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The lower price for members is due to a new Pharmacy Care Reimagined model that unbundles the traditional PBM model, company says.
Enrollees in high-need areas often lack access to providers who can prescribe or dispense these medications, OIG finds.
Insurer is seeking an injunction, claiming the downgrade was based on an "arbitrary and capricious" assessment.
There is a shift from treating a disease to preventing it, says PhRMA chief medical officer Dr. Mike Ybarra.
Give patients the financial options that empower them to take charge of their own health, says Beto Casellas of Synchrony.
More than half of employers plan to implement programs that will reduce total costs, a WTW survey finds.
Prices for 25 drugs are expected to decrease for Medicare beneficiaries starting in 2026 and continuing into 2027.
Humana blames higher industry cut points and one contract decreasing to a 3.5-star rating from a 4.5-star rating in 2024.
It's the second consecutive month in which operating margins tightened, Strata's data shows.
The report compares cost, care, patient experience and more to brick-and-mortar care, ahead of the expiration of the waiver.