News Briefs

The U.S. Supreme Court on Dec. 10 ruled unanimously against the Pharmaceutical Care Management Association (PCMA) in a case challenging an Arkansas law regulating PBMs. In Rutledge v. PCMA, the justices rejected the trade group’s argument that the Arkansas law is preempted by the Employee Retirement Income Security Act of 1974. By permitting the Arkansas law to stand, the ruling paves the way for legislation regulating PBMs in other states. Read the opinion at https://bit.ly/375ArY5.

Humana Inc. on Dec. 10 said it plans to launch a new value-based payment model called Primary Care First (PCF). The model was first established by the CMS Center for Medicare and Medicaid Innovation and applied to fee-for-service Medicare, and Humana will be the only private insurer to offer its own version of PCF in all 48 contiguous states and the District of Columbia. Humana’s PCF model, which will launch on July 1, 2021, will apply to “members of certain Humana Medicare Advantage plans.” For participating practices, the model will offer “a prospective capitated payment, which takes into account achievement of quality and outcomes-based measures,” according to Humana. Read more at https://bwnews.pr/341nH2I.

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AIS Health Staff

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