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Showing posts from October, 2021

PBM clawbacks sidestep state bans on spread pricing | CMS drops payment rule | A hot market for M&A action

Having trouble viewing this email? See the online version Friday, October 29, 2021 Friday, October 29, 2021 PBM clawbacks sidestep state bans on spread pricing PBMs have found other ways to game Medicaid reimbursements in Ohio and elsewhere, experts say. Read More >   Medicare issues ESRD rule with equity in mind CMS's latest iteration of the end-stage renal disease payment model addresses health disparities for the first time. Read More >

CMS drops payment rule | Texas docs sue HHS over surprise billing rule | PBM clawbacks sidestep state bans on spread pricing

Having trouble viewing this email? See the online version Friday, October 29, 2021 Friday, October 29, 2021 Medicare issues ESRD rule with equity in mind CMS's latest iteration of the end-stage renal disease payment model addresses health disparities for the first time. Read More >   Texas docs sue HHS over surprise billing rule The Texas Medical Association argues the surprise billing regulation unfairly favors insurers. Read M