The rebate game played by drug makers and pharmacy benefit managers limits optimal biosimilar competition. As a result, U.S.

On my HMO plan, I was lead to believe they use Express Scripts. My Endocrinologist ... after getting the new prescription because of prior authorization issues. Dr sent the prescription in on ...

There is a tendency to overlook the multiple factors and stakeholders that contributed to the Rx opioid crisis. This includes ...

We encourage you to review the risk factors in our most recent quarterly report on Form 10-Q that was filed ... consistent with our prior quarter. As a result of the strong performance in the ...

3 The FTC filed an administrative complaint that targets CVS Health’s Caremark, Cigna’s Express Scripts, and UnitedHealth’s Optum Rx, as well as any subsidiaries they have created to manage ...

Opens in a new tab or window Medicare Advantage plans have increased their use of prior authorization and appear to be targeting certain types of care -- such as expensive post-acute hospital care ...

The three largest Medicare Advantage insurers have dramatically increased prior authorization requirements and denials for post-acute care, often using algorithms, to enhance profits, a new report ...

And the majority of physicians said prior authorization processes and forms were difficult to understand, and 58% said they did not have enough staff to handle authorizations.

That's what many members of Congress, physician leaders, and healthcare advocates are wondering regarding a bill that would further regulate the use of prior authorization in Medicare Advantage ...

Niskayuna resident John Cococcia has spent most of his career in venture capital. Now, he's made the move to the other side ...

The largest Medicare Advantage insurers have prioritized profits over patient care by increasing the use of prior authorization in recent years to frequently deny post-acute care services to older ...