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Both Class-Action And Provider Lawsuits Filed Against Change Change healthcare will face both class-action lawsuits from patients as well as lawsuits from providers impacted by the Change Healthcare cyberattack. Meanwhile, provider groups, including the American Hospital association, are arguing the government and UnitedHealth Group responses have been inadequate and are pressing lawmakers to intervene with the Department of Health and Human Services (HHS).  The complaint is that advanced payments are simply not enough. Congress is also asking HHS if a bill needs to pass granting the agency flexibility in collecting advanced payments. My blog tomorrow will be a comprehensive review of the Change cyberattack. Additional articles: https://www.modernhealthcare.com/politics-policy/change-update-aha-financial-help-congress and https://insidehealthpolicy.com/daily-news/lawmakers-does-hhs-need-authority-allow-flexible-repayments-after-cyberattack (Some articles may require a subscription.) #changehealthcare #cyberattacks Link to Article Health Equity In MA Star Ratings Could Be Boon For Some, Hurt Others A new health equity bonus formula will come to the Medicare Advantage (MA) star program in a

Elevance Health To Buy Kroger Specialty Pharmacy In an effort to further build out its Carelon service subsidiary, Elevance Health is buying Kroger Specialty Pharmacy.  This will add to its growing PBM offerings. Additional articles: https://www.fiercehealthcare.com/payers/elevance-health-acquire-kroger-specialty-pharmacy and https://www.modernhealthcare.com/finance/elevance-health-carelonrx-kroger-specialty-pharmacy (Some articles may require a subscription.) #kroger #elevancehealth Link to Article ERISA Update RFI Means Battle Lines Drawn A House committee issued a request for information to see how the employer self insurance laws (ERISA) should be updated after 50 years.  Providers of course are asking for major regulation, while employers want to ensure pre-emption of state laws. Abandoning pre-emption would add demonstrably to costs.  ERISA provides the most coverage in America and it should not be played with. #erisa #coverage #employers #providers Link to Article PBM Reform Dead For Now No deal could be reached on pharmacy benefit manager (PBM) reforms despite bipartisan support in each house of Congress.  Reforms will