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Department of Labor releases proposed rule on transparency of PBM fee disclosures 

The Department of Labor has issued a proposed rule to improve transparency of fees collected by pharmacy benefit managers.
Public

Costs of Caring

This report outlines the key trends impacting hospital financial stability in 2025.

HHS OIG releases bulletin on direct-to-consumer drug sales, RFI on need for regulatory changes

The Department of Health and Human Services Office of Inspector General Jan. 27 released a bulletin addressing how direct-to-consumer drug programs can sell prescription drugs to patients with federal health care program coverage at lower costs without violating the Anti-Kickback Statute.

CMS announces drugs selected for third round of drug price negotiations

The Centers for Medicare & Medicaid Services Jan. 27 announced 15 drugs under Medicare Parts D and B selected for the third round of price negotiations.

White House releases health care plan

The White House released a health care plan Jan. 15 addressing drug prices, health insurance premiums and price transparency efforts.
Public

AHA, Other Groups: It’s Wrong to Tell Hospitals They ‘Are to’ Complete Drug Acquisition Cost Survey

Absent any statutory consequences for not completing the OPPS Drug Acquisition Cost Survey (ODACS), it is wrong for CMS to tell hospitals and health systems that they “are to” complete it.

CMS releases proposed rules on two drug pricing models

The Centers for Medicare & Medicaid Services Dec. 19 issued two proposed rules for implementing alternative drug pricing models. 

DEA, HHS extend telemedicine waivers through 2026

The Department of Health and Human Services and Drug Enforcement Administration Dec. 30 released a temporary rule extending for the fourth time waiver flexibilities for prescribing controlled substances via telemedicine.
Member

DEA and HHS Extend Waivers for Prescribing Controlled Substances Through Telemedicine

The Department of Health and Human Services (HHS) and Drug Enforcement Administration (DEA) Dec. 30 released a temporary rule extending for the fourth time waiver flexibilities for prescribing controlled substances via telemedicine.

CMS proposes new drug pricing model to expand GLP-1 access to those with Medicare Part D and Medicaid

The Centers for Medicare & Medicaid Services Dec. 23 introduced a new drug pricing model, BALANCE, for Medicare Part D and Medicaid beneficiaries.