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Health Care Reform Watch

Mar 28, 2023

A Message From the Editor

With the COVID-19 public health emergency set to end in May, Moderna expects a 90% decrease in demand for COVID vaccines. Insurers and employers can expect sticker shock as the costs shift to the private sector. The price of the Moderna vaccine is expected to quadruple to $130 a dose when it enters the commercial market. This is something to prepare for when the new booster becomes available in the fall of 2023.

– Lily Peterson, managing editor, BenefitsPRO


The U.S. health care system, post-COVID emergency: 4 key changes

By Rachana Pradhan

When the public health emergency ends on May 11, it will institute sweeping changes across the health care system, from... Read More


CMS releases guidance on Medicare drug rebate program, beginning April 1

By Michael Popke

The federal agency has lowered prices for 27 prescription drugs, including Minocin and Humira, with the cost difference... Read More

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Moderna to price its COVID vaccine at $130, as cost shifts to private sector

By Alan Goforth

At a Senate hearing, Moderna CEO defended the price hike as the company anticipates added costs from shifting to a 10-dose... Read More


Senators are cracking down on telehealth companies sharing sensitive health data

By Michael Popke

In the wake of the FTC's recent $1.5 million settlement with GoodRx for disclosing health data with Facebook, lawmakers... Read More


DOJ, states end fight over $7.8B UnitedHealth-Change Healthcare deal

By Alan Goforth

The feds sued to halt the deal earlier this year, calling it anticompetitive because Change, which would be merged with... Read More


Wyoming becomes the first state to ban abortion pills

By Alan Goforth

The new law, which makes it illegal to "prescribe, dispense, distribute, sell or use any drug" for performing an abortion,... Read More

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ACA's Employer Mandate: IRS announces higher penalties for noncompliance

By Alan Goforth

The agency has increased employer mandate penalties under the Affordable Care Act for non-compliant large employers... Read More


The relevance of network reimbursement rates to mental health parity compliance

By Jon Jablon

Health plans should be mindful of how they interpret certain provisions in light of the lack of guidance. Read More

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