Insights: Healthcare

Pharmacy Benefit Managers (PBMs)

Earlier this week, the House Energy & Commerce (E&C) Health Subcommittee held a hearing to discuss the practices of PBMs and set the table for possible legislative reforms this year.

Medicare Advantage (MA)

Improper upcoding by MA plans is gaining some visibility amongst regulators and policymakers. Last week, it was reported that the DOJ had initiated a civil fraud investigation into UnitedHealth’s MA billing practices, focusing on whether the company recorded questionable diagnoses to secure higher payments for its MA plans. And following the...

Energy, Financials, Healthcare, Macro, Tech / Media / Telecom

Now that the House and Senate Republicans have each passed their own versions of a budget resolution, negotiations will commence in the coming days on adopting a joint resolution. This resolution establishes the allowable deficit parameters of subsequent “reconciliation” legislation that will make changes to taxes/spending. While Senate...

Energy, Financials, Healthcare, Macro, Tech / Media / Telecom

Reconciliation & Debt Limit

House and Senate Republicans are this week taking their initial steps towards enacting their reconciliation legislation, which enables them to enact changes on taxes, Medicaid, defense, and border security, among other issues on a partisan basis. The first step in this process is to pass a “budget resolution” that establishes the high-level...

Energy, Healthcare, Macro, Tech / Media / Telecom

House Republican leaders are struggling to take the first step in the process of passing their “reconciliation” (tax/spending) legislation, which is to pass a “budget resolution” that defines how the reconciliation bill will impact the deficit. Conservatives want the bill to reduce the deficit more aggressively than Republican leaders feel is...