A look at Evernorth’s new facility, specialty pharmacy strategy
In late October, Evernorth opened a new specialty pharmacy and distribution facility in Newark, Delaware, with the goal of making...
Proposed CMS rule would set prior auth deadlines for drugs
The Trump administration has issued a proposed rule that aims to significantly overhaul prior authorization for pharmaceuticals. Through the Interoperability...
Satisfaction with payer apps improves with familiarity: JD Power
Consumer experiences with insurers’ digital platforms improve as they become more familiar with the tools, and supporting uptake offers a...
A look at 3 years of Blue Shield of California’s Virtual Blue
Blue Shield of California’s Virtual Blue plan continues to see positive results for enrolled members, including an overall 7% to...
White House floats 12.5% budget cut for HHS in FY2027
The White House is asking Congress for a $15.8 billion fiscal year 2027 discretionary budget cut for the Department of...
GAO audit outlines CMMI’s limited scale-ups, draws new criticism
A Government Accountability Office audit of the Center for Medicare and Medicaid Innovation Center’s historical spending and the outcomes of...
3 more drugs in the pipeline Optum says payers should watch
A new oral GLP-1 therapy and the first preventive option for COVID-19 are among the pipeline drugs that payers and...
CMS final rule aims to ax the fax machine, phase out paper mailing
The Centers for Medicare and Medicaid Services (CMS) finalized a rule that aims to phase out fax machines and paper...
Prime Healthcare’s Illinois hospitals may exit BCBSIL’s network
Prime Healthcare recently sought to reassure many of its Illinois patients after they received a notice that its hospitals and...
A look at Part D enrollment trends for 2026
Just over 56 million people are enrolled in Medicare Part D, with the share of those securing coverage through Medicare...
