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Health insurers have argued that they need to be able to make out-of-network charges and other cost-sharing arrangements stick to encourage enrollees to shop for care.Recommended Stories
PBMs are ‘gangsters,’ Ohio AG alleges in lawsuit against Express Scripts, 6 others
As pharmacy benefit managers face scrutiny on Capitol Hill, a new Ohio lawsuit alleges Express Scripts and Prime Therapeutics used a Switzerland-based company to illegally drive up drug prices.
No Surprises Act arbitration process is a ‘big mess,’ Senate tells HHS at hearing
Health and Human Services Secretary Xavier Becerra said a high number of ineligible claims contributed to a bottleneck in processing them and that legislative action is needed to deal with the high volume.
PBM drug pricing transparency reform bill headed to the full Senate
The bipartisan pharmacy benefit manager bill, which was approved by a Senate committee, would make it illegal to charge health plans and payers more for a prescription drug than what PBMs reimburse to the pharmacy.
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Addressing Inequities in Women's Heart Health
Benefits leaders can make significant progress toward DEI goals, improve operational metrics, and support a healthier workforce by offering digital therapeutics. Download this white paper and learn how offering a digital solution for heart health can generate thousands in savings per participant.
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Client Tool: Addressing Inequities in Women's Heart Health
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