Related: Specialty Medications and Managed Care Pharmacy. Medicare, Obamacare, vaping, vaccines, and virtual healthcare are expected to be among the top health-related issues in 2020. Robbie Hughes, founder and CEO of Lumeon, a digital health company leveraging Care Pathway Management, based in Boston, expects that heading into 2020 there will be more movement around Trump’s order on price transparency, aimed at lowering rising costs of care by showing prices upfront to patients. 2020 Alaska Tribal Conference on Environmental Management This virtual annual conference to be held on December 14–18 will bring together tribal environmental experts from across Alaska to connect with supporting environmental organizations and agencies to discuss best resources for improving local environmental health… ... 2020 — As health care costs balloon in the … All rights reserved. “The challenge I anticipate we’ll see is around industry agreement on an approach that ensures the consumer sees the benefit of reduced healthcare costs.”, 4. International reference pricing for therapies paid for by Medicare. The ideas in this executive order will likely be reflected in a bigger policy package that will need bipartisan support and approval from both houses in Congress. A look at what will impact the managed care industry next year. Health care remains a major theme in our national conversation. “The executive order describes the concept of price transparency as the means to creating a ‘shoppable’ experience-the idea that there could be packages of care at understandable, logical prices,” he says. “If Medicare were to move in the direction of the Pelosi proposal, in which drug prices would be indexed against foreign prices and the government would negotiate prices downward, we would expect that drug prices in the commercial market would fall as well,” Barrett says. House Speaker Nancy Pelosi’s bill to lower prescription drug prices would save Medicare $345 billion over 10 years, according to a preliminary analysis from the nonpartisan Congressional Budget Office. Many of the greatest public health successes in the United States are the result of legal or policy interventions, such as smoke-free air laws and mandatory seatbelt laws.1Yet many people may not be aware of the precise impact these interventions and approaches can have on population health. © 2020 MJH Life Sciences™ and Managed Healthcare Executive. Read recommendations from medical organizations and scientists on current health policy topics. Associated Press Oct. 30, 2020 Open Enrollment 2020: What to Know The coronavirus pandemic is adding an extra layer of complexity to the already confusing health care sign-up period. Stark Law. Emily Felder, senior policy advisor and counsel with D.C.-based Brownstein Hyatt Farber Schreck, a lobbying firm specializing in healthcare, notes HHS is rewriting the rules for the Stark Law, or physician self-referral, and will issue a proposed rule later this year. As the public is still searching for a solution, 2020 will undoubtedly see more discussions about how to reel in drug prices. “The mandatory model, otherwise known as the ESRD Treatment Choice [ETC] model, would take effect in 2020,” he says. CMS Administrator Seema Verma has called Stark “outdated” and said while it makes sense in a fee-for-service (FFS) system to prevent inappropriate financial incentives, it doesn’t apply the same way to managed care and value-based systems. © 2020 MJH Life Sciences and Managed Healthcare Executive. “Insulins are biologic drugs, and they will be regulated as such for the first time in 2020. And as we approach the November 2020 election, we will hear a lot of debate about the right path forward to fix what ails our current … Emily Felder, senior policy advisor and counsel with D.C.- based Brownstein Hyatt Farber … Health Care as an Ongoing Policy Project July 30, 2020 | E.C. Health policy news. “One, the administration is aware that the 30-year-old law needs to be updated and adapted for today’s evolving system, and two, there is commitment and action to make it reflect the intent of the law. Law and policy are among the most effective tools to improve health. The Healthy People 2020 Law and Health Policy project aims to help close that gap by showcasing evidence-based legal and policy interventions … “This would require hospitals to publish gross and negotiated rates for services in an accessible format, including commonly used ‘bundles’ of services,” he says. With an election year just about upon us, there are a number of changes coming from the current administration that are going to impact the managed care industry in 2020. “Nobody will disagree on making it easier and more affordable for Americans to consume healthcare,” Hughes says. “The shift has been long planned, but it comes amid growing public outrage and media stories focused on patients having to ration their insulin, travel abroad to buy cheaper insulin, and make choices between buying insulin or putting food on the table.”. The health of our nation is influenced by public health policies.