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What We’re Reading: AHIP President to Step Down; House Panel Advances PBM Bills; Default Could Stop FDA Reviews
AHIP president and CEO Matthew Eyles will step down later this year; the House Energy and Commerce Committee moved a series of health care measures concerning pharmacy benefit managers (PBMs); US debt default could stop FDA drug and device reviews, said FDA chief.
AHIP President and CEO to Step Down
President and CEO of America’s Health Insurance Plans (AHIP) Matthew Eyles has decided to step down from the group in October after almost 5 years at the helm, AHIP announced. During his tenure at the lobbying group, insurers overall saw growth in Medicare Advantage plans and Medicaid managed care. AHIP said it was his decision to leave.
House Panel Furthers Transparency and PBM Bills
The House Energy and Commerce Committee moved ahead a series of health care measures to elevate price transparency and reconstruct regulation of pharmacy benefit managers (PBMs) in a predominantly bipartisan markup Wednesday, reported AXIOS. The measures advanced on a unanimous 49-0 vote that addressed codifying and strengthening hospitals and insurers to make negotiated prices easier to access, imposing new transparency requirements on PBMs and forbidding their ability to charge more than they pay for a drug and keep the difference in Medicaid, and more.
US Debt Default Could Stop Drug, Device Approvals
FDA approvals of emerging drugs and devices will stop if the debt ceiling negotiations fail and the US defaults on its debt, said Commissioner Robert Califf, according to Bloomberg Law. Debt limit conversations remain at a deadlock over spending cuts, especially those demanded by Republicans. A default would mean the company has nothing to pay FDA scientific reviewers. US Treasury Secretary Janet Yellen said the government could be drained of funds by June 1.
New Research Challenges Assumptions About Hospital-Physician Integration, Medicare Patient Mix
April 22nd 2025On this episode of Managed Care Cast, Brady Post, PhD, lead author of a study published in the April 2025 issue of The American Journal of Managed Care®, challenges the claim that hospital-employed physicians serve a more complex patient mix.
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Personalized Care Key as Tirzepatide Use Expands Rapidly
April 15th 2025Using commercial insurance claims data and the US launch of tirzepatide as their dividing point, John Ostrominski, MD, Harvard Medical School, and his team studied trends in the use of both glucose-lowering and weight-lowering medications, comparing outcomes between adults with and without type 2 diabetes.
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