The Big Beautiful Bill buried some other important healthcare developments.

About The Podcast:

Millions of Americans feel confused and frustrated in their search for quality healthcare coverage.

Between out-of-control costs, countless inefficiencies, a lack of affordable universal access, and little focus on wellness and prevention, the system is clearly in dire need of change.

Hosted by healthcare policy and technology expert Marc S. Ryan, the Healthcare Labyrinth Podcast offers accessible, incisive deep dives on the most pressing issues and events in American healthcare.

Marc seeks to help Americans become wiser consumers and navigate the healthcare maze with more confidence and certainty through The Healthcare Labyrinth website and his book of the same name.

Marc is an unconventional Republican who believes that affordable universal access is a wise and prudent investment. He recommends common-sense solutions to reform American healthcare.

Tune in every week as Marc examines the latest developments in the space, offering analysis, insights, and predictions on the changing state of healthcare in America.

About The Episode:

On this episode, Marc discusses the other major healthcare developments that got buried by the One Big Beautiful Bill the past two months.

Key Takeaways:

The Big Beautiful Bill buried some other important healthcare developments.

Health plans committed to significant prior authorization reforms.

CMS will not propose further reforms right now as it monitors health plan implementation.

Plans will reduce the number of PAs required and pursue electronic processing, some in real time.

Numerous state and federal restrictions are already in place and the new commitments will hurt plans’ ability to control medical expense.

CMS Administrator Dr. Mehmet Oz wants pharmacy benefits managers (PBMs) to end the complicated system of drug rebates, or the government will step in to change it.

Oz also hinted that the Trump administration could issue a rule that is focused on drug price transparency.

The Supreme Court ruled 6-3 in favor of allowing preventive services to continue under the Affordable Care Act (ACA).

Last, CMS announced that it will have a 100% Risk Adjustment Data Validation audit for every payment year for every contract.