What Influence Do PBMs Have? The FTC is Still Trying to Figure That Out
July 10th 2024The FTC’s interim report on pharmacy benefit managers (PBMs) was just the latest effort to highlight what some say is an industry that profits at the expense of patients and independent pharmacists. The PBMs say the report paints an incomplete, misleading picture. Others say it shows the FTC is prepping its antitrust case.
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Prime Therapeutics Launches Pharmacy Solution for Specialty Drugs
June 21st 2024Nathan Downhour, Pharm.D., discusses the Pharmacy Match program, which will engage with physicians to make sure a specialty prescription gets to the best-fit pharmacy across a network powered by Free Market Health.
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Healthcare is a Top Target for Hackers | AHIP 2024
Published: June 13th 2024 | Updated: June 13th 2024Hackers are learning health plans’ infrastructure and are attacking the places with the highest value information. Transferring data is the weakest point in the healthcare ecosystem, panelists said at the AHIP meeting in Las Vegas.
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4 Market Trends Impacting Healthcare Plans | AHIP 2024
June 13th 2024Increased health demand, decreased physician workforce, technology advancements and more government involvement in healthcare present challenges — and opportunities — for health plans, said session panelists at the annual AHIP meeting in Las Vegas.
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Providers are Key to Success of Value-Based Specialty Programs | AHIP 2024
June 13th 2024Working with providers to align goals and objectives will lead to better and more successful programs to help manage complex and costly medical conditions, said panelists at the annual AHIP meeting in Las Vegas.
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Timothy Law: Coverage for GLP-1 Drugs for Obesity is in Flux | AHIP 2024
June 12th 2024In an interview, Timothy Law, DO, MBA, chief medical officer of Highmark, talks about the issues insurers consider when providing coverage for GLP-1 drugs like Wegovy and Zepbound that can help patients lose weight.
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FDA Advisory Committee Supports Donanemab in Alzheimer’s Disease
Published: June 11th 2024 | Updated: June 11th 2024Committee members, however, also said more data are needed on donanemab to treat patients in underrepresented patient groups, including Latin American and African American patients and special populations such as Down syndrome.
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ICER Releases List of Drugs for Fair Access Review
June 7th 2024Included in this review will be 11 drugs that ICER assessed for cost-effectiveness in 2022. New this year is an assessment for consumer accessibility of drugs, including the burdens of prior authorization and patient cost-sharing measures.
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