Health Care Reform

The PBM industry is currently experiencing a confluence of technological, regulatory, and marketplace changes that will impact PBMs that operate with opaque business practices and antiquated technology.

DoctorNow alleged that the defendants were required to provide full coverage and reimbursement for COVID-19 testing.

Employers may be doing better than other payers at holding costs down.

One provision would keep PBMs from steering enrollees toward their mail-order pharmacies.

Fewer told Milliman they rate the offerings as important to recruiting and retaining employees.

Democratic Attorney General Charity Clark said CVS Health's Caremark, Cigna Group's Express Scripts and several of their affiliates pushed patients toward more-expensive drugs even when less-expensive alternatives were available.