PBGH in the News
Employers, payers seek transparent pharmacy benefit models
More employers and health care payers are carving out their pharmacy benefit management as they seek more transparency.
Payers, providers clash over telehealth reimbursement as Congress mulls changes
As members of Congress decide how to expand access to telehealth after the pandemic, one of the biggest questions has centered around how much Medicare providers should be paid for virtual care.
Building back better requires strengthening primary care
Many on the frontlines are not just tired but are also in precarious financial straits and lack the resources to […]
Drugmakers prepare for the unusual: A defeat in Washington
Democrats’ next big bill could include drug price negotiations and other industry curbs. Pharma may not be able to fight it off this time.
How COVID-19 Transformed the Telehealth Industry
Under unprecedented economic pressures due to the pandemic large employers are looking for new ways to buy the best quality health care for their employees.
Congressional Democrats Gear Up for Public Option Debate in Next Legislative Package
“I have no doubt that it’s going to be a pretty epic fight.”
How Much Does a C-Section Cost? At One Hospital, Anywhere From $6,241 to $60,584.
The nation’s roughly 6,000 hospitals have begun to reveal the secret rates they negotiate with insurers for a range of procedures.
Last-minute talks pushed surprise billing ban across finish line
Lawmakers banned surprise billing by including language in the massive COVID relief and federal spending package.
Federal regulators ask insurers for claims data
Powerful health systems have historically obfuscated pricing data to pad profits.
7 Health Care Priorities for Big Employers in 2021
The financial pressures created by COVID-19 are aggravating the already-enormous challenge of managing soaring healthcare costs.
