Health Policy Archives | National Alliance of Healthcare Purchaser Coalitions Wed, 06 Aug 2025 15:05:19 +0000 en-US hourly 1 https://wordpress.org/?v=6.8.2 https://www.nationalalliancehealth.org/wp-content/uploads/Favicon_NAH.png Health Policy Archives | National Alliance of Healthcare Purchaser Coalitions 32 32 Health Policy in Transit: July Health Policy Updates https://www.nationalalliancehealth.org/resources/health-policy-in-transit-july-health-policy-updates/ Tue, 05 Aug 2025 21:00:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=20577 Download the full Health Policy in Transit document below to learn more.

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]]> Is Mark Cuban the Loudmouth Billionaire that Democrats Need for 2028? https://www.nationalalliancehealth.org/news/is-mark-cuban-the-loudmouth-billionaire-that-democrats-need-for-2028/ Tue, 17 Jun 2025 15:55:33 +0000 https://www.nationalalliancehealth.org/?p=20343 The post Is Mark Cuban the Loudmouth Billionaire that Democrats Need for 2028? appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Health Policy in Transit: From Capitol Hill to the Workplace: May Health Policy Updates https://www.nationalalliancehealth.org/resources/health-policy-in-transit-from-capitol-hill-to-the-workplace-may-health-policy-updates/ Fri, 23 May 2025 20:08:08 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=20116 It’s been a busy few weeks on Capitol Hill, with significant developments that could reshape the landscape for employer-sponsored health plans. From a sweeping prescription drug pricing executive order to […]

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]]> Healthcare Leaders Warn GOP Plan Would Deeply Chip Away At Medicaid Access https://www.nationalalliancehealth.org/news/healthcare-leaders-warn-gop-plan-would-deeply-chip-away-at-medicaid-access/ Mon, 12 May 2025 14:45:12 +0000 https://www.nationalalliancehealth.org/?p=20100 The post Healthcare Leaders Warn GOP Plan Would Deeply Chip Away At Medicaid Access appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Health Policy in Transit:  What President Trump’s Executive Order on Drug Pricing Means for Employers https://www.nationalalliancehealth.org/resources/health-policy-in-transit-what-president-trumps-executive-order-on-drug-pricing-means-for-employers/ Tue, 22 Apr 2025 22:16:23 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=19774 President Trump signed an executive order on April 15, 2025 aimed at lowering prescription drug prices and increasing PBM transparency, among other items. While a significant portion of the order […]

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]]> Trump Order Risks Triggering Lawsuits Over Drug Consulting Fees https://www.nationalalliancehealth.org/news/trump-order-risks-triggering-lawsuits-over-drug-consulting-fees/ Fri, 18 Apr 2025 02:19:00 +0000 https://www.nationalalliancehealth.org/?p=19698 The post Trump Order Risks Triggering Lawsuits Over Drug Consulting Fees appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Lawmakers expected to vote on bill addressing federal drug program https://www.nationalalliancehealth.org/news/lawmakers-expected-to-vote-on-bill-addressing-federal-drug-program/ Thu, 17 Apr 2025 13:52:23 +0000 https://www.nationalalliancehealth.org/?p=19700 The post Lawmakers expected to vote on bill addressing federal drug program appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> The Latest National Alliance Tools and Resources https://www.nationalalliancehealth.org/resources/latest-national-alliance-tools-and-resources/ Fri, 11 Apr 2025 21:03:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=14395 Action-oriented recommendations for coalitions, employers and other plan sponsors, and healthcare and benefits professionals.

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]]> Summary of National Alliance Resources https://www.nationalalliancehealth.org/resources/2025-national-alliance-resources-summary/ Fri, 11 Apr 2025 20:59:42 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=19583 A summary of the latest National Alliance resources.

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]]> Patients and Employers Support This GOP Budget Cut. Hospitals Say It’s Too Risky. https://www.nationalalliancehealth.org/news/patients-and-employers-support-this-gop-budget-cut-hospitals-say-its-too-risky/ Tue, 01 Apr 2025 19:37:17 +0000 https://www.nationalalliancehealth.org/?p=19538 The post Patients and Employers Support This GOP Budget Cut. Hospitals Say It’s Too Risky. appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Even ‘good’ employers face rising risk of lawsuits over health plan costs https://www.nationalalliancehealth.org/news/even-good-employers-face-rising-risk-of-lawsuits-over-health-plan-costs/ Fri, 28 Mar 2025 13:06:55 +0000 https://www.nationalalliancehealth.org/?p=19507 The post Even ‘good’ employers face rising risk of lawsuits over health plan costs appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> NAHPC CEO: Souped-Up Value Assessment Entity A Much-Needed Rx Pricing Reform https://www.nationalalliancehealth.org/news/nahpc-ceo-souped-up-value-assessment-entity-a-much-needed-rx-pricing-reform/ Tue, 18 Mar 2025 13:11:02 +0000 https://www.nationalalliancehealth.org/?p=19484 The post NAHPC CEO: Souped-Up Value Assessment Entity A Much-Needed Rx Pricing Reform appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Guest columnist: Federal 340B program needs dose of transparency in Ky. https://www.nationalalliancehealth.org/news/guest-columnist-federal-340b-program-needs-dose-of-transparency-in-ky/ Mon, 17 Mar 2025 13:14:33 +0000 https://www.nationalalliancehealth.org/?p=19486 The post Guest columnist: Federal 340B program needs dose of transparency in Ky. appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Panelists Detail How Employers Can Demand More From PBM Contracts https://www.nationalalliancehealth.org/news/panelists-detail-how-employers-can-demand-more-from-pbm-contracts/ Fri, 14 Mar 2025 00:02:57 +0000 https://www.nationalalliancehealth.org/?p=19696 The post Panelists Detail How Employers Can Demand More From PBM Contracts appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Employers fear hospital rate hikes if GOP cuts Medicaid https://www.nationalalliancehealth.org/news/employers-fear-hospital-rate-hikes-if-gop-cuts-medicaid/ Fri, 28 Feb 2025 14:18:21 +0000 https://www.nationalalliancehealth.org/?p=19345 The post Employers fear hospital rate hikes if GOP cuts Medicaid appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Benefits group CEO stumps for PBM bills at House hearing https://www.nationalalliancehealth.org/news/benefits-group-ceo-stumps-for-pbm-bills-at-house-hearing/ Thu, 27 Feb 2025 20:38:34 +0000 https://www.nationalalliancehealth.org/?p=19337 The post Benefits group CEO stumps for PBM bills at House hearing appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> House Hearing on PBMs a Tale of Two Discussions https://www.nationalalliancehealth.org/news/house-hearing-on-pbms-a-tale-of-two-discussions/ Thu, 27 Feb 2025 14:36:27 +0000 https://www.nationalalliancehealth.org/?p=19349 The post House Hearing on PBMs a Tale of Two Discussions appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Trump Health Transparency Order Sparks Hope of Enforcement Boost https://www.nationalalliancehealth.org/news/trump-health-transparency-order-sparks-hope-of-enforcement-boost/ Thu, 27 Feb 2025 14:34:48 +0000 https://www.nationalalliancehealth.org/?p=19347 The post Trump Health Transparency Order Sparks Hope of Enforcement Boost appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Trump plans for Medicaid come up as House subcommittee deliberates on PBM reform https://www.nationalalliancehealth.org/news/trump-plans-for-medicaid-come-up-as-house-subcommittee-deliberates-on-pbm-reform/ Wed, 26 Feb 2025 20:44:27 +0000 https://www.nationalalliancehealth.org/?p=19342 The post Trump plans for Medicaid come up as House subcommittee deliberates on PBM reform appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Congress Turns Attention to PBM Reform, Sort of https://www.nationalalliancehealth.org/news/congress-turns-attention-to-pbm-reform-sort-of/ Wed, 26 Feb 2025 20:41:55 +0000 https://www.nationalalliancehealth.org/?p=19340 The post Congress Turns Attention to PBM Reform, Sort of appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> National Alliance CEO Shawn Gremminger Testifies Before House Subcommittee on Energy and Commerce to Offer Employer Perspectives on PBM Reform https://www.nationalalliancehealth.org/news/national-alliance-ceo-shawn-gremminger-testifies-before-house-subcommittee-on-energy-and-commerce-to-offer-employer-perspectives-on-pbm-reform/ Wed, 26 Feb 2025 19:42:30 +0000 https://www.nationalalliancehealth.org/?p=19311 WASHINGTON – February 26, 2025 – High and rising costs of prescription drugs in the commercial market are one of the most pressing concerns for employers and purchasers across the […]

