2024 – FTC and Congress take action against PBMs for price gouging
The FTC issued an interim staff report on Pharmacy Benefit Managers (PBMs) as it prepares a lawsuit against the three largest PBMs
HHS finalizes information blocking enforcement rule impacting practitioners
Under the final rule, certain allergists who have committed information blocking may be penalized through CMS’s MIPs program.
House Energy & Commerce Committee Republicans propose revamp of NIH
Earlier, Republicans on the House Energy & Commerce Committee released a plan calling for major changes to the National Institutes of Health.
Consumer Financial Protection Bureau releases proposed rule on medical debt
The proposed rule would alleviate barriers that patients face when attempting to obtain a loan or mortgage when they have medical debt.
ACAAI-endorsed prior authorization legislation reintroduced
On June 12, the Improving Seniors’ Timely Access to Care Act was reintroduced in both the House and Senate.
2023 Prior Authorization Reforms
CMS released a final rule that addresses changes to the prior authorization process under Medicare Advantage.
2023 – Ending the Public Health Emergency
The document provides a high-level overview of anticipated ways the end of the PHE will impact direct supervision under Medicare, Medicare telehealth services,…
The No Surprises act requires providers to supply a good faith estimate for cost of care
In December 2020, Congress passed the No Surprises Act (NSA), which is intended to protect patients from unexpected out-of-network (OON) “surprise” medical bil…
… results in Policy/Regulations.
