Compliance & Legal
The administration wants drugmakers to bring medication prices more closely in line with the Most-Favored Nation pricing approach.
The increase is more than the 2.4% proposed in April but remains “insufficient,” says National Alliance for Care at Home.
Judge finds the law favors locally operated pharmacies, a violation of the Constitution's Commerce Clause.
UHG says it’s confident in its business practices and has begun complying with formal civil and criminal DOJ requests.
It would require MA plans to reimburse for items and services at least what would have been paid under original Medicare.
While the original lawsuit honed in on cut points, the new complaint focuses primarily on customer service phone calls placed by CMS.
An investigation by HRSA revealed what the agency called “concerning features” that raised legal and ethical concerns.
This results from a decrease in direct spending of $1.1 trillion and a decrease in revenues of $4.5 trillion, CBO says.
CMS said it’s taking action to end the duplicate enrollments, saying it could potentially save taxpayers about $14 billion annually.
The court said Humana didn’t exhaust the administrative appeals process, though CMS has already rejected one appeal.