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15 03, 2024

Patients File Class Action Suit Claiming Healthcare Merger Resulted in Unfair High Prices

The preponderance of research evidence demonstrates that a lack of meaningful healthcare market competition is bad for consumers – resulting in higher prices, and insurance premiums, without a commensurate increase in quality of care.  New merger guidelines issued in 2023 by the Federal Trade Commission and Department of Justice are just one indication that the Federal government is more closely examining proposed health system mergers.  Increased regulatory scrutiny, among other factors, appears to be causing a slow-down in healthcare merger activity. In addition to merger challenges by state and federal antitrust enforcers, private parties [...]

Patients File Class Action Suit Claiming Healthcare Merger Resulted in Unfair High Prices
28 02, 2024

Shaw v. Advocate Aurora Health Inc et al

On February 5, 2024, Plaintiffs brought suit on behalf of the class of Commercial Health Plan Members against Aurora Health Care and Advocate Aurora Health in the United States District Court for the Eastern District of Wisconsin claiming restraint of trade, unlawful monopolization, and unfair methods of competition in violation of the Sherman Act.  The suit claims Advocate Aurora used its market dominance to restrain trade, resulting in unreasonably high prices for Wisconsin commercial health plans and their members.

Shaw v. Advocate Aurora Health Inc et al
5 02, 2024

AB 747

Relating to: creating a Prescription Drug Affordability Review Board, funding for an office of prescription drug affordability, crediting certain amounts to the general program operations account of the office of the commissioner of insurance, granting rulemaking authority, and making an appropriation.

AB 747
29 01, 2024

SB 737

This bill makes several changes to the regulation of pharmacy benefit managers and their interactions with pharmacies and pharmacists.

SB 737
15 12, 2023

AB 507 (see companion bill SB 475)

Prior authorization for coverage of physical therapy, occupational therapy, speech therapy, chiropractic services, and other services under health plans.

AB 507 (see companion bill SB 475)