Paul Kelly on PBM Reform as a Means to an End: A 'Pay For' for Telehealth Flexibilities
Although bills that would make comprehensive changes to the PBM industry have advanced in Congress, Paul Kelly, a veteran healthcare lobbyist, says a limited version that saves Medicare money may pass as an offsetting "pay for" for extension of more liberal rules for telehealth services that Medicare covers.
Paul Kelly, of Capitol Advocacy & Government Affairs, LLC and a veteran healthcare lobbyist in Washington, D.C., says that a limited version of PBM reform may pass Congress after the November election that serves as a "pay for" for the extension of the Medicare telehealth flexibilities that were permitted during the COVID-19 public health emergency.
Kelly says the House Ways and Means has OKed a two-year extension of the telehealth flexibilities that includes some limited PBM reform provisions as a way of offsetting the costs of liberalizing the rules for telehealth services that Medicare will cover.
In this latest episode of Tuning In to the C-Suite podcast, Briana Contreras, an editor with MHE had the pleasure of meeting Loren McCaghy, director of consulting, health and consumer engagement and product insight at Accenture, to discuss the organization's latest report on U.S. consumers switching healthcare providers and insurance payers.
Listen
Healthcare journalist, HIV advocate and educator Juan Michael Porter II discussed moderating the "Future of Science" session at the International AIDS Society's AIDS 2024 meeting in Munich, Germany, as well as addressing "founder's syndrome" in AIDS organizations and the inclusivity of the event.
Read More
In our latest "Meet the Board" podcast episode, Managed Healthcare Executive Editors caught up with editorial advisory board member, Eric Hunter, CEO of CareOregon, to discuss a number of topics, one including the merger that never closed with SCAN Health Plan due to local opposition from Oregonians.
Listen
