Whether the payer is a for-profit PBM in the U.S. or a single-payer government entity in France or the U.K., attempting to secure the best prices for prescription drugs will hurt most retail ...

Andrew Witty, UnitedHealth CEO, said the move will remove an excuse other players use to blame Optum Rx for high drug costs.

PBMs interface with pharmacies and the payers. In addition to adjudicating pharmacy charges, the PBM provides the payer with access to a nationwide network of pharmacy providers that are ...

It’s the latest step from pharmacy benefit managers to respond to relentless criticism from politicians and regulators over ...

"I am really trying to change the traditional CFO landscape," said Mr. Firdausi during an interview with "Becker's Healthcare Podcast." "Having the PBM background, having the payer background and now ...

SVP of Payer & PBM Growth at Vida Health. Here, he discusses the importance of partnering with organizations that share Vida’s clinical philosophy to drive meaningful growth. Taggart also ...

Douglas Hoey, said in a statement, “PBM reform would rein in the big health insurance lobby, save taxpayers $5 billion, and throw a lifeline to the thousands of small, family-owned pharmacies ...

Payer-PBM Relationships For everything from GLP-1 and cancer costs to provider networks, one employer association has strategies — and they don't involve the major carriers. Physicians are in ...

Insurer-PBM firms dominate the Medicare Part D market, steering patients to their pharmacies, raising regulatory concerns about competition and patient choice. The study analyzed Medicare Part D ...

Weill Cornell Medicine researchers have found that pharmacy benefit managers (PBMs)—organizations ... lower than that observed across all other payer segments nationally." Dr. Kakani believes ...

A patient with prescription benefits who is visiting a pharmacy may also be someone involved in the payer's decision process regarding a PBM. Or the patient may be an employer. Pharmacists can ...