by Jordana Choucair | Oct 26, 2022 | Payers
Centene announced it has selected Express Scripts as its new pharmacy benefit manager (PBM), ending its current partnership with CVS Health’s Caremark. Express Scripts will manage pharmacy benefits for 20 million Centene members beginning in 2024 in a contract valued...
by Jordana Choucair | Oct 26, 2022 | Payers
The House Oversight and Reform Committee released a report indicating that some of the nation’s largest insurers and PBMs violate the Affordable Care Act (ACA) by imposing restrictions on birth control products. The investigation found that most companies excluded 34...
by Jordana Choucair | Oct 25, 2022 | Payers
JPMorgan announced it is partnering with Vera Whole Health to launch three new office-based primary care locations in Ohio. The launch is part of the collaboration between the company’s benefits team and Morgan Health, a new business unit within the firm focused on...
by Jordana Choucair | Oct 25, 2022 | Payers
The Centers for Medicare & Medicaid Services (CMS) announced new requirements for the Special Focus Facility (SFF) Program to change how nursing homes are evaluated. CMS is making it harder for a low-quality nursing home to make it out of the SFF, which seeks to...
by Jordana Choucair | Oct 20, 2022 | Payers
Surgeon General Vivek Murthy released guidance detailing how long hours, lack of autonomy, low pay, and other elements of a toxic workplace can impact the health and organizational performance of workers. The guidance supports the Surgeon General’s Advisory on...
by Jordana Choucair | Oct 19, 2022 | Payers
Research published in Radiology found a more than 10-fold price discrepancy for common imaging services provided at the same hospital. Researchers examined data from more than 2,000 hospitals to determine the range of negotiated prices between hospitals and insurance...
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