Health insurance

The move follows UHC’s May commitment to eliminate nearly two-thirds of pediatric PA requirements by the end of the year.

Effective July 2027, the rule requires PBMs to disclose rebates and other payments from drug makers, plus payments from pharmacies.

Lawmakers want answers from 10 major insurers about their role in a CMS-led effort resulting in the canceling of coverage for more than 760,000 people.

HHS announced an FDA guidance and expanded CMS payment model to help patients with rare genetic diseases.

CMS proposes requiring eligibility verification before ACA premium subsidies are granted, implementing new anti-fraud provisions for 2028.

A Commonwealth Fund survey finds rising uninsured rates and affordability challenges, broad public support for gov’t-backed coverage.

Centene Corporation joins a growing list of payors launching programs that exempt qualified providers from certain PA requirements.

Our in-brief roundup of notable healthcare and life sciences stories from the last two weeks.