Employer Issues

Pharmacy benefit managers negotiate cheaper prices for employers and health plans. They also pocket drugmakers’ cash. Bloomberg Pharmacy...

Axios CVS Health shares were trading down 8% on Thursday after Blue Shield of California announced plans to cut back on its pharmacy...

ABC 6 On Your Side, Columbus, Ohio Investigative Reporter: Darrel Rowland To view graphics and data for this investigative series, go to...

Modern Healthcare Reporter: NONA TEPPER Two Cigna members filed a lawsuit seeking class-action status in a California federal court on...

STAT+ Employers across the country — from big names like Boeing and UPS to local school systems — pay consulting firms to handle a...

Real Clear Health More than 7 million US citizens depend on insulin to live, but more than 16 percent of Americans, are rationing their...

Vanderbilt’s Stacie Dusetzina and colleagues explain how the ‘copay adjustment’ programs work in this week’s JAMA Internal Medicine and...

This week American Pharmacy Cooperative, Inc. (APCI) took a bold step  in the ongoing campaign for PBM reform: they openly called on Vanguard Inc., the largest investor of in the parent companies of the “Big 3” pharmacy benefit managers (PBMs), to use its influence to curtail their PBMs’ abuse of patients and pharmacies.  “As one of the largest investors in United Healthcare, CVS, and Cigna, Vanguard is in a unique position to help effectuate real and meaningful change on beh

Learn how to request your health insurance claim file, which can include details about what your insurer is saying about you and your...

Apparently, everyone is for transparency now. So why do employers and their brokers still struggle to understand prescription drug...

CT Mirror “I cannot afford to live.” – Patients are screaming at the outrageous prescription drug costs. The U.S. spends three times more...

Bipartisan Respondents Strongly Favor Policies that Require PBMs to Provide Value and Lower Drug Costs PBM Accountability Project With...

Axios Pro The Senate Commerce Committee approved the bipartisan Pharmacy Benefit Manager Transparency Act Wednesday on an 18-9 vote. Why...

Pharmacy benefit managers say they exclude high-cost drugs and have alternatives on their formularies. Critics say exclusions narrow...

Lexology The Federal Trade Commission (FTC) didn’t mince words. On September 2021, it called out the health app industry for failing to...

The health care provider negotiates lower rates with in-network providers to save members money, however, members allege that Cigna...

CMS rule leaves high out-of-pocket costs, lawsuit argues Aid programs ‘mask’ problem of prices, analysts say Bloomberg Law High drug...

Forbes Previously this month, I gave predictions for 2023. Here, I’ll offer some aspirations for the healthcare system in 2023: What I...

How discounting led to inflation, shortages, and inequality. Washington Monthly Magazine Author: Phillip Longman For years, the only...

Law360 Cigna has told a Tennessee federal judge that the U.S. Department of Justice's False Claims Act lawsuit accusing it of defrauding...