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]]> PBM Misalignment Initiative: Final Report https://www.nationalalliancehealth.org/resources/pbm-misalignment-initiative-final-report/ Mon, 24 Feb 2025 19:25:28 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=19286 The National Alliance PBM Misalignment Initiative investigates and addresses misalignment between employers and their pharmacy benefit management (PBM) service providers.  Building on the 2023 PBM Playbook and other related resources, this final report […]

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]]> Trump’s IVF Coverage Goals Confront Congress, Industry Limits https://www.nationalalliancehealth.org/news/trumps-ivf-coverage-goals-confront-congress-industry-limits/ Thu, 20 Feb 2025 18:40:46 +0000 https://www.nationalalliancehealth.org/?p=19282 The post Trump’s IVF Coverage Goals Confront Congress, Industry Limits appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> National Alliance Files Amicus Brief in Support of Johnson & Johnson 340B Drug Program Case https://www.nationalalliancehealth.org/news/national-alliance-files-amicus-brief-in-support-of-johnson-johnson-340b-drug-program-case/ Thu, 20 Feb 2025 18:25:31 +0000 https://www.nationalalliancehealth.org/?p=19274 WASHINGTON – February 20, 2025 – In keeping with its commitment to address healthcare costs and quality issues on behalf of employers and their employees across the United States, the […]

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]]> Case 1:24-cv-03188-RC JOHNSON & JOHNSON HEALTH CARE SYSTEMS INC. v. BECERRA et al Motion for Leave to File https://www.nationalalliancehealth.org/resources/case-124-cv-03188-rc-johnson-johnson-health-care-systems-inc-v-becerra-et-al-motion-for-leave-to-file/ Wed, 19 Feb 2025 00:45:08 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=19249 The post Case 1:24-cv-03188-RC JOHNSON & JOHNSON HEALTH CARE SYSTEMS INC. v. BECERRA et al Motion for Leave to File appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> A proposed law could force California health insurers to explain claim denials https://www.nationalalliancehealth.org/news/a-proposed-law-could-force-california-health-insurers-to-explain-claim-denials/ Tue, 18 Feb 2025 13:57:36 +0000 https://www.nationalalliancehealth.org/?p=19253 The post A proposed law could force California health insurers to explain claim denials appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> National Alliance Announces 2025 Federal Policy Priorities to Offer Relief for America’s Employers and Working Families https://www.nationalalliancehealth.org/news/national-alliance-announces-2025-federal-policy-priorities-to-offer-relief-for-americas-employers-and-working-families/ Tue, 11 Feb 2025 11:27:00 +0000 https://www.nationalalliancehealth.org/?p=19237 WASHINGTON – February 11, 2025 – In the past two decades, costs for employers offering healthcare coverage has more than doubled, while out-of-pocket expenses for employees is three times higher […]

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]]> 2025 Federal Legislative Priorities https://www.nationalalliancehealth.org/resources/2025-federal-legislative-priorities/ Sat, 08 Feb 2025 04:19:18 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=19230 The post 2025 Federal Legislative Priorities appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Finding and sharing hospital prices with your audience https://www.nationalalliancehealth.org/news/finding-and-sharing-hospital-prices-with-your-audience/ Wed, 29 Jan 2025 18:37:11 +0000 https://www.nationalalliancehealth.org/?p=19279 The post Finding and sharing hospital prices with your audience appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Employers outline health priorities under Trump https://www.nationalalliancehealth.org/news/employers-outline-health-priorities-under-trump/ Thu, 16 Jan 2025 17:14:36 +0000 https://www.nationalalliancehealth.org/?p=19019 The post Employers outline health priorities under Trump appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Show us Your Prices | Predictions for 2025 https://www.nationalalliancehealth.org/news/show-us-your-prices-predictions-for-2025/ Tue, 14 Jan 2025 19:02:34 +0000 https://www.nationalalliancehealth.org/?p=18997 The post Show us Your Prices | Predictions for 2025 appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> How Can Employers Manage Rising Healthcare Costs in 2025? https://www.nationalalliancehealth.org/news/how-can-employers-manage-rising-healthcare-costs-in-2025/ Tue, 07 Jan 2025 20:38:11 +0000 https://www.nationalalliancehealth.org/?p=18118 The post How Can Employers Manage Rising Healthcare Costs in 2025? appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Where smaller PBMs are headed this year https://www.nationalalliancehealth.org/news/where-smaller-pbms-are-headed-this-year/ Tue, 07 Jan 2025 01:48:38 +0000 https://www.nationalalliancehealth.org/?p=18115 The post Where smaller PBMs are headed this year appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> The 2025 BenefitsPRO health benefits predictions almanac https://www.nationalalliancehealth.org/news/the-2025-benefitspro-health-benefits-predictions-almanac/ Mon, 30 Dec 2024 17:34:26 +0000 https://www.nationalalliancehealth.org/?p=18108 The post The 2025 BenefitsPRO health benefits predictions almanac appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Health Policy in Transit:  End-of-Year Funding Bill and Next Steps in January  https://www.nationalalliancehealth.org/resources/health-policy-in-transit-end-of-year-funding-bill-and-next-steps-in-january/ Mon, 23 Dec 2024 23:52:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=18103 On December 21, Congress passed a Continuing Resolution (CR) and sent it to President Biden for his signature, averting a looming federal government shutdown. This legislation extends federal government funding […]

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]]> PBM Reform is Part of Congress’ End of Year Bill https://www.nationalalliancehealth.org/news/pbm-reform-is-part-of-congress-end-of-year-bill/ Wed, 18 Dec 2024 00:48:15 +0000 https://www.nationalalliancehealth.org/?p=18019 The post PBM Reform is Part of Congress’ End of Year Bill appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Putting patients first: Workers suffer when their employers lack critical information about PBMs https://www.nationalalliancehealth.org/news/putting-patients-first-workers-suffer-when-their-employers-lack-critical-information-about-pbms/ Sat, 07 Dec 2024 00:49:50 +0000 https://www.nationalalliancehealth.org/?p=18021 The post Putting patients first: Workers suffer when their employers lack critical information about PBMs appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> 340B Bills are Bad for Michigan https://www.nationalalliancehealth.org/resources/340b-bills-are-bad-for-michigan/ Fri, 06 Dec 2024 19:59:30 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=17971 In the following post, Bret Jackson, CEO of the Michigan Health Purchasers Coalition, explains how 340B is driving up costs for his members and working families across the state – […]

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]]> State of Healthcare – Attitudes and Approaches for State Policy Intervention to Address High Prices https://www.nationalalliancehealth.org/resources/state-of-healthcare-attitudes-and-approaches-for-state-policy-intervention-to-address-high-prices/ Mon, 02 Dec 2024 19:00:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=17890 As healthcare spending continues to rise at unsustainable rates, purchasers are urgently seeking policy solutions to contain their costs without compromising care. Join us on October 2, from 2-3pm EDT, […]

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]]> National Alliance Hill Visits 2024 https://www.nationalalliancehealth.org/resources/national-alliance-hill-visits-2024/ Thu, 21 Nov 2024 15:00:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=19363 The following one-page resources on 340B, PBM reform, combating high and rising hospital prices, were presented during the National Alliance Hill visits in November 2024.

