Tag: Pharmacy Benefit Managers

House GOP Proposes Healthcare Reform Without ACA Subsidy Extension

House Republicans propose a healthcare bill aiming to lower costs and expand insurance options without extending ACA subsidies set to expire, amid legislative challenges.

Bipartisan Bill Extends ACA Premium Tax Credits, Targets Fraud and PBM Reform

The Bipartisan Health Insurance Affordability Act extends ACA premium tax credits through 2027, introduces anti-fraud measures, and reforms PBMs to lower health insurance costs amid rising premiums.

Senator Cantwell Advocates Bipartisan Solutions for Health Care Affordability

Senator Maria Cantwell urges bipartisan collaboration to reduce health care costs, highlighting efforts on PBM transparency and the Basic Health Program to improve affordability under the ACA.

Oklahoma Legal and Regulatory Developments Impacting Insurance and Compliance

Recent Oklahoma legal rulings and regulatory actions impact insurance claims, pharmacy benefit managers, AI use in court filings, and criminal justice cases, highlighting compliance and market dynamics.

2025 ACA Enhanced Subsidies Expire: Reform Proposals for Healthcare Transparency

The expiration of enhanced ACA subsidies in 2025 highlights opportunities for reforms in Health Savings Accounts, Association Health Plans, and Pharmacy Benefit Manager incentives to improve healthcare transparency and affordability.

Health Insurance Coverage and Restrictions on Prescription Medications in 2025

Health insurance coverage for prescription medications declined with increased restrictions in 2025, impacted by pharmacy benefit manager policies and limited regulations.