Year-End Spending Bill to Feature Reforms for Pharmacy Benefit Managers and Telehealth Access

Key Takeaways

• The healthcare package includes PBM reforms, Medicare telehealth extensions, and measures for opioid crisis and pandemic preparedness.
• PBM reforms focus on transparency, banning compensation tied to Medicare list prices, and mandating full rebate pass-throughs.
• New reporting requirements for PBMs aim to enhance accountability, addressing costs, reimbursements, and associated fees.
• The package seeks to reverse recent Medicare payment cuts and extend telehealth services, highlighting bipartisan support for healthcare reform.

The health care provisions include key reforms targeting pharmacy benefit managers, extensions of Medicare telehealth flexibilities, and measures aimed at combating the opioid crisis and preparing for future pandemics.

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