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]]> Case Studies: Coalitions and Employers are Disrupting the PBM Misalignment Status Quo https://www.nationalalliancehealth.org/resources/pbm-misalignment-case-studies/ Mon, 18 Nov 2024 19:23:40 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=17808 The National Alliance is continuously exploring how misalignment between employer needs and PBM service provider value propositions have affected employers and other and plan sponsors. There is growing risk for […]

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]]> Pharmacy Benefit Management Misalignment: Vendor Engagement Template https://www.nationalalliancehealth.org/resources/pbm-vendor-engagement-template/ Fri, 15 Nov 2024 18:52:34 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=17771 As the pharmacy benefit management industry undergoes the most significant transformation in decades, employers are at the forefront of driving change. This vendor engagement template equips them with information to […]

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]]> Many Americans Unable to Afford Medications, Navitus Survey Finds https://www.nationalalliancehealth.org/news/many-americans-unable-to-afford-medications-navitus-survey-finds/ Tue, 12 Nov 2024 19:34:43 +0000 https://www.nationalalliancehealth.org/?p=17733 The post Many Americans Unable to Afford Medications, Navitus Survey Finds appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> National Alliance Survey Reveals Employers Using Innovative Payment Approaches Experienced Lower Healthcare Costs  https://www.nationalalliancehealth.org/news/national-alliance-of-healthcare-purchaser-coalitions-survey-reveals-employers-using-innovative-payment-approaches-experienced-lower-healthcare-costs/ Tue, 29 Oct 2024 12:59:03 +0000 https://www.nationalalliancehealth.org/?p=17547 Pulse of the Purchaser study also finds obesity, women’s health and health equity are growing areas of benefits focus for employers in 2024 and beyond  WASHINGTON – OCTOBER 29, 2024 […]

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]]> Employers eye PBM changes, fearing legal threat https://www.nationalalliancehealth.org/news/employers-eye-pbm-changes-fearing-legal-threat/ Tue, 29 Oct 2024 11:11:47 +0000 https://www.nationalalliancehealth.org/?p=17589 The post Employers eye PBM changes, fearing legal threat appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Pulse of the Purchaser 2024 Survey Results https://www.nationalalliancehealth.org/resources/pulse-of-the-purchaser-2024-survey-results/ Fri, 25 Oct 2024 21:38:56 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=17548 The Pulse of the Purchaser study gauges concerns and approaches of employers to address the workforce environment; whole person health, equity, women’s health, mental health and obesity management; fiduciary perspectives; pharmaceutical […]

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]]> MedCity Pivot Podcast: Chat With Shawn Gremminger About Employer-Led Healthcare https://www.nationalalliancehealth.org/news/medcity-pivot-podcast-chat-with-shawn-gremminger-about-employer-led-healthcare/ Fri, 25 Oct 2024 12:45:03 +0000 https://www.nationalalliancehealth.org/?p=17582 The post MedCity Pivot Podcast: Chat With Shawn Gremminger About Employer-Led Healthcare appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> National Alliance Announces Keynote and Agenda for Annual Forum https://www.nationalalliancehealth.org/news/national-alliance-announces-keynote-and-agenda-for-annual-forum/ Tue, 22 Oct 2024 14:13:31 +0000 https://www.nationalalliancehealth.org/?p=17524 Health economist and policy expert Dr. Zack Cooper will offer insight on the impact of rising healthcare costs to the US economy, businesses, and working families WASHINGTON – October 22, […]

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]]> Employer plans face GLP-1 anti-obesity drug rebate threats https://www.nationalalliancehealth.org/news/employer-plans-face-glp-1-anti-obesity-drug-rebate-threats/ Fri, 27 Sep 2024 21:48:35 +0000 https://www.nationalalliancehealth.org/?p=17373 The post Employer plans face GLP-1 anti-obesity drug rebate threats appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Letter to HELP Committee regarding pricing practices of GLP-1s https://www.nationalalliancehealth.org/news/letter-to-help-committee-regarding-pricing-practices-of-glp-1s/ Tue, 24 Sep 2024 18:49:45 +0000 https://www.nationalalliancehealth.org/?p=17343 Employers and purchasers are struggling to afford coverage of GLP-1s to treat obesity for their employees and dependents. To provide access to these drugs for those most in need, many […]

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]]> What does Medicare Drug Price Negotiation Mean for Employers? https://www.nationalalliancehealth.org/resources/what-does-medicare-drug-price-negotiation-mean-for-employers/ Tue, 24 Sep 2024 16:00:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=17356 Medicare drug price negotiation refers to the ability of the Medicare program to negotiate directly with pharmaceutical companies to lower the prices of prescription drugs. This policy, which has been […]

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]]> Op-ed: Shawn Gremminger and Bret Jackson: What is hospital dumping and why should legislators, employers and patients care? https://www.nationalalliancehealth.org/news/op-ed-shawn-gremminger-and-bret-jackson-what-is-hospital-dumping-and-why-should-legislators-employers-and-patients-care/ Mon, 16 Sep 2024 23:57:55 +0000 https://www.nationalalliancehealth.org/?p=17318 The post Op-ed: Shawn Gremminger and Bret Jackson: What is hospital dumping and why should legislators, employers and patients care? appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Finding Common Ground: Addressing PBM Issues and ERISA Tensions https://www.nationalalliancehealth.org/news/finding-common-ground-addressing-pbm-issues-and-erisa-tensions/ Wed, 11 Sep 2024 00:05:34 +0000 https://www.nationalalliancehealth.org/?p=17325 The post Finding Common Ground: Addressing PBM Issues and ERISA Tensions appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Path Forward Responds to the Final Parity Rule https://www.nationalalliancehealth.org/news/path-forward-responds-to-the-final-parity-rule/ Tue, 10 Sep 2024 21:12:00 +0000 https://www.nationalalliancehealth.org/?p=17387 The post Path Forward Responds to the Final Parity Rule appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> MHPAEA: Feds post final mental health parity regulations https://www.nationalalliancehealth.org/news/mhpaea-feds-post-final-mental-health-parity-regulations/ Tue, 10 Sep 2024 12:15:50 +0000 https://www.nationalalliancehealth.org/?p=17286 The post MHPAEA: Feds post final mental health parity regulations appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> EP448 (Part 2): 340B: Why Employers Should Probably Care About What’s Happening Here, With Shawn Gremminger https://www.nationalalliancehealth.org/news/ep448-part-2-340b-why-employers-should-probably-care-about-whats-happening-here-with-shawn-gremminger/ Fri, 06 Sep 2024 00:01:22 +0000 https://www.nationalalliancehealth.org/?p=17323 The post EP448 (Part 2): 340B: Why Employers Should Probably Care About What’s Happening Here, With Shawn Gremminger appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> EP448 (Part 1): 340B: Where It Started, Where It Is Now, and Who Is Really Benefiting From This Massive Program, With Shawn Gremminger https://www.nationalalliancehealth.org/news/ep448-part-1-340b-where-it-started-where-it-is-now-and-who-is-really-benefiting-from-this-massive-program-with-shawn-gremminger/ Thu, 05 Sep 2024 23:59:27 +0000 https://www.nationalalliancehealth.org/?p=17320 The post EP448 (Part 1): 340B: Where It Started, Where It Is Now, and Who Is Really Benefiting From This Massive Program, With Shawn Gremminger appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Time to Act: Understanding PBM Practices Enables Employers to Ignite Change https://www.nationalalliancehealth.org/resources/time-to-act-understanding-pbm-practices-enables-employers-to-ignite-change/ Tue, 27 Aug 2024 15:13:16 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=17168 For decades the PBM industry has been plagued by misalignment, opacity, and consolidation. Rather than improving drug value and creating an efficient marketplace, the industry has fueled a flawed model […]

