MedCity News December 18, 2024
Congress released a stopgap funding bill with a significant healthcare package, and provider groups are reacting favorably. They are mainly applauding provisions that reign in PBMs’ business practices, extend telehealth flexibilities, and boost payments to hospitals and physicians.
This week, Congress released a stopgap funding bill that included a significant healthcare package.
Provider groups are reacting favorably to the package, mainly due to provisions that go after pharmacy benefit managers, extend telehealth flexibilities and increase payments to hospitals and physicians.
PBM reform
The legislation proposes changes that would reign in pharmacy benefit managers’ business practices. Specifically, it would require PBMs to pass through 100% of drug rebates and discounts to employers or health plans, as well as prohibit PBMs...
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