Newswire

4 min

Lawmakers ask GAO to probe pharmacy benefit managers over their role in drug pricing

STAT News Amid intensifying scrutiny of pharmacy benefit managers, a group of House Republicans is urging the U.S. Government...

11 min

Beat cancer? Your Medicare Advantage plan might still be billing for it

Firms mined patient records for outdated, irrelevant conditions to increase profits, Justice Department contends The Washington Post...

4 min

Ohio Medicaid accused of strong-arm tactics on pharmacies, just like PBMs

The Columbus Dispatch Pharmacy deserts for the poorest and disabled Ohioans could grow unless a dispute over new state Medicaid contracts...

2 min

AHA presses for False Claims Act probes to target payers over Medicare Advantage denials

The Justice Department needs to create a task force to study potential False Claims Act violations conducted by Medicare Advantage plans,...

4 min

Improve the Pharmaceutical Ecosystem for Patients

Health care policy decisions based on sound data and research are essential for addressing the challenges. Pharmacy Times Pharmacists are...

4 min

Biden plan to slash pharmacy fees, cut seniors' out-of-pocket costs delayed until 2024

The Columbus Dispatch Millions of U.S. seniors were supposed to get price relief soon on their prescription drugs under a revamp of...

9 min

Vertically integrated payer-provider groups raise antitrust concerns

Modern Healthcare More commercial insurers are overhauling their business models in response to changes ushered in by the Affordable Care...

3 min

Yost opens investigation into PBM maneuver

Insurance NewsNet Ohio Attorney General Dave Yost has launched an investigation into an obscure drug-pricing maneuver that could be both...

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