Lawsuit Against Insurer Claims Retaliation Against Doctors
An AMA affiliate claims there has been retaliation over patient referrals, but the insurer says physicians get outsized windfalls.
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An AMA affiliate claims there has been retaliation over patient referrals, but the insurer says physicians get outsized windfalls.
(Reuters) - Some of the world's biggest drugmakers are laying legal groundwork to fight the U.S. plan to negotiate drug prices for its Medicare health coverage, including the argument that a ban against speaking about these talks violates constitutional rights, according to six industry sources. | 06:17am
Centene is the only large insurer whose Medicare Advantage growth next year will be curtailed by CMS' new "past performance methodology" rule.
Cancer and multiple sclerosis patients insured by Medicare are among those awaiting lower drug prices from the Inflation Reduction Act.
Final rule is 'a little more provider friendly,' doesn't default to median in-network rates