Medicare Prescription Payment Plan (M3P) Educational Overview

October 8, 2024

Medicare

With Open Enrollment right around the corner, Medicare eligible members can begin opting in to the Medicare Prescription Payment Plan (M3P). Discover more about the M3P program and how Express Scripts by Evernorth supports clients with a solution.

Watch now: https://bit.ly/47yF5vf

legislation

Connecticut Lawmakers Pass Health Insurance and Patient Protection Act

SB 10 passed the legislature and now heads to the Gov. Ned Lamont (D) where he is expected to sign it into law. The bill would require changes regarding how insurers report mental health parity compliance to the Department of Insurance and expands drug step therapy prohibitions for patients being treated for multiple sclerosis or […]
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July 9, 2025

EGWP marketplace medicaid Medicare

legislation

Reconciliation Bill Signed into Law

Congress has passed and enacted the One Big Beautiful Bill Act, a sweeping tax and budget reconciliation bill, just ahead of President Trump’s deadline. The Senate approved their revised measure by a vote of 51-50, with Vice President Vance casting the tie-breaking vote. The House gave final approval to the Senate-amended version on July 3, […]
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July 9, 2025

EGWP marketplace medicaid Medicare

event

ACAP Webinar: Thursday, July 24th | 2:00PM EST

As GLP-1 medications like Ozempic, Wegovy and Zepbound surge in popularity for treating diabetes and obesity, Medicaid programs across the U.S. are grappling with unprecedented financial and policy challenges. With patients paying upwards of $11,000 annually for a year supply, and Medicaid spending on these drugs skyrocketing from $577 million in 2019 to nearly $4 billion […]
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July 9, 2025

medicaid

Advocacy Organizations Push Back Against House-Passed Medicaid Cuts

Following the release of the Senate Finance Committee’s reconciliation package, the Modern Medicaid Alliance and more than 190 leading health care organizations said they are “deeply concerned” with the proposal to further cut Medicaid. Their letter to Senate Majority Leaders noted, “The proposals released yesterday go even further to undercut the program…Rather than upholding President […]
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July 9, 2025

medicaid

perspectives

AAF Analyzes Financial Burden of a Single-Payer System

American Action Forum (AAF) recently published insights into the potential costs of changing the U.S. health care system to a single-payer system, sometimes referred to as “Medicare for All” (M4A). Over the past decade, numerous Democrats have proposed that patients would be “better off” with a single-payer system, where the federal government is the sole […]
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April 9, 2025

EGWP marketplace medicaid Medicare

survey results

McLaughlin Poll Finds Voters Oppose Government Intervention in the Private Market

PCMA released results from a public opinion research conducted by McLaughlin & Associates showing that American voters in battleground states overwhelmingly oppose policies that interfere with the private market and believe drug companies should be held accountable for high drug prices. The survey found that 94% of battleground state voters are concerned with the high […]
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April 9, 2025

EGWP marketplace medicaid Medicare

survey results

New Research Finds Direct-to-Consumer (DTC) Pharmaceutical Advertising Costs U.S. Taxpayers Billions of Dollars

As reported in Politico, a new analysis by CSRxP finds that limiting or taxing DTC ads could increase federal revenue by up to $1.8 billion annually. The analysis is based on the potential tax impact if advertising expenses were not tax-deductible as they are today. The research found that 10 of the largest pharmaceutical manufacturers […]
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April 9, 2025

EGWP marketplace medicaid Medicare

survey results

AHIP Releases Nationwide Poll Showing Strong Satisfaction with Employer-Provided Coverage

AHIP’s Coverage@Work released the results of a new nationwide poll that found strong satisfaction with employer-provided coverage. A growing majority of consumers (75%, up 12% since April 2023) are satisfied with their current employer-provided coverage and 74% prefer to get their coverage through their employer. Plan satisfaction is driven by the comprehensive coverage (49%), affordability […]
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December 10, 2024

marketplace