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]]> The fox guarding the henhouse: Addressing PBM industry misalignment and 340B https://www.nationalalliancehealth.org/news/the-fox-guarding-the-henhouse-addressing-pbm-industry-misalignment-and-340b/ Mon, 26 Aug 2024 20:44:02 +0000 https://www.nationalalliancehealth.org/?p=17189 The post The fox guarding the henhouse: Addressing PBM industry misalignment and 340B appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> New Medicaid Rule Adds Fuel To The Fire Of Commercial Hospital Price Inflation https://www.nationalalliancehealth.org/news/new-medicaid-rule-adds-fuel-to-the-fire-of-commercial-hospital-price-inflation/ Fri, 09 Aug 2024 23:52:13 +0000 https://www.nationalalliancehealth.org/?p=17192 The post New Medicaid Rule Adds Fuel To The Fire Of Commercial Hospital Price Inflation appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Hospitals charging more than ‘fair price’ https://www.nationalalliancehealth.org/news/hospitals-charging-more-thanfair-price/ Mon, 22 Jul 2024 14:32:21 +0000 https://www.nationalalliancehealth.org/?p=16802 The post Hospitals charging more than ‘fair price’ appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> How Chevron’s demise could impact employers, purchasers and health payers https://www.nationalalliancehealth.org/news/how-chevrons-demise-could-impact-employers-purchasers-and-health-payers/ Fri, 12 Jul 2024 01:42:29 +0000 https://www.nationalalliancehealth.org/?p=16794 The post How Chevron’s demise could impact employers, purchasers and health payers appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Supreme Court ruling could soften upcoming mental health parity regulations https://www.nationalalliancehealth.org/news/supreme-court-ruling-could-soften-upcoming-mental-health-parity-regulations/ Fri, 12 Jul 2024 01:40:15 +0000 https://www.nationalalliancehealth.org/?p=16792 The post Supreme Court ruling could soften upcoming mental health parity regulations appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Legislation to Improve Health Billing Transparency Endorsed by ERISA Industry Committee https://www.nationalalliancehealth.org/news/legislation-to-improve-health-billing-transparency-endorsed-by-erisa-industry-committee/ Mon, 10 Jun 2024 15:07:34 +0000 https://www.nationalalliancehealth.org/?p=16761 The post Legislation to Improve Health Billing Transparency Endorsed by ERISA Industry Committee appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Gremminger Hearing Record Statement for 340B Drug Pricing Program https://www.nationalalliancehealth.org/resources/gremminger-hearing-record-statement-for-340b-drug-pricing-program/ Tue, 04 Jun 2024 14:37:02 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=16607 On Tuesday, June 4, the House Energy and Commerce Oversight and Investigations subcommittee hosted a hearing to discuss the 340B Drug Pricing Program.  National Alliance President and CEO Shawn Gremminger submitted a […]

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]]> Plan Sponsors, Insurers Spar Over Fiduciary Data Despite Lawsuits https://www.nationalalliancehealth.org/news/plan-sponsors-insurers-spar-over-fiduciary-data-despite-lawsuits/ Fri, 31 May 2024 17:59:04 +0000 https://www.nationalalliancehealth.org/?p=16684 The post Plan Sponsors, Insurers Spar Over Fiduciary Data Despite Lawsuits appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Fiduciary Check-in Webinar: Sharing Employer Experience on CAA Attestations: Is there a Sea Change Coming? https://www.nationalalliancehealth.org/resources/fiduciary-check-in-webinar-sharing-employer-experience-on-caa-attestations-is-there-a-sea-change-coming/ Mon, 20 May 2024 22:03:30 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=16529 There is growing concern among employers that they could face litigation if they are not exercising their fiduciary responsibilities as required by complex attestation requirements that took effect on January […]

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]]> Employers Want Greater Accountability From Intermediaries to Ensure CAA Compliance per National Alliance Survey https://www.nationalalliancehealth.org/news/employers-want-greater-accountability-from-intermediaries-to-ensure-caa-compliance-per-national-alliance-of-healthcare-purchaser-coalitions-survey/ Thu, 16 May 2024 13:05:17 +0000 https://www.nationalalliancehealth.org/?p=16492 WASHINGTON – May 16, 2024 – There is growing concern among employers that they could face litigation if they are not exercising their fiduciary responsibilities as required by the complex […]

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]]> Employer Insights to Consolidated Appropriations Act Attestation https://www.nationalalliancehealth.org/resources/employer-insights-to-consolidated-appropriations-act-attestation/ Wed, 15 May 2024 20:34:53 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=16493 CAA Survey Results Overview, Spring 2024 The Consolidated Appropriations Act (CAA) Attestation Survey, a national poll of employers, was conducted March‐April 2024. The survey gauged concerns and views of employers […]

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]]> Employers feel the side effects of drugmaker control over Wegovy, Ozempic costs https://www.nationalalliancehealth.org/news/employers-feel-the-side-effects-of-drugmaker-control-over-wegovy-ozempic-costs/ Thu, 18 Apr 2024 18:05:23 +0000 https://www.nationalalliancehealth.org/?p=16194 The post Employers feel the side effects of drugmaker control over Wegovy, Ozempic costs appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Russell DuBose Capitol Hill Testimony https://www.nationalalliancehealth.org/resources/path-to-lower-cost-higher-quality-healthcare/ Mon, 15 Apr 2024 22:29:53 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=16173 On Tuesday, April 16, at 10:15 a.m. (ET), the Subcommittee on Health, Employment, Labor, and Pensions, chaired by Rep. Bob Good (R-VA), held a hearing titled: “ERISA’s 50th Anniversary: the Path to […]

