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Recent Articles

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CMS finalizes rule for qualified health plans in 2025, imposing stricter time and distance network adequacy standards, and operational improvements for state-based marketplaces; changes aim to simplify enrollment and enhance healthcare services access

White House, HHS, and UnitedHealth discuss recent cyberattack on Change Healthcare and its impact on healthcare industry; CMS to guide states on supporting Medicaid providers affected by the ongoing outage

Centers for Medicare and Medicaid Services designates McKesson's Practice Insights as a 2024 Qualified Clinical Data Registry; the designation allows practices to report on quality measures developed in collaboration with US Oncology Network physicians

Commentary: Pharmaceutical price cut proposals from US government could be steep, with proposed discounts expected to range from 25% to 60%; impact on company revenue will be limited for first group of drugs negotiated due to upcoming generic competition

CMS finalizes rule to streamline prior authorization process; estimates US$15.0B savings over 10 years; payers must send prior authorization decisions within 72 hours for urgent requests and seven days for standard requests

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