Fierce Healthcare December 8, 2023
A House vote on transparency regulations in healthcare could occur next week, potentially having substantial ramifications on how PBMs and hospitals operate.
Called the Lower Costs, More Transparency Act, the legislation would ban spread pricing in Medicaid, force PBMs and providers to adopt President Trump-era transparency rules, push closer toward site-neutral payment reform, extend a federal program due to expire and approve funding increases for community health centers. The package, negotiated by three separate House committees, has drawn strong opinions from advocacy groups and organizations.
“The fact that you have all three committees in the House reporting these solutions is nothing short of significant progress,” explained Lisa Hunter, the senior director for policy and external affairs for US of...
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