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No Surprises dispute resolution remains operational despite shutdown

No Surprises dispute resolution remains operational despite shutdown

However, a prolonged lapse in funding could affect other activities underpinning implementation of the law that holds consumers blameless for...

Optum Rx hikes payment floor on brand name drugs for independent pharmacies

Optum Rx hikes payment floor on brand name drugs for independent pharmacies

The move builds on the major PBM’s pivot to cost-based pricing for pharmacies announced earlier this year. Article By: Rebecca...

Health benefit cost increases expected to hit 15-year high, Mercer warns

Health benefit cost increases expected to hit 15-year high, Mercer warns

2026 will mark the fourth consecutive year of substantial health benefit cost growth, signaling “mounting pressure on employers’ healthcare budgets.”...

Medicare Part D premiums likely to increase next year

Medicare Part D premiums likely to increase next year

The average monthly bid submitted by insurers for 2026 prescription drug plans increased 33% from last year, according to data...

10M people will lose insurance due to GOP policy law

10M people will lose insurance due to GOP policy law

The final tally from the nonpartisan budget scorekeeper estimates the law will decrease federal healthcare spending by $1.1 trillion over...

Judge dismisses Humana’s Medicare Advantage star ratings suit

Judge dismisses Humana’s Medicare Advantage star ratings suit

Analysts estimate Humana could lose billions of dollars as a result of the decision. Article By: Rebecca Pifer Blog Source...

Optum Rx slashes reauthorization requirements for more drugs

Optum Rx slashes reauthorization requirements for more drugs

The UnitedHealth-owned pharmacy benefit manager has removed reauthorization requirements for more than 140 drugs so far this year. Article By: Susanna...

CVS Caremark to pay $95M in Medicare fraud case

CVS Caremark to pay $95M in Medicare fraud case

A federal judge ruled in favor of a whistleblower, finding CVS’ pharmacy benefit manager Caremark overbilled Medicare for generic drugs....

Medicaid, SNAP cuts could lead to nearly 500,000 lost healthcare jobs

Medicaid, SNAP cuts could lead to nearly 500,000 lost healthcare jobs

A large portion of the 1.22 million jobs that could be lost nationwide in 2029 would come from the healthcare...

GLP-1 prescriptions for weight loss are shooting up, despite obstacles

GLP-1 prescriptions for weight loss are shooting up, despite obstacles

The percentage of overweight or obese adults prescribed GLP-1s jumped by almost 587% between 2019 and 2024, according to a...