We may only be one month into 2026, but the Centers for Medicare & Medicaid Services (CMS) is already planning the prices for ...

PBMs typically receive a portion of rebates paid by drug manufacturers, the majority of which are passed back to the payer as an incentive to prefer a drug on a formulary. PBMs may also retain revenue ...

The Trump administration has unveiled 15 new drugs selected for a Medicare drug price negotiation program that allows the ...

Let’s discuss how to apply online, along with a few problems we are discovering in helping others apply for Medicare at ...

The Trump administration kicked off another round of Medicare drug price negotiations, while Kaiser Permanente agrees to pay ...

Spending bill passed by the House last week would pay for telemedicine appointments until Dec. 31, 2027, but provides no ...

CMS released its 2027 Advance Notice of Methodological Changes for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies, proposing a net average year-over-year payment ...

The program is becoming more expensive and restrictive.

Negotiations Will Occur in 2026 With Negotiated Prices Effective in 2028.8, 2026 - On Tuesday, the Centers for Medicare & ...

GoodRx reports five major changes to Medicare in 2026, including a $2,100 Part D out-of-pocket limit, prior authorization for ...

In 2026, significant changes to Medicare Part D will impact millions, including many Hispanics in the U.S. These adjustments, driven by the Inflation Reduction Act and regulatory updates, aim to make ...

For the first time, CMS has released negotiated prices for high-cost drugs covered under both Medicare Part D and Part B, ...