Biden names Ozempic, Wegovy for price negotiation program
The Biden administration unveiled its list of 15 drugs, which include GLP-1 drugs Ozempic, Wegovy and Rybelsus, for the second...
Q&A: Can automated prior authorizations help providers meet new challenges in 2025?
Prior authorizations continue to challenge healthcare organizations as payer authorization requirements expand and change. Automated prior authorizations can bring new...
Community Health Center Patients, Financing, and Services
Key Takeaways Community health centers are a national network of over 1,300 safety-net primary care providers, serving more than 31...
Big 3 PBMs generated $7.3B from specialty generic markups
CVS Caremark, Express Scripts and OptumRx dramatically mark up specialty generic drugs to affiliated pharmacies, the Federal Trade Commission (FTC)...
How do Medicaid Home Care Programs Support Family Caregivers?
KFF estimates that 4.5 million people use Medicaid home care, which provides medical and supportive services to help people with...
Here are the companies and trends we’re watching
It’s officially a new year for the healthcare industry, as biopharma and health system executives, investors, reporters and others make the annual...
Medicaid Postpartum Coverage Extension Tracker
The Medicaid program finances about 4 in 10 births in the U.S. Federal law requires states to provide pregnancy-related Medicaid...
Is It Just a Flu? Differentiating Flu and HMPV
Winter brings coughs and sneezes, which people mistake for the flu, but it could be HMPV. Flu hits all of...
CMS proposes increasing Medicare Advantage benchmark payments by 2.2%, or $21 billion
Medicare Advantage benchmark payments are poised to increase by 2.23%, the Centers for Medicare & Medicaid Services proposed in a...
How patient self-service improves patient access
Self-service patient access is a growing trend that’s here to stay. Tech-savvy patients want to see their doctor faster and...
