Pharmacy benefit managers (PBMs) are only keeping less than 1% of rebates in the Medicare Part D program, passing on the rest of drug savings to plan sponsors, a report from the Government Accountability Office (GAO) found.

When Sarah Kliff, healthcare reporter for Vox, saw an emergency department bill charging more than $600 for an encounter that ended with a band-aid, she and the media company undertook a year-long project to explore as many ED bills as possible.

Enrollment of people who are ineligible for subsidies on the individual healthcare market appears to be slowing down, according to a recent report from CMS.

Hospital prices continue to rise and are a major contributor to overall spending in the healthcare sector, which is expected to hit $6 trillion by 2027.

Out-of-network billing in emergency departments has risen over the last few years, often leaving patients with surprise expenses even when they have insurance coverage and receive care from an in-network hospital.

After drug manufacturer Eli Lilly introduced a half-priced insulin product to the U.S. market, patients are having trouble getting the medication, the Financial Times reported.

Congress passed the Protecting Access to Medicare Act (PAMA) in 2014 with the intent of reducing expensive, unnecessary imaging orders. Five years later, the legislation is set to enter a testing period, with CMS still undecided on when penalties will begin. A new investigation published by NPR asks if the delays have had an impact on patients.

The Protecting Access to Medicare Act of 2014 (PAMA) finally goes into effect on Jan. 1, 2020, meaning advanced imaging orders must be placed using clinical decision support for Medicare to provide a full reimbursement.