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Significant Federal and State Policy Disruptors: Impacts on the Private Healthcare Marketplace

Contains material from Jun 2024

Significant Federal and State Policy Disruptors: Impacts on the Private Healthcare Marketplace
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Hospitals and Pharmacy Benefit Managers (PBMs) have been under increased scrutiny from policymakers in Austin and Washington for their perceived role in rising healthcare costs and lack of transparency. Policymakers are debating legislation that could have a significant impact on the private healthcare marketplace. Discuss current federal and state regulatory and legislative proposals related to the hospital and PBM industry sectors including enhanced price transparency, government price controls, limitations on rebates, and the elimination of site-neutral payments.

Includes: Video Audio Paper Slides

  • Total Credit Hours:
  • 0.75
  • Credit Info
  • TX, CA, PA
  • TX MCLE credit expires: 6/30/2025

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1. Significant Federal and State Policy Disruptors: Impacts on the Private Healthcare Marketplace (Jun 2024)

Michelle "Missy" Apodaca, Freddy Warner, Katherine Yoder

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48 mins
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Session 1 —48 mins
0.75
Significant Federal and State Policy Disruptors: Impacts on the Private Healthcare Marketplace (Jun 2024)

Hospitals and Pharmacy Benefit Managers (PBMs) have been under increased scrutiny from policymakers in Austin and Washington for their perceived role in rising healthcare costs and lack of transparency. Policymakers are debating legislation that could have a significant impact on the private healthcare marketplace. Discuss current federal and state regulatory and legislative proposals related to the hospital and PBM industry sectors including enhanced price transparency, government price controls, limitations on rebates, and the elimination of site-neutral payments. 

Originally presented: Apr 2024 Health Law Conference

Michelle "Missy" Apodaca, Apodaca Advocacy Group, LLC - Austin, TX
Freddy Warner, Memorial Hermann Health System - Houston, TX
Katherine Yoder, Parkland Health and Hospital System - Dallas, TX