
February 12, 2025
Healthcare Segments’ Top Priorities A good article in Fierce Healthcare on the priorities of the various healthcare segments for 2025. Here are the highlights and there will be some battles between the parties. Hospitals – extending Exchange premium subsidy enhancements, further health plan prior authorization (PA) and utilization management limits, fighting coverage reductions, and maintaining the 340b program substantially as is. Plans – relief on Medicare Advantage (MA), and PBM reform (most health plans support except those with sister company PBMs). Providers – a Medicare rate fix, reducing administrative burden, and workforce reform. Also on the agenda is extending telehealth flexibilities and the hospital-at-home program. #healthcare #healthplans #hospitals #providers #medicare #exchanges #medicaid https://www.fiercehealthcare.com/regulatory/healthcare-lobbying-2025-here-are-top-policy-issues-hospitals-payers-docs-and-tech Budget Reconciliation Progress But Showdown Looming The House announced it is moving forward with a one reconciliation bill approach and will mark up a budget resolution quickly. The resolution will allow the deficit to rise $4.5 billion