Why CVS, Express Scripts Are Suing Over the Arkansas PBM Law
There have been several recent efforts to crack down on pharmacy benefit managers, from bills in Congress to an investigation by the Federal Trade Commission. But the state of ...
Payers
Making Insurance Cover IVF Could Actually Reduce Access
Infertility has become so critical that Republicans and Democrats are both now advocating for IVF. Roughly 1 in 7 couples struggle to conceive, and President Trump’s IVF executive order ...
Serve You Rx Adds 2 Stelara Biosimilars to Formulary to Help Patients Save Costs
Serve You Rx, a pharmacy benefit manager, has added two recently approved biosimilars to Stelara to its formulary, the company announced Thursday. Milwaukee, Wisconsin-based Serve You ...
INVEST Pitch Perfect Spotlight: How Pear Suite Makes Sure Community Health Workers Get Paid
In the past decade, the healthcare industry has finally started to acknowledge the vital role of community health workers. For instance, about half of states now reimburse community ...
Amazon Pharmacy Brings PillPack to Medicare and Adds Caregiver Feature — Will It Make a Difference?
Amazon Pharmacy announced two major updates on Tuesday — an expansion of PillPack to Medicare Part D and a new caregiver feature — that experts say will have a major effect on medication ...
Debunked Episode 16: Will Trump Administration’s Drug Pricing Policies Lead to the End of PBMs?
The Trump Administration’s interest in lowering drug prices, in part by making it possible for pharma companies to sell direct to consumers, sparked an engaging exchange between Debunked ...
Healthcare’s Provider Data Challenges – MedCity News
It’s no secret that healthcare has a disparate provider data problem. Provider data issues start at enrollment and continue throughout the provider lifecycle, impacting everything ...
CMS’s Final Rule Impacting Star Ratings Puts Outcomes In Focus — Are Health Plans Ready to Take Action?
The Centers for Medicare and Medicaid Services (CMS) Final Rule impacting Star Ratings shows a clear shift in priorities to focus on health outcomes and equity, where success is defined ...
Pyx Health Acquires FarmboxRx With $47.5M Funding Boost
Pyx Health, a social health platform, has acquired healthy food company FarmboxRx, the companies announced on Tuesday. The acquisition was fueled by a $47.5 million investment from S2G ...
The Age of Action: Seizing CMS’s Call to Reimagine Medicare
For the first time in a century, the United States is on the brink of a historic demographic shift: According to the latest U.S. Census data, older adults are projected to outnumber ...
A Call for Healthcare Cuts — But Not the Kind You’re Thinking Of
After my daughter was born prematurely, I received a hospital bill that was nearly 30 pages long. The total? Just pennies shy of $1 million. I didn’t panic. I knew I wouldn’t be ...
Analysis: The No Good, Very Bad Year for UnitedHealth
It goes without saying that this past year has been anything but easy for UnitedHealth Group. As one of the biggest healthcare companies in the U.S., it has long been a reliable stock ...
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