Specific services include confirmation that the patient is covered by the plan, verification of ... and TPAs often outsource the management of pharmacy benefits to one of the major PBMs.

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CerpassRx, an independent pharmacy benefit manager, is teaming up with Waltz Health to launch a new AI-powered tool that aims ...

The pharmacy benefit management (PBM) ecosystem is deeply broken. Not only does the current system lead to ultra-high pricing, particularly for specialty drugs, but it puts employees last, plain and ...

T he pharmacy benefits management branch of The Cigna Group's CI Evernorth segment, Express Scripts, recently launched a pricing option, Express Scripts ClearNetwork. The model follows a cost ...

Findings are from a survey conducted annually by the Pharmacy Benefit Management Institute (PBMI ... In the past few years, plan sponsors have increased mail-service copayments at a greater ...

You probably have no idea who your pharmacy benefits manager (PBM ... bank for mishandling its employer-offered health ...

In a July 2022 National Bureau of Economic Research working paper, The Value of Pharmacy Benefits Management ... PBM services to be self-provided by plan sponsors would forgo about 40 percent ...

CVS Health CEO David Joyner promoted an internal executive, Prem Shah, as company group president and hired from the outside, Steve Nelson, a former UnitedHealthcare CEO.

If a medication you are taking is dropped from your health ... order pharmacy during the previous 12 months. Nine of 10 did so from an employer- or insurance-managed pharmacy benefit management ...

"The URAC Pharmacy Benefit Management ... and the support we provide our plan sponsors, levering both JUDI and our robust operational and performance management infrastructure," said Sara Izadi ...

CerpassRx, a leader in pharmacy benefit management (PBM), today announced the launch of the Intelligent Specialty Engine, an AI-enabled platform powered by Waltz Health to manage specialty drug spend.