Pharmacy benefit managers help bring medication costs down and improve care outcomes, but they are being scapegoated for the nation's high drug prices, an op-ed published July 11 in the The Wall Street Journal argues.
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From the Justice Department pursuing legal action against several major payers and providers for alleged fraudulent risk adjustment coding practices, to payers looking to expand their markets despite more federal scrutiny, here are nine headlines about Medicare Advantage since June…
As of July 1, Maine immigrants under 21 and those who are pregnant can now receive benefits through the state's Medicaid program and Children’s Health Insurance Program, the Maine Beacon reported July 11.
UnitedHealth Group is committing $25 million to the Healthy Neighborhoods Equity Fund II to help finance mixed-use developments in three Massachusetts communities.
A formulary is in the works, and potential clients have a "very strong interest" in a pharmacy benefit manager from Mark Cuban's generic drug company, Cost Plus Drug Co.
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Independence Blue Cross is partnering with Philadelphia-based Cocolife.black and Cayaba Care to address racial disparities in maternal health.
Centene's California-based subsidiary Health Net was recently recognized by the Institute for Medicaid Innovation for its work to reduce health inequities during the COVID-19 pandemic.
Diabetes patients with Medicare Advantage plans were more likely to receive preventive treatments than those with fee-for-service Medicare plans and less likely to receive new, more expensive medications, according to a University of Pittsburgh Medical Center study.
First launched in December 2020 through a partnership with Google Cloud, Highmark's Living Health Dynamic Platform is offering members personalized and equity-focused health plans through enhanced data analytics and a social determinants of health strategy, PittsburghInno reported July 8.
From settlements to denying a motion to dismiss, these are eight recent actions around proposed or approved class action lawsuits against payers: