Rebecca Pifer

The drug distributor has been steadily building up its specialty support assets as it looks to increase access to drugs.

CVS is bringing together its disparate businesses onto one platform, and giving its rivals the option to add their products and services as well. The goal is to improve consumers’ health engagement while generating more revenue.

The CVS-owned payer is working to bundle multiple prior authorizations for certain conditions into one single review.

The Government Accountability Office successfully enrolled 18 out of 20 fake applicants in subsidized ACA plans. Republicans jumped on the report as ammunition in the debate over expanded subsidies.

The American Hospital Association, a Maine hospital group and four nonprofit systems are seeking a temporary restraining order against HHS’ controversial test of a new discount structure in the decades-old program.

The insurer continues to try to prove that regulators acted arbitrarily in downgrading its quality scores for 2025, despite numerous setbacks in the courts to date.

Republicans and Democrats couldn’t be further apart on how to address the looming ACA affordability cliff. But there seems to be a path forward on curbing pharmacy benefit managers.

UnitedHealth declined to comment on Gottlieb’s appointment, which comes as the company works to improve its relationship with federal regulators.

More generous subsidies for Affordable Care Act plans have helped millions of Americans afford insurance. Chances are becoming slimmer that the assistance will survive the year.

The Part B premium hike could have been worse, the Trump administration said. Still, it’s likely to pressure the pocketbooks of millions of seniors, and could drive more into Medicare Advantage plans.