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STAT+: Key Senate panel to consider PBM, drug pricing reform package

STAT

WASHINGTON — A key Senate panel announced it will consider more policies to regulate pharmacy middlemen and ensure patients aren’t paying more than insurers do for medications. The package crafted by Senate Finance Chair Ron Wyden (D-Ore.) The package crafted by Senate Finance Chair Ron Wyden (D-Ore.)

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STAT+: Congress nears deal to rein in PBMs after years of debate

STAT

Lawmakers agreed to extend telehealth flexibilities, fund public health programs, and enact these major PBM changes as part of a government funding package they are planning to pass before the end of the year, according to four health care industry sources and two congressional aides.

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A new House health package & hospitals’ new site-neutral talking points

STAT

The ins and outs of the new House health package House Republicans on three panels circulated a draft health price transparency package with some reforms to payment practices of PBMs and hospitals, I reported yesterday.   Sign up here  to receive this newsletter in your inbox on Tuesdays and Thursdays.

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How much is Toujeo Max Solostar without insurance?

The Checkup by Singlecare

It contains the same type and concentration of insulin as Toujeo Solostar (insulin glargine) but is packaged in a larger quantity. Without insurance, Toujeo Max Solostar costs $781 for 2, 3 ml pens , but there are many ways to fill your prescription at a lower cost. Is Toujeo Max Solostar covered by insurance?

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STAT+: Senate panel clears PBM reforms, safety-net hospital payments

STAT

WASHINGTON — A prominent Senate panel on Wednesday passed a new package of health policy reforms that would rein in certain pharmacy middlemen practices and ensure Medicare patients aren’t paying more than insurers do for medications. The package passed the committee 26-0 with no amendments added.

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Folx Health announces national, regional payer partnerships to expand access to LGBTQ+ care

Fierce Healthcare

Until August, Folx operated under a membership model in a lump sum subscription package. It has since been updated to accept insurance as a part of the core membership structure. Folx Health, a virtual provider focused on LGBTQ+ health, is now in-network with Cigna, Evernorth and Blue Shield of California.

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STAT+: How a device maker inundated pain patients with unwanted batteries and surprise bills

STAT

Before she bought the electrical stimulation unit, Zynex assured her the supplies would be covered by Tufts Health Plan, her insurance company. But a year ago, Zynex informed her that the Tufts plan had never paid, and instead, those bubble-wrapped packages were going to cost her almost $1,000.

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