As health care moves toward a value-based payment model, the pharmacy benefit is going in the opposite direction, one that places unit cost over clinical appropriateness. Have you ever used your drug ...
Access to medicines in Medicare is reduced as the IRA is implemented Fewer drugs are covered on Medicare Part D formularies in 2025 relative to 2024 Medicines for serious conditions with high unmet ...
Caremark, Express Scripts and OptumRx — the three largest pharmacy benefit managers in the U.S. — increased the number of drugs excluded from their formularies in 2023, according to a Jan. 10 blog ...
Starting Jan. 1, 2025, millions of Americans who get their prescription drugs through Medicare could get a major financial break when a $2,000 out-of-pocket spending cap on medications goes into ...
With appreciation for feedback from Mark Fendrick, Director of the Value-Based Insurance Design (V-BID) Center at the University of Michigan, and Daneen Seekoni, Vice President of Policy and Advocacy ...
Everside Health, a national direct-to-employer primary care provider, is launching a new prescription solution service for customers. Everside Health offers primary care, including mental and ...
A stand-alone prescription drug plan, also known as a Part D plan, helps cover the costs of prescription medications for people with Medicare. People enrolled in Original Medicare who wish to receive ...
This study constructed a nationally representative sample of outpatient prescription drugs by using the 2000 National Ambulatory Medical Care Survey (NAMCS). The NAMCS is a series of annual surveys of ...
When Amazon, Berkshire Hathaway, and JPMorgan announced they were creating a new health care company in 2018, it raised the possibility of the purchasing power such a company could have. Although the ...
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