2023 MHPA Webinar

Bicameral Patients before Monopolies Act reintroduced

On May 13, bipartisan lawmakers in the House and Senate reintroduced the Patients Before Monopolies (PBM) Act (S.4509/H.R.8779), legislation that would prohibit common ownership of PBMs, insurers, and pharmacies. Sponsored by Sens. Warren (D-MA) and Josh Hawley (R-MO) alongside Reps. Diana Harshbarger (R-TN) and Jake Auchincloss (D-MA), the bill would require impacted organizations to divest […]
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June 10, 2026

EGWP marketplace medicaid Medicare

CMS announces ePA acceleration initiative, democrats seek to repeal WISeR Model

The Centers for Medicare & Medicaid Services (CMS) is advancing its electronic prior authorization (ePA) efforts through a newly established Electronic Prior Authorization Acceleration initiative to address key challenges and drive solutions ahead of 2027 requirements. To date, 29 health care organizations – including health systems, electronic health record developers, physician practices, networks, and digital health […]
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June 10, 2026

EGWP marketplace medicaid Medicare

Tri-Departments release fertility excepted benefits proposed rule

On May 10, the Departments of Labor, HHS, and Treasury (the Departments) issued a proposed rule that would create a new category of limited excepted benefits to allow employers to offer stand-alone fertility benefits to their employees, similar to dental, vision, and other supplemental coverage. Benefits would be limited to fertility-related items and services for […]
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June 10, 2026

marketplace medicaid

ACAP Webinar Replay: Weighing the Costs of GLP-1s in Medicaid

Missed our recent webinar with Association for Community Affiliated Plans (ACAP)? You can now access the recording to learn about key GLP-1 topics including utilization and spending trends among youth and adults, state coverage and reversal considerations, the potential of GLP-1s and sustainability strategies. Watch the Replay!
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September 9, 2025

medicaid

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

ACAP Webinar Replay: How Home-Based Care Can Address the Clinical and SDOH Needs of a Diverse Patient Population

Did you miss our recent webinar with the Association for Community Affiliated Plans (ACAP)? Don’t worry, you can access the full replay now! Watch to learn recommendations for incorporating an integrated home care model in health plan programs from Brendan Kerrigan and Dr. Cheryl Hilton: https://bit.ly/3yE677G
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August 21, 2024

medicaid Medicare

Improving Member Accessibility to Care – Meeting Members’ Diverse Needs in Individualized Ways Enabling Them to Achieve their Full Health Potential

Bicameral Patients before Monopolies Act reintroduced

CMS announces ePA acceleration initiative, democrats seek to repeal WISeR Model

Tri-Departments release fertility excepted benefits proposed rule

ACAP Webinar Replay: Weighing the Costs of GLP-1s in Medicaid

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

ACAP Webinar Replay: How Home-Based Care Can Address the Clinical and SDOH Needs of a Diverse Patient Population

ACAP Webinar: July 18th | 1:00PM CT

2023 AHIP Webinar