Drug and medical device makers would not have to report spending on continuing medical education, medical journals or textbooks for physicians under a Senate bill supported by the American Medical Association and other physician groups.
The CMS manual for the 2017 Affordable Care Act open enrollment period covers the rules and procedures for issuers of qualified health plans and qualified dental plans offered on publicly run individual and small-business exchanges; individuals and employers who seek coverage through the exchanges; and brokers, agents and others who provide help to people who have or are seeking coverage.
Humana will sell health insurance plans in the individual market in 11 states next year, down from 19 in 2016, and the insurer will sell individual plans in "no more than 156 counties," down from 1,351 counties, the insurer announced.
Two studies comparing anticoagulants will receive about $6.5 million from the Patient-Centered Outcomes Research Institute. The University of California at San Francisco will study the effectiveness of five drugs with $3.5 million in funding, while Boston's Brigham and Women's Hospital will receive $2.9 million to examine four anticoagulants.
PCMA is the national association representing America's pharmacy benefit managers (PBMs), which administer prescription drug plans for more than 266 million Americans with health coverage provided through Fortune 500 employers, health insurance plans, labor unions, and Medicare Part D. PCMA is dedicated to enhancing the proven tools and techniques pioneered by PBMs that generate savings and access for consumers and payors.
Contact PCMA Charles Cote
Vice President, Strategic Communications