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]]> More Risks, More Opportunities: What’s Next For Employers In Healthcare? https://www.nationalalliancehealth.org/news/more-risks-more-opportunities-whats-next-for-employers-in-healthcare/ Sun, 07 Apr 2024 18:08:58 +0000 https://www.nationalalliancehealth.org/?p=16198 The post More Risks, More Opportunities: What’s Next For Employers In Healthcare? appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> The Importance of Maintaining ERISA Preemption https://www.nationalalliancehealth.org/news/erisa-preemption-letter-of-support/ Mon, 18 Mar 2024 20:02:50 +0000 https://www.nationalalliancehealth.org/?p=16071 To stress the importance of maintaining ERISA preemption and send a strong message to policymakers that ERISA should not be eroded, National Alliance members have signed onto the following letter. […]

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]]> No Surprises Act Driving Medical Cost Hikes, Employer Groups Say https://www.nationalalliancehealth.org/news/no-surprises-act-driving-medical-cost-hikes-employer-groups-say/ Thu, 07 Mar 2024 23:00:11 +0000 https://www.nationalalliancehealth.org/?p=16017 The post No Surprises Act Driving Medical Cost Hikes, Employer Groups Say appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Upended: Can PBM Transparency Succeed? https://www.nationalalliancehealth.org/news/upended-can-pbm-transparency-succeed/ Wed, 06 Mar 2024 22:48:29 +0000 https://www.nationalalliancehealth.org/?p=16012 The post Upended: Can PBM Transparency Succeed? appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Fiduciary Check-in Webinar: What the J&J Lawsuit Signals About Fiduciary Duties https://www.nationalalliancehealth.org/resources/fiduciary-check-in-webinar-what-the-jj-lawsuit-signals-about-fiduciary-duties/ Thu, 22 Feb 2024 21:16:08 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=15178 The recent lawsuit from an employee suing Johnson & Johnson for allegedly mismanaging drug benefits could signal future litigation companies may face, particularly those relying on pharmacy industry “middlemen” to negotiate pricing […]

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]]> Beyond the Pulse – Pulse of the Purchaser Webinar Series https://www.nationalalliancehealth.org/resources/beyond-the-pulse-pulse-of-the-purchaser-webinar-series/ Thu, 22 Feb 2024 21:06:25 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=15164 Embark on a journey into the core of your organization as we unveil the intricacies of workforce dynamics. This unique session will not only discuss the current elements shaping your […]

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]]> National Alliance President and CEO Shawn Gremminger Discusses 2024 Initiatives, PBMs, and Health Equity https://www.nationalalliancehealth.org/news/national-alliance-president-and-ceo-shawn-gremminger-discusses-2024-initiatives-pbms-and-health-equity/ Sat, 03 Feb 2024 00:27:44 +0000 https://www.nationalalliancehealth.org/?p=15107 The post National Alliance President and CEO Shawn Gremminger Discusses 2024 Initiatives, PBMs, and Health Equity appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Six Reasons Why It’s So Hard to Get Your Weight-Loss Drugs https://www.nationalalliancehealth.org/news/six-reasons-why-its-so-hard-to-get-your-weight-loss-drugs/ Sat, 03 Feb 2024 00:24:55 +0000 https://www.nationalalliancehealth.org/?p=15103 The post Six Reasons Why It’s So Hard to Get Your Weight-Loss Drugs appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Paying a lot for your health insurance? You might have a lawsuit. https://www.nationalalliancehealth.org/news/paying-a-lot-for-your-health-insurance-you-might-have-a-lawsuit/ Thu, 21 Dec 2023 16:12:57 +0000 https://www.nationalalliancehealth.org/?p=15003 The post Paying a lot for your health insurance? You might have a lawsuit. appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Lower Costs, More Transparency Act https://www.nationalalliancehealth.org/resources/lower-costs-more-transparency-act/ Tue, 19 Dec 2023 19:54:25 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=14996 On December 11, the US House of Representatives overwhelmingly passed the Lower Costs, More Transparency Act (HR 5378) with a bipartisan vote of 320-71. The Act aims to address the […]

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]]> Obesity, Women’s Health, Health Equity Among Top Benefit Focuses for Employers in 2024 https://www.nationalalliancehealth.org/news/obesity-womens-health-health-equity-among-top-benefit-focuses-for-employers-in-2024/ Tue, 19 Dec 2023 14:20:59 +0000 https://www.nationalalliancehealth.org/?p=15000 The post Obesity, Women’s Health, Health Equity Among Top Benefit Focuses for Employers in 2024 appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Employer Survey Finds High-Cost Claims and Hospital Prices are Major Concern https://www.nationalalliancehealth.org/news/employer-survey-finds-high-cost-claims-and-hospital-prices-are-major-concern/ Wed, 13 Dec 2023 23:09:45 +0000 https://www.nationalalliancehealth.org/?p=14955 The post Employer Survey Finds High-Cost Claims and Hospital Prices are Major Concern appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Report: Less than Half of Employers Are Confident In Integrity of Hospitals, PBMs https://www.nationalalliancehealth.org/news/report-less-than-half-of-employers-are-confident-in-integrity-of-hospitals-pbms/ Wed, 13 Dec 2023 16:42:09 +0000 https://www.nationalalliancehealth.org/?p=14962 The post Report: Less than Half of Employers Are Confident In Integrity of Hospitals, PBMs appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Survey Finds More than Half of Employers Not Confident in PBM Practices https://www.nationalalliancehealth.org/news/survey-finds-more-than-half-of-employers-not-confident-in-pbm-practices/ Wed, 13 Dec 2023 16:35:18 +0000 https://www.nationalalliancehealth.org/?p=14959 The post Survey Finds More than Half of Employers Not Confident in PBM Practices appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Pulse of the Purchaser 2023 Survey Results https://www.nationalalliancehealth.org/resources/pulse-of-the-purchaser/ Wed, 13 Dec 2023 14:55:17 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=14686 The Pulse of the Purchaser study gauges concerns and approaches of employers to address the workforce environment; whole person health, equity, women’s health, mental health and obesity management; fiduciary perspectives; pharmaceutical […]

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]]> Lack of Confidence in Service Providers, Healthcare Affordability Among Top Employer Concerns per National Alliance Survey https://www.nationalalliancehealth.org/news/lack-of-confidence-in-service-providers-healthcare-affordability-among-top-employer-concerns-per-national-alliance-survey/ Wed, 13 Dec 2023 14:53:19 +0000 https://www.nationalalliancehealth.org/?p=14683 Pulse of the Purchaser study also finds obesity, women’s health and health equity are growing areas of benefits focus for employers in 2024 and beyond WASHINGTON – DECEMBER 13, 2023 […]

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]]> National Alliance Hill Visits 2023 https://www.nationalalliancehealth.org/resources/hill-visits-on-key-topics/ Tue, 12 Dec 2023 13:51:33 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=14897 The following one-page resources on PBM reform, ERISA preemption, combating high and rising hospital prices, improving HSA flexibility, and integrating mental health into primary care, were presented during the National […]

