Insights: Healthcare

Medicare Part D

As part of preliminary technical Medicare Part D bid information for CY26, CMS has announced modifications to the Voluntary Part D Premium Stabilization Demonstration.

Vaccine Injury Program

This week, HHS Secretary Kennedy issued a statement on Twitter/X indicating – with limited detail – that he intends to begin the process of “fixing” the National Vaccine Injury Compensation Program (VICP).

End-of-Year Health Care Legislation (ACA, MA, Site Neutral, PBMs, Extenders)

There continue to be indications of interest on the part of Republicans in enacting a bipartisan health care bill by the end of this year. This is being catalyzed by growing focus on the end of year expiration of the ACA enhanced subsidies and the need to address Medicare and Medicaid “extenders”. We anticipate the visibility of this legislative...

Medicare Advantage: Upcoding, Prior Authorization, and Provider Rates

Republican lawmakers are in the early stages of developing healthcare legislation they hope to move through the legislative process on a bipartisan basis by year’s end. The legislation is expected to touch on a variety of issues (i.e., PBMs, various so-called “extenders”) and there is some consideration of including reforms to the Medicare...

Pharmacy Benefit Managers (PBMs)

Though PBM reforms ended up being stripped from Republican’s recently enacted reconciliation bill (the One Big Beautiful Bill Act or OBBBA), lawmaker interest in constraining the practices of industry is not fading. In recent days, Senate Finance Chair Crapo (R-ID) indicated that a bipartisan deal to impose new regulations on PBMs would be a top...

Affordable Care Act (ACA) Subsidies

With the One Big Beautiful Bill Act (OBBBA) having been enacted into law, Republican lawmakers are shifting their focus on the remainder of the legislative agenda for 2025. And in recent days, several Republicans – including some in leadership – have signaled discussions are underway as to whether and how to address the impending expiration of...