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FTC Blames Pharmacy Benefit Managers for Raising Drug Costs

Concentration and vertical integration among the country’s top entities managing prescription drug benefits may be fueling high costs and putting financial pressure on independent pharmacies, the FTC said in a staff report published Tuesday.

FTC Preparing Suit Against Drug Middlemen Over Insulin Rebates

The US <-bsp-bb-link state="{"bbHref":"bbg://securities/13362Z%20US%20Equity","_id":"00000190-9dea-d6e5-adde-bffbda7d0000","_type":"0000016b-944a-dc2b-ab6b-d57ba1cc0000"}">Federal Trade Commission is preparing a lawsuit against the three largest drug middlemen over their use of rebates for insulin and other drugs, according to a person familiar with the probe.

Medicare Proposes Payment Bump for Hospitals, Surgical Centers

Medicare wants to pay acute care hospitals $88.2 billion for outpatient services in 2025, about 2.6% more than in 2024 according to a Biden administration proposal released Wednesday.

Insurers, Public Health Groups Get HHS Data Sharing Proposal

Public health organizations and insurers would face separate HHS certification criteria as they develop systems to improve data exchanges with health-care providers and other stakeholders under a proposed rule issued Wednesday.

Group Says High Court Rulings Gut Surprise Billing Regulations

The Fifth Circuit should toss the Biden administration’s rules on surprise medical bills in light of two major recent decisions from the US Supreme Court, a Texas doctor group argued in recent filings.

Latest Stories

Novo’s Weekly Insulin Denied Approval as FDA Seeks Details

<-bsp-bb-link state="{"bbHref":"bbg://securities/NOVOB%20DC%20Equity/MODL","_id":"00000190-a10e-d6e5-adde-bbdf7f870000","_type":"0000016b-944a-dc2b-ab6b-d57ba1cc0000"}">Novo Nordisk A/S’s once-weekly insulin failed to get approval from US regulators Wednesday after the government asked for more information in order to complete its review.

University Doctor Beats Discrimination Suit From Ex-Resident

A University of Arkansas Medical System doctor and the school’s board of directors beat a discrimination suit from an expelled resident after a federal judge said the young doctor’s poor performance and policy violations led to his non-renewal.

Beyond Abortion: The Fight Over Fetal Personhood Is Here

When do legal rights begin, at birth or before that? This video looks at the fetal personhood movement, and what it could mean for the future of abortion. We explore its history and the constitutional argument underpinning it.

From Across Bloomberg Law

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Colleges Risk Talent Loss With Pushback on Diversity Initiatives

Public colleges and universities are eliminating hundreds of jobs tied to boosting diversity, equity, and inclusion in response to state efforts to scale back DEI, a move that diversity supporters say is overkill that ultimately will harm the institutions.

Archegos’ Bill Hwang Convicted of Fraud, Market Manipulation (2)

<-bsp-bb-link state="{"bbHref":"bbg://securities/0732002D%20US%20Equity","_id":"00000190-a038-d6e5-adde-bbf95d470000","_type":"0000016b-944a-dc2b-ab6b-d57ba1cc0000"}">Archegos Capital Management founder <-bsp-person state="{"_id":"00000190-a038-d6e5-adde-bbf95d470001","_type":"00000160-6f41-dae1-adf0-6ff519590003"}">Bill Hwang was found guilty of criminal charges stemming from his firm’s 2021 collapse, concluding a two-month trial that captivated Wall Street.

Covid Vaccine & Personal Data: Does HIPAA Still Matter?