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]]> Navigating Work With PBMs: Negotiations, Misalignments, and Drug Costs https://www.nationalalliancehealth.org/news/navigating-work-with-pbms-negotiations-misalignments-and-drug-costs/ Thu, 07 Dec 2023 16:26:48 +0000 https://www.nationalalliancehealth.org/?p=14678 The post Navigating Work With PBMs: Negotiations, Misalignments, and Drug Costs appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Cigna-Humana Deal Would Complicate Drug Pricing for Health Plans https://www.nationalalliancehealth.org/news/cigna-humana-deal-would-complicate-drug-pricing-for-health-plans/ Thu, 07 Dec 2023 16:24:07 +0000 https://www.nationalalliancehealth.org/?p=14675 The post Cigna-Humana Deal Would Complicate Drug Pricing for Health Plans appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> CVS drug pricing overhaul signals a broader industry shift https://www.nationalalliancehealth.org/news/cvs-drug-pricing-overhaul-signals-a-broader-industry-shift/ Wed, 06 Dec 2023 20:08:42 +0000 https://www.nationalalliancehealth.org/?p=14647 The post CVS drug pricing overhaul signals a broader industry shift appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Expert Discusses Biosimiliars Influencing Pricing of Biologic Drugs https://www.nationalalliancehealth.org/news/expert-discusses-biosimiliars-influencing-pricing-of-biologic-drugs/ Wed, 22 Nov 2023 19:13:27 +0000 https://www.nationalalliancehealth.org/?p=14627 The post Expert Discusses Biosimiliars Influencing Pricing of Biologic Drugs appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Foot Locker, Teamsters Show Their Drug-Benefit Managers the Door https://www.nationalalliancehealth.org/news/foot-locker-teamsters-show-their-drug-benefit-managers-the-door/ Tue, 21 Nov 2023 21:07:45 +0000 https://www.nationalalliancehealth.org/?p=14672 The post Foot Locker, Teamsters Show Their Drug-Benefit Managers the Door appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Lina Khan speaks out about FTC’s private equity lawsuit: ‘We’re putting the market on notice’ https://www.nationalalliancehealth.org/news/lina-khan-speaks-out-about-ftcs-private-equity-lawsuit-were-putting-the-market-on-notice/ Fri, 17 Nov 2023 19:10:36 +0000 https://www.nationalalliancehealth.org/?p=14624 The post Lina Khan speaks out about FTC’s private equity lawsuit: ‘We’re putting the market on notice’ appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Fiduciary Check-in Webinar CAA Employer Attestation Requirements https://www.nationalalliancehealth.org/resources/fiduciary-check-in-webinar-caa-employer-attestation-requirements-share/ Thu, 16 Nov 2023 17:01:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=14640 This fiduciary check-in webinar features a discussion on employer compliance with the No Gag Clause and attestation requirements of the Consolidated Appropriations Act of 2021 (CAA), which apply to both […]

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]]> Employer Coalition Urges Congress to Pass PBM Reforms This Year https://www.nationalalliancehealth.org/news/employer-coalition-urges-congress-to-pass-pbm-reforms-this-year/ Thu, 16 Nov 2023 13:25:00 +0000 https://www.nationalalliancehealth.org/?p=14582 EmployersRx and allies urge Congress to continue its momentum to eliminate PBM business practices driving up the cost of drugs for American businesses and workers OAKLAND, CA and WASHINGTON – […]

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]]> Letter to Senate Leadership: Supporting PBM Reform from Employers and Other Stakeholders https://www.nationalalliancehealth.org/resources/letter-to-senate-leadership-supporting-pbm-reform-from-employers-and-other-stakeholders/ Wed, 08 Nov 2023 20:09:10 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=14562 This letter to Majority Leader Schumer and Republican Leader McConnell asks them to support the healthcare provided to 179 million Americans through private employers by enacting strong pharmacy benefit manager […]

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]]> Employer group pushes for site-neutral https://www.nationalalliancehealth.org/news/employer-group-pushes-for-site-neutral/ Tue, 07 Nov 2023 19:06:33 +0000 https://www.nationalalliancehealth.org/?p=14621 The post Employer group pushes for site-neutral appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Blue Shield of California is promising a simpler, cheaper pharmacy benefits model. Can it deliver? https://www.nationalalliancehealth.org/news/blue-shield-of-california-is-promising-a-simpler-cheaper-pharmacy-benefits-model-can-it-deliver/ Wed, 25 Oct 2023 12:41:00 +0000 https://www.nationalalliancehealth.org/?p=14498 The post Blue Shield of California is promising a simpler, cheaper pharmacy benefits model. Can it deliver? appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> 3 Ways That Large Employers Influence Health Insurance Costs, Coverage https://www.nationalalliancehealth.org/news/3-ways-that-large-employers-influence-health-insurance-costs-coverage/ Wed, 18 Oct 2023 19:41:57 +0000 https://www.nationalalliancehealth.org/?p=14467 The post 3 Ways That Large Employers Influence Health Insurance Costs, Coverage appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Employers face major barrier to securing cheaper health benefits https://www.nationalalliancehealth.org/news/employers-face-major-barrier-to-securing-cheaper-health-benefits/ Tue, 17 Oct 2023 15:00:05 +0000 https://www.nationalalliancehealth.org/?p=14422 The post Employers face major barrier to securing cheaper health benefits appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> National Alliance of Healthcare Purchaser Coalitions Announces Speakers for Annual Forum https://www.nationalalliancehealth.org/news/national-alliance-of-healthcare-purchaser-coalitions-announces-speakers-for-annual-forum/ Thu, 05 Oct 2023 14:09:40 +0000 https://www.nationalalliancehealth.org/?p=14374 Extraordinary lineup of health and benefit leaders and vital discussions await atTemperature Rising: Igniting Change for a New Era WASHINGTON – October 5, 2023 – The National Alliance of Healthcare […]

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]]> Employer Group to Hospitals: Your High Prices Aren’t Justified and Here’s Why https://www.nationalalliancehealth.org/news/employer-group-to-hospitals-your-high-prices-arent-justified-and-heres-why/ Tue, 19 Sep 2023 15:49:47 +0000 https://www.nationalalliancehealth.org/?p=14326 The post Employer Group to Hospitals: Your High Prices Aren’t Justified and Here’s Why appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Facing higher health costs, employers get tough https://www.nationalalliancehealth.org/news/facing-higher-health-costs-employers-get-tough/ Tue, 19 Sep 2023 14:17:44 +0000 https://www.nationalalliancehealth.org/?p=14310 The post Facing higher health costs, employers get tough appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> National Alliance Urges Action to Achieve Fair Pricing for Hospital Services https://www.nationalalliancehealth.org/news/national-alliance-urges-action-to-achieve-fair-pricing-for-hospital-services/ Tue, 19 Sep 2023 11:00:08 +0000 https://www.nationalalliancehealth.org/?p=14299 New resource sets the record straight on top 10 myths driving largest healthcare expense for American families and businesses WASHINGTON – September 19, 2023 – Hospital prices are the leading […]

