Three years since COVID-19 abated, UnitedHealth Group, CVS Health and other insurers are still feeling the hangover, first-quarter earnings reports show.
CVS Caremark, Express Scripts and OptumRx have fended off federal legislation targeting pharmacy benefit managers, but they haven’t been as successful at the state level.
The plaintiffs say "secret shopper” surveys found that more than 80% of providers listed in directories were out of network or not seeing new patients.
Employers say healthcare spending is their greatest benefits challenge, yet many hesitate to take major cost-cutting steps, according to a Lockton report.
Employers say healthcare spending is their greatest benefits challenge, yet many hesitate to take major cost-cutting steps, according to a Lockton report.
The average Medicare Advantage patient risk score was 1.26, 0.19 higher than the average fee-for-service Medicare risk score, an Annals of Internal Medicine paper shows.
Employers, including Express Scripts parent company Cigna, seek to manage GLP-1 costs through programs administered by the leading pharmacy benefit managers.
Paul Markovich, president of Blue Shield of California new parent Ascendiun, explains how the nonprofit company aims to compete against bigger insurers.