Last week, CMS announced the GENEROUS (GENErating cost Reductions fOr U.S. Medicaid) Model. The program basically is a ‘most favored nation’ style reference pricing based on net prices from developed countries. The program builds on the Medicaid Drug Rebate Program (MDRP). Specific details specified on the CMS website include: Participating manufacturers whose applications are accepted…
The Host Emmarie Huetteman KFF Health News Emmarie Huetteman, senior editor, oversees a team of Washington reporters, as well as “Bill of the Month” and “What the Health? From KFF Health News.” She previously spent more than a decade reporting on the federal government, most recently covering surprise medical bills, drug pricing reform, and other health policy…
By JACOB REIDER & JODI DANIEL Jacob: I recently needed to sign a Business Associate Agreement (BAA) with one of the large hosting providers for a new health IT project. What should have been straightforward turned into a multi-week educational exercise about basic HIPAA compliance. And when I say “basic,” I mean really basic, like…
National Domestic Violence Hotline: People who have experienced domestic abuse can get confidential help at thehotline.org or by calling 800-799-7233. The immigrant from India believed her husband when he said that if she wasn’t gone by the time he got to their Georgia home in 10 minutes, he would kill her. She said her husband…
LOS ANGELES — Kris Edwards waited at home with friends for his wife, Erika “Tilly” Edwards, to go out to dinner, but she never made it back to the house they had purchased only four days earlier. Around 9 p.m. on June 29, a hit-and-run driver killed Tilly as she walked to her car after…
That is the topic of a recent BioSpace article titled “How Effective Will TrumpRx and Other Direct-to-Consumer Drug Pricing Initiatives Be?” A am quoted in the article as follows: While [direct-to-consumer] DTC has been a growing trend in biopharma for nearly two years now—Lilly launched LillyDirect in January 2024—the number of drugmakers looking to sell their…
Durante años, dos pacientes fueron al Centro de Memoria Penn de la Universidad de Pennsylvania, donde investigadores y médicos hacen el seguimiento de personas con deterioro cognitivo a medida que envejecen y, a la vez, de un grupo con capacidad cognitiva normal. Ambos pacientes, un hombre y una mujer, habían aceptado donar sus cerebros a…
Massive cuts to medical research and Medicaid. Waves of layoffs across the Department of Health and Human Services. Ongoing uncertainty around federal subsidies to buy health insurance on Affordable Care Act marketplaces. 2025 has been a rough year for federal health programs. But meanwhile, in the states, there were some wins for health care access….
For years, the two patients had come to the Penn Memory Center at the University of Pennsylvania, where doctors and researchers follow people with cognitive impairment as they age, as well as a group with normal cognition. Both patients, a man and a woman, had agreed to donate their brains after they died for further…
Letters to the Editor is a periodic feature. We welcome all comments and will publish a selection. We edit for length and clarity and require full names. Health Care as a Human Right If there is anything to take away from my over half a century of professional experience at the crossroads of law, medicine, and health care…