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15 04, 2022

FTC Successfully Blocks Hackensack Meridian Merger with Big Win in 3rd Circuit Appeal

In the latest healthcare antitrust action, Hackensack Meridian and Englewood Healthcare officially terminated their merger plans after the Third Circuit Court of Appeals handed down a big win for federal regulators in the merger challenge. Last month, after multiple amicus briefs filed by various stakeholders in the appeals court, a three-judge panel affirmed the lower court's preliminary injunction to block the merger, holding that the Federal Trade Commission (FTC) established a prima facie case showing that the proposed merger is likely to substantially lessen competition and that the hospitals' procompetitive claims do not outweigh [...]

FTC Successfully Blocks Hackensack Meridian Merger with Big Win in 3rd Circuit Appeal
9 02, 2022

S 1124

Prohibits anti-tiering clauses in managed care health benefits plans. This bill, which amends the “Health Care Quality Act,” provides that a contract between a participating health care provider and a carrier which offers a managed care plan shall not contain any provision, commonly referred to as an “anti-tiering clause,” that prohibits or limits a carrier’s right to use a tiered-network plan in which health care providers are tiered and cost sharing for covered persons is determined by the tier placement of the provider. The bill provides that any such provision in a contract shall [...]

S 1124
11 01, 2022

S 3051 (see companion bill A 4815)

Establishes certain guidelines for health insurance carriers concerning step therapy protocols.

S 3051 (see companion bill A 4815)
11 01, 2022

S 235

Permits certain managed care organizations to consider cost-effectiveness when placing prescription drug on formulary.

S 235
11 01, 2022

A 4815 (see companion bill S 3051)

Establishes certain guidelines for health insurance carriers concerning step therapy protocols.

A 4815 (see companion bill S 3051)
11 01, 2022

S 887 (see companion bill A 4790)

Requires DHS to contract with third party entity to apply risk reduction model to Medicaid prescription drug services.**

S 887 (see companion bill A 4790)