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 ...

As federal and state governments continue to prioritize drug pricing reform, employers across the nation face a rapidly evolving landscape of ...

Bipartisan legislative momentum and expanding litigation are accelerating PBM-focused reform at federal and state levels, ...

Across the country, health systems are rethinking their reliance on legacy PBMs. Instead of outsourcing, more organizations are bringing PBM functions in-house to take back control, capture savings, ...

In recent weeks, CVS Health has reported regulatory and earnings updates, including reaffirmed 2026 adjusted earnings guidance and Medicare Advantage payment changes expected to benefit its Aetna unit ...

America’s healthcare market is about to get less fair and more costly, thanks to a badly written new set of compliance and ...

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Insurer eases access: UnitedHealthcare will drop prior authorization for 30% of services, including some tests, surgeries, and therapies, by the end of 2026. PBM rule backlash: Critics say the ...

PBM reform championed by Sen. Warner is a necessary step to lower health care costs for patients, VA Bio’s John Newby writes in a guest column ...

As regulatory pressure and rising drug costs reshape expectations for pharmacy benefit managers (PBMs), real-time data is becoming central to how PBMs build trust and retain clients. Payers are facing ...

The main lobby representing pharmacy benefit managers is suing Arkansas in a bid to stop the state’s law preventing the drug middlemen from owning pharmacies. The Pharmaceutical Care Management ...