with Medicare have access to innovative, life-saving treatments at lower costs.”
The Biden-Harris Administration has made lowering prescription drug costs and improving access to innovative therapies a key priority. Alongside other provisions in the new law that increase the affordability of health care and prescription drugs, allowing Medicare to negotiate prescription drug prices will strengthen the program’s ability to serve people with Medicare now and for generations to come. The negotiation process will consider the selected drug’s clinical benefit, the extent to which it fulfills an unmet medical need, and its impact on people who rely on Medicare, among other considerations, such as costs associated with research and development as well as production and distribution for selected drugs. As a result of negotiations, people with Medicare will have access to innovative, life-saving treatments at lower costs to Medicare.
The selected drug list for the first round of negotiation is:
- Eliquis
- Jardiance
- Xarelto
- Januvia
- Farxiga
- Entresto
- Enbrel
- Imbruvica
- Stelara
- Fiasp; Fiasp FlexTouch; Fiasp PenFill; NovoLog; NovoLog FlexPen; NovoLog PenFill
These selected drugs accounted for $50.5 billion in total Part D gross covered prescription drug costs, or about 20%, of total Part D gross covered prescription drug costs between June 1, 2022 and May 31, 2023, which is the time period used to determine which drugs were eligible for negotiation. CMS will publish any agreed-upon negotiated prices for the selected drugs by September 1, 2024; those prices will come into effect starting January 1, 2026. In future years, CMS will select for negotiation up to 15 more drugs covered under Part D for 2027, up to 15 more drugs for 2028 (including drugs covered under Part B and Part D), and up to 20 more drugs for each year after that, as outlined in the Inflation Reduction Act.
View a fact sheet from the Office of the Assistant Secretary for Planning and Evaluation (ASPE) at: https://aspe.hhs.gov/reports/aspe-ira-drug-negotiation-fact-sheet .
View a CMS fact sheet on the drugs selected for the Medicare Drug Price Negotiation Program at: https://www.cms.gov/files/document/fact-sheet-medicare-selected-drug-negotiation-list-ipay-2026.pdf - PDF.
More information on the Medicare Drug Price Negotiation Program is available at https://www.cms.gov/inflation-reduction-act-and-medicare/medicare-drug-price-negotiation .
Reuters, today, lists the eight lawsuits challenging drug price negotiations on constitutional grounds here:
https://www.reuters.com/legal/court-challenges-medicare-drug-price-negotiation-plan-2023-08-29/
This Zerohedge republication from Epoch Times doesn't mention price negotiation.
Still, it seems likely to intersect with the coverage price explosion they predict, given the complex interference congress set up with the Inflation Reduction Act.
https://www.zerohedge.com/personal-finance/retirees-face-steep-hikes-prescription-premiums-2024
Retirees Face Steep Hikes In Prescription Premiums In 2024
Authored by Amie Dahnke via The Epoch Times (emphasis ours),
Retired Americans enrolled in Medicare's Part D prescription coverage could see their premiums increase by 42-57 percent in 2024, a new analysis by HealthView Services has found.
Early indicators show significant cost hikes for retirees in the five states with the largest senior populations. This is different from an earlier report projecting slight premium declines across Part D plans next year.
Major Discrepancy in Premium Outlooks
The HealthView report, published in November 2023, contrasts sharply with a July projection by the Centers for Medicare & Medicaid Services, the federal agency that administers the Medicare program,
The CMS said there would be a 1.8 percent decline in Part D premiums for 2024, citing the Inflation Reduction Act's reforms as the basis for stable or reduced costs.
However, HealthView tells a different story. It forecasts major hikes for retirees in states with large senior populations.
Projected 2024 premiums are $1,404 in California, $1,246 in Florida, $1,154 in Texas, $1,469 in New York, and $1,189 in Pennsylvania. This represents average increases ranging from $269 in Texas to $510 in New York.
What is Driving the Increase?
The key driver of projected premium hikes is a change in the Inflation Reduction Act lowering the maximum out-of-pocket spending cap for Medicare Part D prescription drugs from $7,050 in 2023 to $2,000 in 2025. This will reduce co-pays for some, especially those with chronic conditions.
However, financial liability will shift to insurers expected to cover 60-80 percent of costs once patients hit the new $2,000 cap.
With roughly a quarter of Medicare recipients exceeding this threshold, HealthView analysis suggests carriers will raise premiums to account for their increased coverage requirements. The higher premiums are a way for insurance companies to cover the expected increase in costs.
So, while the Inflation Reduction Act aims to lower overall healthcare costs for retirees, it may actually increase 2024-2025 Part D premiums for 75 percent of enrollees seeing no co-pay relief.
Why It Matters?
Americans pay for prescription drugs over 2.5 times more than other high-income nations. One in five seniors alter medication use due to high prescription costs, a May 2023 national survey found. They either skipped, delayed, took less medication, or took someone else's medications.
Even small Part D premium hikes could strain budgets when combined with other costs. The Council of Aging reports the national average at $2,000 annually for Part B plus another $3,600 a year for supplemental coverage like Medigap Plan F.
With health costs a top concern for retiring Americans, the HealthView analysis shows 2024 increases could outpace the average retiree's Social Security cost-of-living adjustment (COLA) by 70 percent. For those on fixed incomes, outpacing COLA adjustments poses real financial challenges.
Looks like another epic failure of top-down healthcare control.
Get MHF Insights
News and tips for your healthcare freedom.
We never spam you. One-step unsubscribe.
