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]]> Save billions or stick with Humira? Drug brokers steer Americans to the costly choice https://www.nationalalliancehealth.org/news/save-billions-or-stick-with-humira-drug-brokers-steer-americans-to-the-costly-choice/ Mon, 18 Sep 2023 19:01:43 +0000 https://www.nationalalliancehealth.org/?p=14284 The post Save billions or stick with Humira? Drug brokers steer Americans to the costly choice appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Employers Point to Higher Costs After Medicare Drug Negotiations https://www.nationalalliancehealth.org/news/employers-point-to-higher-costs-after-medicare-drug-negotiations/ Tue, 12 Sep 2023 18:56:05 +0000 https://www.nationalalliancehealth.org/?p=14276 The post Employers Point to Higher Costs After Medicare Drug Negotiations appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Michael Thompson on Employer-PBM Relations and What It Will Take to Change Them https://www.nationalalliancehealth.org/news/michael-thompson-on-employer-pbm-relations-and-what-it-will-take-to-change-them/ Tue, 12 Sep 2023 18:54:01 +0000 https://www.nationalalliancehealth.org/?p=14273 The post Michael Thompson on Employer-PBM Relations and What It Will Take to Change Them appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> National Alliance Guideline Identifies Key PBM Concerns for Health Plan Purchasers https://www.nationalalliancehealth.org/news/national-alliance-guideline-identifies-key-pbm-concerns-for-health-plan-purchasers/ Thu, 07 Sep 2023 18:58:16 +0000 https://www.nationalalliancehealth.org/?p=14281 The post National Alliance Guideline Identifies Key PBM Concerns for Health Plan Purchasers appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Mental Health Parity Regulations Update https://www.nationalalliancehealth.org/resources/mental-health-parity-regulations-update/ Tue, 29 Aug 2023 21:35:40 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=14050 This Health Policy in Transit addresses the July 25, 2023, proposed rules and additional guidance on compliance with the Mental Health Parity and Addiction Equity Act set forth by the […]

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]]> The Pharmacy-Benefit Sector Just Took a Hit https://www.nationalalliancehealth.org/news/the-pharmacy-benefit-sector-just-took-a-hit/ Fri, 18 Aug 2023 21:52:24 +0000 https://www.nationalalliancehealth.org/?p=14220 The post The Pharmacy-Benefit Sector Just Took a Hit appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Reaching Fiduciary and Employee Satisfaction Goals https://www.nationalalliancehealth.org/resources/reaching-fiduciary-and-employee-satisfaction-goals/ Thu, 17 Aug 2023 18:39:02 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=14029 The post Reaching Fiduciary and Employee Satisfaction Goals appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Employer Group Issues Guide for Contracting with PBMs https://www.nationalalliancehealth.org/news/employer-group-issues-guide-for-contracting-with-pbms/ Wed, 28 Jun 2023 18:18:48 +0000 https://www.nationalalliancehealth.org/?p=14263 The post Employer Group Issues Guide for Contracting with PBMs appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> New playbook arms employers with blueprint for navigating PBM relationships https://www.nationalalliancehealth.org/news/new-playbook-arms-employers-with-blueprint-for-navigating-pbm-relationships/ Tue, 27 Jun 2023 18:29:00 +0000 https://www.nationalalliancehealth.org/?p=14269 The post New playbook arms employers with blueprint for navigating PBM relationships appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> National Alliance of Healthcare Purchaser Coalitions Develops Playbook for Managing Drug Costs https://www.nationalalliancehealth.org/news/national-alliance-of-healthcare-purchaser-coalitions-develops-playbook-for-managing-drug-costs/ Tue, 27 Jun 2023 18:23:00 +0000 https://www.nationalalliancehealth.org/?p=14266 The post National Alliance of Healthcare Purchaser Coalitions Develops Playbook for Managing Drug Costs appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Frustrated Employers Outline Ways to Work With PBMs https://www.nationalalliancehealth.org/news/frustrated-employers-outline-ways-to-work-with-pbms/ Mon, 26 Jun 2023 19:18:00 +0000 https://www.nationalalliancehealth.org/?p=14293 The post Frustrated Employers Outline Ways to Work With PBMs appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Federal Litigation on ACA’s Requirement to Cover Preventive Services – May 2023 Update  https://www.nationalalliancehealth.org/resources/federal-litigation-on-acas-requirement-to-cover-preventive-services-may-2023-update/ Tue, 23 May 2023 20:03:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=12747 This Health Policy in Action is an addendum to the April 11, 2023, issue.

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]]> End of COVID-19 Public Health Emergency https://www.nationalalliancehealth.org/resources/end-of-covid-19-public-health-emergency/ Wed, 05 Apr 2023 20:16:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=8827 In late January 2023, President Biden announced his intention for the COVID-19 Public Health Emergency (PHE) to end on May 11, 2023. The termination of the PHE has many implications […]

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]]> Proposed PBM Legislation Falls Short https://www.nationalalliancehealth.org/resources/proposed-pbm-legislation-falls-short/ Wed, 15 Feb 2023 21:08:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=8819 The Pharmacy Benefit Manager Transparency Act (S. 127) introduced in the Senate on January 26, 2023 raises significant concerns. This legislation was drafted without the input of the plan sponsor […]

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]]> Fiduciary Check-in: A Case Study in Fiduciary Activation https://www.nationalalliancehealth.org/resources/fiduciary-check-in-a-case-study-in-fiduciary-activation/ Tue, 17 Jan 2023 18:11:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=8773 The Office of the Lehigh County Controller is on the frontlines of identifying county government waste and inefficiency, proposing solutions and savings alternatives. As the first line of defense against […]

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]]> HPIT: Year-End Federal Mental Health Legislation https://www.nationalalliancehealth.org/resources/hpit-year-end-federal-mental-health-legislation/ Wed, 14 Dec 2022 20:57:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=8806 A bill was introduced in November 2022 to address inaccurate healthcare provider listings or “ghost networks” and create stronger enforcement standards to protect those seeking mental health care. In addition, […]

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]]> Sign-on Letter – Dialysis Facilities Anti-Competitive Behavior (due 9/30) https://www.nationalalliancehealth.org/resources/sign-on-letter-dialysis-facilities-anti-competitive-behavior-due-9-30/ Mon, 26 Sep 2022 20:18:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=8831 The post Sign-on Letter – Dialysis Facilities Anti-Competitive Behavior (due 9/30) appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Fiduciary Check-in: How to Receive Optimal PBM Value & Service https://www.nationalalliancehealth.org/resources/fiduciary-check-in-how-to-receive-optimal-pbm-value-service/ Mon, 19 Sep 2022 20:21:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=8836 “How to Receive Optimal PBM Value and Service.” Paul Holmes, a senior partner in Nixon Peabody’s Employee Benefits & Executive Compensation Group, covered the implications of common PBM conflicts and […]

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]]> Federal Litigation on ACA’s Requirement to Cover Preventive Services https://www.nationalalliancehealth.org/resources/federal-litigation-on-acas-requirement-to-cover-preventive-services/ Tue, 13 Sep 2022 20:23:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=8841 This Health Policy in Transit explains a recent federal district court ruling regarding coverage of preventive care services recommended by the US Preventive Services Task Force. Under a provision of […]

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]]> Health Policy in Transit – Surprise Billing Final Regulations https://www.nationalalliancehealth.org/resources/health-policy-in-transit-surprise-billing-final-regulations/ Fri, 26 Aug 2022 20:40:23 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=8845 This Health Policy in Transit summarizes the No Surprises Act final rules that were issued by HHS, DOL, and Treasury on Friday, August 19, 2022. These final rules clarify and […]

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]]> Health Policy in Transit – Prescription Drug Provisions in the Inflation Reduction Act of 2022 https://www.nationalalliancehealth.org/resources/health-policy-in-transit-prescription-drug-provisions-in-the-inflation-reduction-act-of-2022/ Fri, 19 Aug 2022 20:41:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=8849 This Health Policy in Transit is a high-level summary of the prescription drug provisions contained in the Inflation Reduction Act, which was signed into law earlier this week. It also […]

