managed care
Managed Care Pharmacies: Prepare for Disruption
A new report outlines how the emergence of artificial intelligence, growth of therapeutics such as cell and gene ...
AUGUST 11, 2025

Managed Care Pharmacies Urged to Prepare for Disruption
A new report outlines how the emergence of AI, growth of CGTs and significant regulatory changes are likely to ...
MAY 12, 2025

PBMs, Cost Sharing Eyed by State Legislatures
Getting more transparency from pharmacy benefit managers and manufacturers, and curbing state costs for ...
MAY 29, 2024

AMCP Report Illustrates Benefits of Managed Care Pharmacy
AMCP released a report that aims to explain how delivering pharmacy benefits through a managed care organization ...
JANUARY 10, 2024

PBMs Implement Sweeping Reimbursement Cuts and Ramp Up Audits
Pharmacy benefit managers have responded to a new CMS rule requiring them to account for all ...
DECEMBER 26, 2023

Formulary Decisions for Ultra–High-Cost Therapies Likely to Shift to Payors
More than three-fourths of respondents to the ASHP 12th annual Pharmacy Forecast believe that formulary and policy ...
DECEMBER 12, 2023

Non-White Part D Beneficiaries and Low-Income Subsidy Recipients to Be Most Affected by IRA Spending Cap
Non-white Medicare Part D beneficiaries are among those who will be most affected by a $2,000 out-of-pocket ...
OCTOBER 19, 2023

4 Case Studies Highlight AI’s Role in Improving Pharmacy Benefit Performance
Artificial intelligence and machine learning can flag claims errors, prevent fraud, waste and abuse and streamline ...
OCTOBER 18, 2023

Real-World Evidence Makes Its Mark in Managed Care
As the introduction of costly new targeted cancer therapies continues to increase, health care payors are turning ...
OCTOBER 22, 2020

Massachusetts Medicaid Program Makes the Most of Supplemental Rebate Authority
Within the past two years, Medicaid programs in eight states have been given authority by CMS to negotiate for ...
OCTOBER 22, 2020

Novel Technologies to Improve Management of Opioid Use Disorders
With technology transforming industries in the United States, it’s time to apply high-tech solutions to ...
FEBRUARY 20, 2020

Systemic Therapy AEs Yield Big Health Care Costs
Adverse events associated with systemic therapies prescribed for patients with advanced head and neck cancers may ...
JANUARY 28, 2020
