Two months after Crystal Run Healthcare workers voted overwhelmingly to unionize, the National Labor Relations Board ...

Employers, including Express Scripts parent company Cigna, seek to manage GLP-1 costs through programs administered by the ...

OptumRx is changing the way it pays pharmacies, reimbursing them more for branded drugs and less for generics, the company ...

Federal benefits law preempts state law claims in a suit a young man’s family filed over his death after his insurance ...

The massive pharmacy benefit manager plans to stop requiring coverage reauthorizations for roughly 80 drugs used to treat ...

UnitedHealth's 2025 guidance reflects optimism with expected revenue growth of 13% and EPS growth of 7%, aiming for a "normal ...

Like many healthcare leaders across the U.S., one of the trends that Brewer, Maine- based Northern Light Health executive vice president and CFO James Rohrbaugh has his eye on right now is policy ...

Optum Rx's new cost-based program uses an internal algorithm that leverages multiple available industry data sources, such as ...

Optum Rx is shifting its payment models to better meet the needs of pharmacies and consumers, the pharmacy benefit manager ...

Optum Rx announced on Wednesday that it will eliminate up to 25% of reauthorizations, initially focusing on 80 drugs. | Optum ...

The PBM is pivoting to a cost-based reimbursement model, which it says will reduce variation in how pharmacies are paid.

The PBM says the payment model more closely aligns with the costs pharmacies often face due to "manufacturer pricing actions." ...