Hidden audits reveal millions in overcharges by Medicare Advantage plans
NPR Shots: Health News Newly released federal audits reveal widespread overcharges and other errors in payments to Medicare Advantage...
LIPA News and Updates
This small-town pharmacy may be a model for more affordable drugs
STAT News Honest Rx operates like any other pharmacy in the United States — with one big exception. It does not accept health insurance....
Behind the GoodRx-Express Scripts Partnership: How PBMs Profit from Discount Cards in Pharmacy
Drug Channels Drug Channels is written by Adam J. Fein, Ph.D. Last week, GoodRx announced that it would become the exclusive prescription...
FTC Restores Rigorous Enforcement of Law Banning Unfair Methods of Competition
Policy statement renews agency’s commitment to exercising full legal authority against companies that use unfair tactics to gain an...
Satisfaction with pharmacy benefit managers declined in 2022, report shows
Employers are less satisfied with their PBMs, likely a result of cost and poor public opinion. Healthcare Dive Dive Brief: Customers’...
Nearly 20% of Medicare Advantage plans lose star revenue for 2023
Modern Healthcare Just half of Medicare Advantage plans with prescription drug coverage received ratings that will earn them bonuses for...
Insurer Sales of Medicare Plans Unleash Senior Backlash
Bloomberg Prognosis By: John Tozzi Hi, it’s John in New York. October marks the the start of insurers’ rush to sell Medicare plans to...
Steps Pharmacies Can Take to Prepare for Hurricanes
Pharmacy Practice News Author: Kate Baggaley Hurricane Ian made landfall on the Florida peninsula as a category 4 hurricane near Cayo...
'Already a three-headed dragon': Medical groups rebuke judge's approval of UHC, Change merger
Becker's Payer Issues Medical associations nationwide have condemned a federal judge's move to clear UnitedHealth Group's acquisition of...
Rural Communities Lose 10% of Their Pharmacies in the Last Two Decades
Independent pharmacies, a mainstay of rural business and healthcare, were among the hardest hit, new research reports. The Daily Yonder...
Rising drug prices are choking Mississippi’s insurance plan. Lawmakers aren’t sure what to do.
Daily Journal Lawmakers explored ways to reduce taxpayer burden to the insurance plan that covers state employees, but the conversation...
Pharmacies struggle to stock certain prescriptions
CBS 4WWL New Orleans Denise Schmidt recently had to try a couple of local pharmacies before she could get her prescription filled. She...
Wall Street Deal Making Faces Greater Scrutiny, Delays Under FTC’s Lina Khan
Agency questions mergers likely to have gone unchallenged in years past, drawing complaints from deal makers who say scrutiny is...
More than 200 organizations advocate passage of Pharmacy Benefit Manager Transparency Act
Financial Regulation News The Food Industry Association said 207 organizations support the Pharmacy Benefit Manager (PBM) Transparency...
Healthcare Policy Expert: FTC Could Put Insurers' Drug Middlemen On A Diet
The Federal Trade Commission has an opportunity to impact healthcare for Americans. Newsweek Fat can sometimes cause healthcare issues,...
INDEPENDENT PHARMACIES BREAK THROUGH ON PBMS
HME News Constant efforts by independent pharmacy stakeholders have unleashed a “tidal wave” of activity to reform pharmacy benefit...
CMS insurer price transparency rule has taken effect. Signs are good for compliance
Healthcare Dive Dive Brief: Certain health insurers are required to start publicly disclosing in-network and out-of-network rates...
The FTC inquiry into PBMs is a chance for accountability
The three biggest pharmacy benefit managers control nearly 80% of the market The Washington Times The Federal Trade Commission now has a...
Fears ease on new pharmacy deserts in Ohio: 'The state is going to save a lot of money'
The Columbus Dispatch The heart emojis drifting upward during – of all places – an Ohio Medicaid webinar provided the first clue. After a...
Expert: ‘Vaccination Is a Team Sport,’ Pharmacists Are Key Players
Expert emphasizes that it is important to acknowledge the critical role of pharmacists in overcoming barriers to vaccinations. Pharmacy...