Express Scripts agreed to pay a $1.5 million administrative penalty and implement corrective actions following an investigation by the West Virginia Offices of the Insurance Commissioner. Between May 2024 and August 2025, the state office reviewed the pharmacy benefit manager’s…
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After factoring in $64.7 million in restructuring costs, Philadelphia-based Thomas Jefferson University, owner of Jefferson Health, recorded an operating loss of $201 million (-2.3% operating margin) in the first half of fiscal 2026, up from an operating loss of $55.3…
Negotiations to extend the ACA enhanced tax credits that expired at the end of 2025 have collapsed, likely ending hopes of a revival, The Wall Street Journal reported Feb. 5. A bipartisan group of senators were discussing a plan to…
Oakland, Calif.-based Kaiser Permanente and Reno, Nev.-based Renown Health have finalized a joint venture to launch a new outpatient care delivery system and co-own a health plan in northern Nevada. Five things to know: 1. Hometown Health, the health plan…
A Florida insurance brokerage executive was sentenced to prison for his role in a $133 million scheme and a healthcare software company CEO was sentenced to prison for his role in a $1 billion scheme. Here are 10 healthcare billing…
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Humana’s CenterWell Pharmacy will dispense Eli Lilly obesity medications under a new program targeting employers, according to a Jan. 12 news release. The pharmacy will serve those in employer plan-sponsored carve-out programs. Humana Pharmacy Segment President Bethanie Stein, PharmD, said…
The House of Representatives voted to extend the ACA enhanced tax credits that expired at the end of 2025 for three years. The measure now heads to the Senate. The 230-196 vote followed a Democrat-led discharge petition that reached the…
Navigating GLP-1 coverage for weight loss has been a sore spot for insurers and employers. These drugs — alongside other specialty drug spending — have been behind price hikes going into 2026. Still, as some employers, states and insurers hesitate…
Highmark Health is offering generic medications for multiple sclerosis and certain cancers, along with biosimilar drugs for some autoimmune conditions, at lower costs. In September, members started getting access to generic forms of dimethyl fumarate and dalfampridine, droxidopa, and capecitabine,…
Cost Plus Drugs co-founder Mark Cuban and Humana CEO Jim Rechtin said their companies are working together, Forbes reported Dec. 4. “We’re talking to CenterWell,” Mr. Cuban said during the Forbes Healthcare Summit. “I would say we are treating the…