Tag Archives: Plans

As Trump pledges lower drug prices—again—pharma CEOs voice skepticism with his plans

President Donald Trump on Thursday again pledged to quickly lower drug prices in the U.S. Stickers will “soon be lowered massively,” Trump tweeted Thursday, indirectly touting a group of executive orders he signed last Friday. But though Big Pharma CEOs called out their concerns with the plans during this week’s analyst calls—especially Trump’s effort to tie U.S. prices to lower… Read More »

Skinny short-term plans deny coverage for pre-existing conditions: Commonwealth Fund

Dive Brief: Most short-term plans fail to provide basic healthcare benefits and many bar enrollees from obtaining coverage altogether, according to a new analysis from The Commonwealth Fund. For example, 100% of the plans in the five studied states — Texas, Oklahoma, West Virginia, Alabama and Utah — denied enrollment based on an applicant’s existing health condition… Read More »

Appeals court upholds sale of short-term limited duration insurance plans 

In a win for the Trump Administration, an appeals court on Friday ruled that the sale of plans that don’t comply with the Affordable Care Act can continue. In the 2-1 decision, the U.S. Court of Appeals for the District of Columbia Circuit said the sale of short-term limited duration insurance plans is neither contrary… Read More »

Apervita’s NCQA approval helps health plans speed VBC analysis

Value-based care platform provider Apervita says it is the first company to be certified by the National Committee for Quality Assurance for electronic clinical quality measures using a clinical quality language-based engine. The company’s newly certified CQL-based engine—based on HL7 logic standards that support both eCQMs and clinical decision support—can be adopted by healthcare organizations… Read More »