PhRMA
MARCH 12, 2025
Specifically, HCPs raised concerns over how pharmacy benefit managers (PBMs) and insurers inappropriately use utilization management tools, like prior authorization, to deny or delay care, ultimately harming the patient and impacting patient access to care.
PhRMA
MARCH 17, 2025
Half of every dollar spent on medicines goes to entities that don’t make medicine—like pharmacy benefit managers (PBMs) and insurers who are aggressively consolidating their control over health care and hospitals, clinics and for-profit pharmacies in the 340B markup program.
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STAT
OCTOBER 4, 2024
Health insurance companies will still offer older adults a lot of plan choices with low, or completely free, premiums. However, insurers have made important but subtle tweaks to next year’s plans that will force millions of members to shell out more for their prescription drugs and overall medical care than they do currently.
STAT
APRIL 1, 2024
Over the past few weeks, Medicare Advantage insurers demanded that the Biden administration give them higher payment rates for next year. The result: In 2025, right after a new president is elected, Medicare Advantage insurers will have to absorb a slight decrease of 0.2% Continue to STAT+ to read the full story…
STAT
SEPTEMBER 13, 2024
For years, health insurers battled to gain market share in the lucrative privatized Medicare program. Some of the companies say they designed their 2025 plans with an eye toward ditching members. When insurers release their 2025 plan offerings on Oct. Now, the opposite is true.
Fierce Healthcare
OCTOBER 11, 2024
Analyses of 2025 Medicare Advantage star ratings continue to pour in and not all of it bodes well for the conventional juggernauts. We break down how all major insurers—and their investors—are reacting. UnitedHealth and Humana saw star ratings decrease, whereas insurtechs celebrated their scores.
STAT
MARCH 7, 2025
After yet another record year for health data breaches, updated federal security rules to protect patient information are on the table in 2025.
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