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STAT+: Key Senate panel to consider PBM, drug pricing reform package

STAT

WASHINGTON — A key Senate panel announced it will consider more policies to regulate pharmacy middlemen and ensure patients aren’t paying more than insurers do for medications. The package crafted by Senate Finance Chair Ron Wyden (D-Ore.) The package crafted by Senate Finance Chair Ron Wyden (D-Ore.)

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STAT+: Senate panel clears PBM reforms, safety-net hospital payments

STAT

WASHINGTON — A prominent Senate panel on Wednesday passed a new package of health policy reforms that would rein in certain pharmacy middlemen practices and ensure Medicare patients aren’t paying more than insurers do for medications. The package passed the committee 26-0 with no amendments added.

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STAT+: Health care lobbying giants spent big as little got done in Congress

STAT

The odds were stacked against the middlemen between drugmakers and health insurers during this round of negotiations. The House overwhelmingly passed a package largely promoting greater transparency. Two committees in the Senate passed significant reforms to how PBMs operate in Medicaid, Medicare, and the commercial insurance market.

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How much is Toujeo Max Solostar without insurance?

The Checkup by Singlecare

It contains the same type and concentration of insulin as Toujeo Solostar (insulin glargine) but is packaged in a larger quantity. Without insurance, Toujeo Max Solostar costs $781 for 2, 3 ml pens , but there are many ways to fill your prescription at a lower cost. Is Toujeo Max Solostar covered by insurance?

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STAT+: How a device maker inundated pain patients with unwanted batteries and surprise bills

STAT

Before she bought the electrical stimulation unit, Zynex assured her the supplies would be covered by Tufts Health Plan, her insurance company. But a year ago, Zynex informed her that the Tufts plan had never paid, and instead, those bubble-wrapped packages were going to cost her almost $1,000.

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STAT+: FTC move to block the Amgen-Horizon deal highlights concerns over negotiations with insurers

STAT

Simply put, a drug company combines two or more medicines in a package deal for health plans and pharmacy benefit managers, which determine lists of medicines that are covered by insurance. billion deal would make it possible for Amgen to develop monopolies through a tactic that manipulates health coverage and drives up consumer costs.

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Folx Health announces national, regional payer partnerships to expand access to LGBTQ+ care

Fierce Healthcare

Until August, Folx operated under a membership model in a lump sum subscription package. It has since been updated to accept insurance as a part of the core membership structure. Folx Health, a virtual provider focused on LGBTQ+ health, is now in-network with Cigna, Evernorth and Blue Shield of California.

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