Tom Price Considering Ending Birth Control Mandate
As Republicans move to repeal and replace the Affordable Care Act (ACA), HHS Secretary Tom Price, MD, may be eyeing the ACA’s birth control mandate, reported The Hill. As a congressman, Price opposed the mandate, which requires insurance companies cover free contraception. Reversing the mandate could be as easy as HHS excluding birth control from the list of women’s preventive health services that must be provided with no cost sharing.
Harvard Pilgrim Signs 2 New Pay-for-Performance Contracts
In Massachusetts, Harvard Pilgrim Health Care has signed 2 value-based contracts to pay for expensive drugs. Boston Globe reported that the deals are for Enbrel, a rheumatoid arthritis drug that costs about $45,000 a year, and Forteo, an osteoporosis drug that costs about $29,000 a year. The Enbrel contract is for 2 years and includes 6 criteria, while the Forteo contract allows Harvard Pilgrim to pay less for the drug over time if patients take it for 2 years.
Texas Cannot Cut Medicaid Funding to Planned Parenthood
Texas has become the latest state where an attempt to cut Medicaid funding to Planned Parenthood has been blocked. According to The New York Times, a federal judge temporarily blocked the state’s efforts because of a lack of evidence that Planned Parenthood providers violated medical or ethical standards. The state’s attorney general said Texas will appeal the injunction.
AI in Health Care: Balancing Governance, Innovation, and Trust
September 2nd 2025In this conversation with Reuben Daniel, associate vice president of artificial intelligence at UPMC Health Plan, we dive into how UPMC Health Plan builds trust with providers and members, discuss challenges of scaling AI effectively, and hear about concrete examples of AI's positive impact.
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Infertility Coverage Boosts ART Use and Pregnancy Success: Richard A. Brook, MS, MBA
August 26th 2025In this episode, Richard A. Brook, MS, MBA, discusses his study showing that infertility treatment coverage increases assisted reproductive technology (ART) use and improves pregnancy outcomes.
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