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EPIC RPS
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Search the News Archive
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246 Matching News Items |
| 1. |
FierceHealthcare
Jan. 7, 2026
"The Health Resources and Services Administration (HRSA) has updated its guidelines to include self-collection testing for cervical cancer screening for women aged 30-65 with average risk.... Most payers must start covering the cost of at-home testing for cervical cancer with no cost sharing, like co-pays, starting in January 2027. Under the [ACA], preventive care and screenings in the guidelines are required to be covered by insurance."
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| 2. |
FierceHealthcare
Dec. 23, 2025
"The two models -- GLOBE for Medicare Part B and GUARD for Medicare Part D -- will factor in international prices into the inflationary rebates drug manufacturers must pay to the program for certain single-source drugs and sole-source biologics that are separately payable under Medicare Parts B and D, if CMS finalizes the rule."
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| 3. |
FierceHealthcare
Dec. 18, 2025
"Under the bill [HR 6703] ... lawmakers would lean on association health plans ... and individual coverage health reimbursement arrangements, or ICHRA, to offer additional options for enrollees....The bill also seeks to broaden access to stop-loss coverage to mid-size and small employers ... [Th]he legislation aims to address premiums by allocating for cost-sharing reduction payments beginning in 2027.... The bill also includes provisions to increase the transparency around pharmacy benefits[.]"
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| 4. |
FierceHealthcare
Dec. 16, 2025
"Healthcare deal activity cooled off in 2025, but the sector is poised to bounce back next year driven by investments in artificial intelligence, an improved exit environment and policy shifts driving buyers to move quickly."
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| 5. |
FierceHealthcare
Dec. 12, 2025
"Under the Make America Healthy Again: Enhancing Lifestyle and Evaluating Value-based Approaches Through Evidence, or MAHA ELEVATE, model, the Centers for Medicare & Medicaid Services (CMS) will make $100 million available to support as many as 30 proposals to promote health and preventive care in three-year agreements."
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| 6. |
FierceHealthcare
Dec. 9, 2025
"Under the bill, individuals who sign up for a bronze or catastrophic plan on the exchanges that's paired with an HSA will receive a contribution from the Centers for Medicare & Medicaid Services. For individuals making up to 700% of the federal poverty level, they will receive $1,000 if aged 18 to 49 and $1,500 if they're between the ages of 50 and 64."
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| 7. |
FierceHealthcare
Nov. 30, 2025
"Whereas HIPAA only covers healthcare providers, payers and clearinghouses and their business associates that electronically transmit data, Cassidy's HIPRA [S 3097] would address the growing number of consumer apps, wellness platforms and wearables that collect consumer health data such as weight, blood pressure readings, sexual health information or other sensitive health information."
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| 8. |
FierceHealthcare
Nov. 10, 2025
"UnitedHealthcare's new policy says remote patient monitoring (RPM) is only medically necessary in two instances: to treat chronic heart failure and hypertension during pregnancy. It explicitly says the use of RPM for Type 2 diabetes and hypertension -- two of the most popular uses of RPM -- will no longer be covered."
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| 9. |
FierceHealthcare
Oct. 27, 2025
"U.S. consumers across the political spectrum are largely in favor of new legal protections against medical debt, and the majority are laying blame at the feet of the insurance industry rather than other healthcare players like hospitals or drugmakers ... [A recent survey] found about 35% currently owed money or have debts due to medical and dental expenses. Eighty-four percent said they believed having health insurance should protect people from medical debt, and 74% said the country's current health insurance system is 'mostly failing' in protecting from medical debt."
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| 10. |
FierceHealthcare
Oct. 13, 2025
"[SB 41 requires] all PBMs in the state to be licensed by its Department of Insurance and prohibits multiple business practices that have drawn the ire of PBM critics, namely spread pricing arrangements and efforts to steer patients toward affiliated pharmacies. The legislation also mandates that PBMs pass all rebates through to the payer or patient and bars these companies from making exclusivity deals with drugmakers[.]"
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