Leslie Small's profile photo

Leslie Small

Downingtown

Managing Editor at AIS Health

Reporter/editor covering the madcap health insurance industry for @AISHealth. Mom of two humans and three cats.

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Articles

  • Newest HHS Staff Cuts Could Stymie CMS Health Plan Oversight

    3 weeks ago | insights.citeline.com | Leslie Small

    Newest HHS Staff Cuts Could Stymie CMS Health Plan Oversight A former CMS manager worries casework and other necessary functions could suffer as a result of the 300 staff cuts at the agency that are part of a massive HHS restructuring. How will the latest layoffs impact CMS? (Shutterstock)

  • Health Insurers May Sue if CMS Finalizes Obesity Drug Coverage Expansion

    1 month ago | insights.citeline.com | Leslie Small

    Health Insurers May Sue if CMS Finalizes Obesity Drug Coverage ExpansionInsurance companies and others warned that CMS could be sued over its reinterpretation of existing law expanding coverage of GLP-1s for obesity treatment. GLP-1s like Ozempic could be covered by Medicare for the treatment of obesity. (Shutterstock)

  • Congress Can, But Likely Will Not, End Part D Stabilization Demo

    2 months ago | insights.citeline.com | Leslie Small

    Congress Can, But Likely Will Not, End Part D Stabilization DemoCongress may be empowered to change the Part D stabilization demo, but a health policy expert said CMS is more likely to repeal, adjust or replace the program. Will Congress or CMS adjust the Part D stabilization demo? (Shutterstock)

  • This Year, PBM-Directed Fury May Once Again Signify Nothing

    Jan 14, 2025 | insights.citeline.com | Leslie Small

    This Year, PBM-Directed Fury May Once Again Signify NothingAnti-PBM sentiment continues to rise, but industry observers still question whether the reforms being discussed will be effective. Industry observers questioned whether the PBM status quo will change, even if reform legislation is enacted. (Shutterstock)

  • ‘Not a Good Look’: Premiums Could Jump If Trump’s CMS Drops Part D Demo

    Jan 3, 2025 | insights.citeline.com | Leslie Small

    ‘Not a Good Look’: Premiums Could Jump If Trump’s CMS Drops Part D Demo Despite GOP criticism of the Part D stabilization program and its budgetary impact, the Trump Administration may decide to keep it in part to avoid blame for a premium increase. The future of the Part D Premium Stabilization Demo presents a difficult choice for the Trump Administration. (Shutterstock)

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Leslie Small
Leslie Small @lesliecsmall
15 Oct 24

RT @dgingery: This is an interesting look at the path large companies are navigating on PBM reform from our @AISHealth colleagues ... @Phar…

Leslie Small
Leslie Small @lesliecsmall
11 Sep 24

New from me: UnitedHealth's PBM Optum Rx in 2025 is not only stopping coverage of Humira for some employer plan members, it's also co-preferring a Stelara biosimilar alongside the reference drug. And its private label drug distributor plays a big role: https://t.co/TOO8aYp9gb

Leslie Small
Leslie Small @lesliecsmall
26 Jul 24

My story from Tuesday's House Oversight Cmte hearing featuring 3 PBM execs, focusing on what they did (and didn't) say about their shadowy, largely foreign-operated group purchasing orgs: https://t.co/az24oLSpoQ