Throughout 2025, Congress introduced several bills related to the pharmacy benefit management (PBM) industry. As with the 118th Congress in 2024 ...
PBM transparency reforms aim to lower drug costs, but their impact on competition depends on how they affect smaller and ...
nirvanaHealth, the first to deploy an integrated Payer and PBM platform across all departments, announces the launch of its digital Transaction-as-a-Service (TaaS) solution on AWS designed for health ...
Even as regulators are cracking down on pharmacy benefit managers, some payers have been leaning into their own businesses in 2025. 2. During a third-quarter earnings call, CVS Health emphasized its ...
California recently enacted California Senate Bill 41 ("SB 41"), a landmark law that fundamentally overhauls the regulation of pharmacy benefit managers ("PBMs") in the state and has big implications ...
The system for processing prescription drug claims is reminiscent of the highly bureaucratic organizations of the mid-20th century. [18] As pharmacy claims pass through the multiple parties, each ...
The top lobby for pharmacy benefit managers has named Adam Kautzner, the head of major PBM Express Scripts, as chair of its board. As board chair, Kautzner will oversee the Pharmaceutical Care ...
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