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]]> Health Policy in Transit Employer-Sponsored Coverage Post-Roe https://www.nationalalliancehealth.org/resources/health-policy-in-transit-employer-sponsored-coverage-post-roe/ Thu, 21 Jul 2022 20:52:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=8875 In Q1 of 2022, risk of PTSD spiked again, commensurate with ongoing uncertainty around the pandemic and the war in Ukraine. According to the latest Mental Health Index: U.S. Worker […]

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]]> Worksite Clinic Letter to Congress https://www.nationalalliancehealth.org/resources/worksite-clinic-letter-to-congress/ Thu, 07 Jul 2022 20:58:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=8890 The post Worksite Clinic Letter to Congress appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Sign-on Letter – Worksite Clinic Legislation https://www.nationalalliancehealth.org/resources/sign-on-letter-worksite-clinic-legislation/ Wed, 01 Jun 2022 21:06:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=8910 The post Sign-on Letter – Worksite Clinic Legislation appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Getting Ready for the Era of Hospital Transparency: What does it Mean for a Fiduciary? https://www.nationalalliancehealth.org/resources/getting-ready-for-the-era-of-hospital-transparency-what-does-it-mean-for-a-fiduciary/ Wed, 27 Apr 2022 21:17:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=8935 As healthcare transparency becomes an expectation, fiduciary initiatives can be used to drive toward defining and applying fair market value. We will explore components of the fiduciary process and how we […]

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]]> Transparency Requirements in the Consolidated Appropriations Act https://www.nationalalliancehealth.org/resources/transparency-requirements-in-the-consolidated-appropriations-act/ Mon, 04 Apr 2022 21:22:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=8948 The Departments of Labor, Health and Human Services (HHS) and the Treasury releasedthe Transparency in Coverage (TiC) Final Rules on November 12, 2020. The TiC Final Rulesset forth requirements for […]

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]]> Consolidated Appropriations Act Compliance Alert: 4 Things Employers Must Do Before January 1st https://www.nationalalliancehealth.org/resources/consolidated-appropriations-act-compliance-alert-4-things-employers-must-do-before-january-1st/ Thu, 06 Jan 2022 22:54:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=9030 Many employers don’t realize the new Consolidated Appropriations Act (CAA), signed into federal law on Dec 27, 2020, will remove the gag clauses and provide a great deal of valuable […]

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]]> Health Policy in Transit: Anti-Competitive Contracting Legislation https://www.nationalalliancehealth.org/resources/health-policy-in-transit-anti-competitive-contracting-legislation/ Mon, 22 Nov 2021 23:05:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=9050 The post Health Policy in Transit: Anti-Competitive Contracting Legislation appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Best Practices for Health Plans and PBMs https://www.nationalalliancehealth.org/resources/best-practices-for-health-plans-and-pbms/ Wed, 17 Nov 2021 16:32:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=8727 The six finalists for the eValue8 Innovations Award will present the important work they have undertaken to drive forward health plan and PBM value-based care. Webinar recorded 11/15/2021

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]]> Fiduciary Check-in: Rights & Responsibilities Related to Service Provider Disclosure https://www.nationalalliancehealth.org/resources/fiduciary-check-in-rights-responsibilities-related-to-service-provider-disclosure/ Thu, 21 Oct 2021 22:24:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=9082 The Consolidated Appropriations Act (CAA) legislation signed at the end of last year lays out extensive rules and responsibilities that plan sponsors, as fiduciaries, must comply with. We’ll focus on […]

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]]> The Fiduciary’s Role in Ensuring Mental Health Access: Looking Beyond Parity https://www.nationalalliancehealth.org/resources/the-fiduciarys-role-in-ensuring-mental-health-access-looking-beyond-parity/ Thu, 19 Aug 2021 23:14:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=9300 Among the changes in the Consolidated Appropriations Act (CAA) legislation signed at the end of last year is “mental health and substance abuse non-quantitative benefits.” This calls for required parity […]

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]]> Health Policy in Transit – April 2021 Edition https://www.nationalalliancehealth.org/resources/health-policy-in-transit-april-2021-edition/ Tue, 20 Apr 2021 15:56:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=9433 Attach is the latest Health Policy in Transit.  The Consolidated Appropriations Act, 2021 (Section 203 of Title II of Division BB) entitled, Strengthening Parity in Mental Health and Substance Use […]

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]]> Fiduciary Check In: Transparency on PBM Contracting 04.15.2021 https://www.nationalalliancehealth.org/resources/fiduciary-check-in-transparency-on-pbm-contracting-04-15-2021/ Thu, 15 Apr 2021 15:58:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=9438 Pharmacy benefit management practices can vary substantially and are under scrutiny for their impact on costs to plan sponsors and consumers as well as access to certain drugs. During this […]

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]]> Health Policy in Transit – March 2021 Edition https://www.nationalalliancehealth.org/resources/health-policy-in-transit-march-2021-edition/ Tue, 23 Mar 2021 16:07:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=9480 On March 11, 2021 President Biden signed into law the American Rescue Plan Act of 2021, a $1.9 trillion COVID-19 relief package. While health care was not a major focus […]

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]]> Health Policy in Transit – February 2021 Edition https://www.nationalalliancehealth.org/resources/health-policy-in-transit-february-2021-edition/ Fri, 26 Feb 2021 17:16:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=9519 The post Health Policy in Transit – February 2021 Edition appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Surprise Billing included in $900 Billion COVID Relief and Appropriations Legislation https://www.nationalalliancehealth.org/resources/surprise-billing-included-in-900-billion-covid-relief-and-appropriations-legislation/ Wed, 23 Dec 2020 17:24:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=9549 This week Congress approved and the President is expected to sign a bill to fund the federal government through the end of the current fiscal year (September 30, 2021). The […]

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]]> Rights & Responsibilities of Plan Sponsors as Fiduciaries https://www.nationalalliancehealth.org/resources/rights-responsibilities-of-plan-sponsors-as-fiduciaries/ Thu, 10 Dec 2020 17:32:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=9580 This webinar addresses the rights & responsibilities of plan sponsors as fiduciaries when it comes to accessing your health plan’s health data, price transparency, and exercising discretion to manage healthcare […]

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]]> Pulse of the Purchaser Survey: Healthcare Strategy and Beyond, September 2020 Results https://www.nationalalliancehealth.org/resources/pulse-of-the-purchaser-survey-healthcare-strategy-and-beyond-september-2020-results/ Mon, 28 Sep 2020 16:56:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=9685 The National Alliance of Healthcare Purchaser Coalitions (National Alliance) conducted a survey of employers and other private purchaser of healthcare with its members to gain insights on benefit strategies and […]

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]]> 2020 Annual Report https://www.nationalalliancehealth.org/resources/2020-annual-report/ Mon, 14 Sep 2020 16:51:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=9656 This year’s annual report not only showcases the events and activities of the past year, but also highlights the importance and value of National Alliance coalitions, advisors and partners to […]

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]]> Latest Health Policy in Transit – Mental Health Parity Revisited https://www.nationalalliancehealth.org/resources/latest-health-policy-in-transit-mental-health-parity-revisited/ Mon, 29 Apr 2019 17:11:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=9119 The post Latest Health Policy in Transit – Mental Health Parity Revisited appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Surprise Billing Sign-On Letter https://www.nationalalliancehealth.org/resources/surprise-billing-sign-on-letter/ Thu, 28 Mar 2019 16:19:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=9091 Attached is a letter on Surprise Billing that we at the National Alliance are “signing on” to. ERIC would like to add as many coalitions as possible to sign on […]

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