Michigan hospitals are systematically exploiting a program for low-income patients, according to a new report.

Millions of Medicare Part D enrollees will see substantial out-of-pocket savings as negotiated drug prices take effect in ...

Callen Lorde boosts HIV prevention access by integrating insurance verification and prior authorizations into EHR workflows, improving care coordination.

Washington state legislative agendas for the city of Spokane and Greater Spokane Incorporated indicate that their priorities ...

Medicare enrollees will save more than 50% on out-of-pocket costs for 10 common prescription drugs under their insurance ...

By the authority vested in me as President by the Constitution and the laws of the United States of America, it is hereby ordered: Section 1.  Purpose and ...

PBMs are pivoting reimbursement models to protect pharmacies from what they say is an unsustainable status quo.

Earlier this year, Optum Rx announced it would shift to a cost-based model, which would boost reimbursements for brand-name drugs at community pharmacies. | Earlier this year, Optum Rx announced that ...

All community and independent pharmacies in the Optum Rx network have transitioned to a cost-based reimbursement model aimed at improving payment transparency and stability. The shift follows new ...

The award is in response to an “unsolicited proposal,” according to documents in the Federal Register. The University of ...

As Republicans double down on health care sabotage, Democrats lead effort to halt the Trump Admin’s looming Medicare AI prior authorization takeover Vermont Business Magazine U.S. Senator Peter Welch ...

The FDA approved Lerochol, a monthly PCSK9 inhibitor, for adults with hypercholesterolemia to reduce LDL-C levels alongside diet and exercise.