Broker Regulation

Michael Pencina, Ph.D., has joined UnitedHealth Group as chief AI scientist as insurers continue to expand their use of artificial intelligence.

The independent dispute resolution process has generated at least $5 billion (about $2 billion to $2.5 billion annually) in total costs through the end of 2024.

The plaintiffs argued that ERISA expressly preempts any state law that may relate to an employee benefit plan.

The website is part of a broader administration initiative to implement a most favored nation pricing model in which Americans pay no more for drugs than the lowest prices charged in other wealthy countries.

“This is going to be a fundamental shift in the program, because we’re going to move away from that upfront discount program to a post-purchase rebate,” said Dr. Urshlila Shah, former chief pharmacy officer at St. Joseph’s Health in Paterson.

Increased security on pharmacy benefit managers (PBMs) as well as state and federal action to rein in their influence could have impacts across a variety of stakeholders in the health care system, including patients, PBMs, pharmacies, health care plans and manufacturers.