Optum Rx unveils its latest PBM pricing model overhaul as the industry faces growing pressure from federal regulators, ...

Pharmacy Benefit Manager (“PBM”) arrangements have long relied on rebates with limited transparency into true drug costs. Recent regulatory and ...

FTC settlement frameworks for major PBMs mandate transparency to plan sponsors, fee-based remuneration, limits on spread ...

Pharmacy benefit managers (PBMs) took $123.5 million in spread pricing from Kentucky Medicaid plans, according to a state report; Richard Sackler, MD, the former president of OxyContin maker Purdue ...

Over the past few years, Congress has attempted to pass “federal PBM reform.” Members of Congress have held numerous hearings related to PBMs and introduced numerous bills seeking to regulate PBMs (we ...

UnitedHealth Group Inc. (NYSE: UNH), CVS Health Corp. (NYSE: CVS), and Humana Inc. (NYSE: HUM) declined last week, but while investors focused on the Donald Trump administration’s proposed near-zero ...

With grocery prices climbing, some Baltimore-area residents say their confidence in government is falling just as fast.“Here we are spending twice as much as we Maryland Gubernatorial candidate ...

Rising health care costs are squeezing Indiana families and businesses—and pharmacy benefit managers are a big reason why. PBMs claim to negotiate savings, but federal investigations show otherwise.

Those with a vested interest in the status quo, are resisting transparency regulations. After all, maintaining opaque pricing in healthcare has been profitable to them.