Fewer employers are relying on a traditional pharmacy benefit manager (PBM) model to run their entire Rx program. Use of transparent PBMs among employers increased to 31% in 2025 last year from 12% in ...
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US intercepts Iranian 'shadow fleet' vessel Sevan in Arabian Sea, US Central Command says
The U.S. has intercepted an Iranian merchant vessel, M/V Sevan, in the Arabian Sea, the U.S. Central Command (CENTCOM) reported on the evening of April 25. According to the report, a U.S. Navy ...
Voters in Letcher County, Kentucky will be taking a step toward choosing a new sheriff Tuesday night. Tennessee Highway Patrol sends Blue Alert, suspect considered armed and dangerous A blue alert was ...
We collaborate with the world's leading lawyers to deliver news tailored for you. Sign Up for any (or all) of our 25+ Newsletters. Some states have laws and ethical rules regarding solicitation and ...
"Plan sponsors can no longer plausibly treat PBM economics as an unknowable black box, or avoid meaningful contractual review due to PBM refusal to negotiate," Kara Maddalena, counsel at Davis Wright ...
In February, Congress finally took action to rein in PBMs via the Consolidated Appropriations Act of 2026. It included reforms like the delinking of PBM compensation from the price of a drug in ...
This article is the latest in the Health Affairs Forefront featured topic, “Health Policy at a Crossroads,” produced with the support of the Commonwealth Fund. Articles in this topic offer timely ...
Transparency mandates require detailed disclosure of rebates, spread pricing, fees, and reimbursement methodologies, expanding plan sponsor audit rights and increasing CMS oversight of PBM reporting ...
Medicare Part D PBM compensation shifts to flat administrative fees, aiming to reduce incentives that favor higher-list-price products driven by rebate maximization. Mandatory 100% pass-through of ...
Not a subscriber? Sign up here to get this newsletter in your inbox. In today’s issue: Government funding bill heads to the White House for Trump’s signature. … What’s next now that PBM reform has ...
A bipartisan group of U.S. House leaders have introduced the Pharmacists Fight Back Act, which they describe as the most comprehensive effort to change the way pharmacy benefit managers operate. The ...
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