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The policy would have prevented PBMs from having their compensation linked to the list price of medications.
Increasingly, payers are using AI and data analytics for member interactions and for provider networks based on outcomes and cost.
Provider performance intelligence is rapidly becoming a business lever, not just a compliance requirement.
The features are being made available in a phased rollout through myCigna's member portal.
The PBMs argue a recently passed law discriminates against out-of-state businesses that are larger pharmacy chains.
The company estimates patients could save as much as $3,600 per year, and the capped price will count toward deductibles.
EnReachRx includes dose optimization support, as well as enhanced fraud, waste and abuse detection and interventions.
The company escaped an elevated cost trend among insurers partly due to its smaller Medicare Advantage footprint.
The quality of payers' digital experiences is lagging behind those of finance and property and casualty insurance, finds J.D. Power.
The program aims to simplify the process for employers to provide coverage for weight loss medications.
