Suzanne York

FEDERAL COURT ENDS CUTS TO PAYMENTS TO 340B HOSPITALS FOR OUTPATIENT DRUGS FOR 2022

Judge Contreras of the federal District Court for the District of Columbia has vacated the Department of Health and Human Service’s rule cutting Medicare reimbursement to 340B hospitals for outpatient drugs for 2022.  This means that 340B hospitals will be paid at the default Medicare rate of Average Sales Price plus 6% for these drugs […]

FEDERAL COURT ENDS CUTS TO PAYMENTS TO 340B HOSPITALS FOR OUTPATIENT DRUGS FOR 2022 Read More »

FINAL NO SURPRISES ACT REGULATIONS IMPROVE TRANSPARENCY AND FAIRNESS IN SETTING OUT-OF-NETWORK PAYMENT RATES TO PROVIDERS

On August 19, 2022, the Departments of Health and Human Services, Labor, and the Treasury (“the Departments”) issued their long-awaited Final Rules (“Final Rules”) under the No Surprises Act (“the Act”).  The Final Rules significantly changed the previously issued Interim Final Rules in ways that should improve the transparency and fairness of the process for

FINAL NO SURPRISES ACT REGULATIONS IMPROVE TRANSPARENCY AND FAIRNESS IN SETTING OUT-OF-NETWORK PAYMENT RATES TO PROVIDERS Read More »

DISCRIMINATION SUIT BROUGHT BY “JOHN DOE” HIV-POSITIVE PLAINTIFFS MAY PROCEED, A SAN FRANCISCO FEDERAL COURT RULED FRIDAY

Late Friday a federal court in San Francisco allowed a case against subsidiaries of CVS Health Corporation brought by HIV-positive “John Doe” plaintiffs to proceed, denying CVS’s motion to dismiss the case. This ruling comes on the heels of CVS’s abrupt dismissal late last year of its appeal to the United States Supreme Court of

DISCRIMINATION SUIT BROUGHT BY “JOHN DOE” HIV-POSITIVE PLAINTIFFS MAY PROCEED, A SAN FRANCISCO FEDERAL COURT RULED FRIDAY Read More »

CVS HEALTH REPORTS STRONG SECOND QUARTER PROFITS, BEATING ANALYSTS’ EXPECTATIONS

CVS Health has reported strong second quarter profits and revenues, beating analysts’ expectations.  CVS reported second quarter profits of $2.95 billion, up from $2.8 billion for the prior year quarter. This brings its profits for the first half of the year to $5.3 billion.  CVS also reported strong revenues of $80.6 billion for the second

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NY ATTORNEY GENERAL SUES CVS, ALLEGING THAT IT HARMS SAFETY NET HOSPITALS AND PATIENTS BY DIVERTING MILLIONS FROM UNDERSERVED COMMUNITIES TO CVS

New York’s Attorney General, Letitia James, has sued CVS Health Corp., alleging that it violated New York’s antitrust laws and abused its market power by illegally requiring safety net hospitals that contract with CVS pharmacies for dispensing 340B outpatient drugs to exclusively use CVS’s subsidiary Wellpartner as their Third Party Administrator (“TPA”) for the 340B

NY ATTORNEY GENERAL SUES CVS, ALLEGING THAT IT HARMS SAFETY NET HOSPITALS AND PATIENTS BY DIVERTING MILLIONS FROM UNDERSERVED COMMUNITIES TO CVS Read More »

HUMANA REPORTS STRONG SECOND QUARTER PROFITS AND INCREASES ITS ANNUAL PROFIT FORECAST DUE TO LOWER MEDICAL COSTS

Humana, Inc. has reported strong second quarter profits of $696 million, bringing its profits for the first half of the year to $1.6 billion, an increase of 14.8% from the first half of 2021.  Humana also reported strong revenues of $23.7 billion for the second quarter, an increase of 14.6% from the second quarter of

HUMANA REPORTS STRONG SECOND QUARTER PROFITS AND INCREASES ITS ANNUAL PROFIT FORECAST DUE TO LOWER MEDICAL COSTS Read More »

UNITEDHEALTH GROUP REPORTS STRONG PROFITS FOR THE SECOND QUARTER OF 2022, BEATING ANALYSTS’ EXPECTATIONS

UnitedHealth Group reported strong profits for the second quarter of 2022, with double digit growth at both UnitedHealthcare and Optum. UnitedHealth Group’s strong second quarter profits beat analysts’ expectations. UnitedHealth Group posted profits of $5.1 billion for the second quarter, up from $4.3 billion for the second quarter in 2021.  UnitedHealth Group also posted revenues

UNITEDHEALTH GROUP REPORTS STRONG PROFITS FOR THE SECOND QUARTER OF 2022, BEATING ANALYSTS’ EXPECTATIONS Read More »

AHA URGES CONGRESS TO INCREASE ITS OVERSIGHT OVER MEDICARE ADVANTAGE PLANS

In a strongly worded letter in advance of a Congressional hearing on Medicare Advantage plans, the American Hospital Association urged Congress to increase its oversight over these plans, stating: “strong, decisive, and immediate enforcement action is needed to protect sick and elderly patients, the providers who care for them, and American taxpayers….” In support of

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