Beyond the Big Three PBMs - Managed Healthcare Executive
Dec 19, 2022 · By almost any measure, the PBM business is one dominated by the major players. In 2021, CVS Caremark led the industry, controlling 34% of total adjusted claims, followed by …
UnitedHealthcare Adds Deductibles to Medicare Part D for 2025
Oct 3, 2024 · UnitedHealth Group reported a medical care ratio in 2024 of 85.5% compared with 83.2% in 2023.
The Biggest Issues Facing Healthcare Today - Managed Healthcare …
Sep 26, 2019 · UnitedHealth Group reported a medical care ratio in 2024 of 85.5% compared with 83.2% in 2023.
How Capitation Contracts Benefit Providers, Payers and Patients
May 11, 2023 · The Covid-19 pandemic triggered a dramatic decline in patient volume that devastated revenues for provider organizations operating under the fee-for-service (FFS) …
PBMs are Creating GPOs, and Stirring Debate as to Why
Jul 12, 2022 · In 2019, Express Scripts PBM (pharmacy benefit manager) formed Ascent Health Services GPO (group purchasing organization), based in Switzerland.
PBM vs. PBA: The pros and cons - Managed Healthcare Executive
Sep 2, 2015 · SternCraig Stern, PharmD, president, Pro Pharma Pharmaceutical Consultants, Canoga Park, California, says that the demand for transparency in managing pharmacy …
Managed Healthcare Executive
Managed Healthcare Executive provides C-suite executives at health plans and provider organizations with news, analysis, insights, and strategies to pursue value-driven solutions.
CVS Caremark Makes Changes in Diabetes Coverage for 2025
Nov 25, 2024 · CVS Caremark has removed several diabetes drugs favor of newer products and generics, and is even favoring an insulin infusion system developed by a company that was …
Medication underdosing and underprescribing: important issues …
Jun 1, 2013 · Medication underdosing and underprescribing are often overlooked and can result in poor patient outcomes. They can also contribute to polypharmacy and significant cost to the …
Lilly Introduces Zepbound Single-Dose Vial for Cash-Paying Patients
Aug 27, 2024 · “In a clinical study, the 5 mg maintenance dose helped patients achieve an average of 15% weight loss after 72 weeks of treatment and has been a powerful tool for …