Express Scripts
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Express Scripts Launches New Solutions To Advance Drug Price Transparency
Express Scripts released several new solutions last week that aim to improve drug price transparency, including a cap on out-of-pocket costs for prescription drugs for consumers. The news comes amid increasing scrutiny against pharmacy benefit managers.
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House Committee Chairman Launches Investigation into PBMs, Rising Drug Costs
James Comer (R-Ky), House Committee on Oversight and Accountability chairman, sent letters to the Office of Personnel Management, Centers for Medicare and Medicaid Services and the Defense Health Agency asking for documents that show how PBMs’ practices are affecting federal government healthcare programs. In addition, he sent letters to CVS Caremark, Express Scripts and OptumRx, asking them to provide information on their tactics.
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Do you advise self-insured employers? You Can Help Us!
Take part in this survey and share some of the trends you are seeing among your clients across healthcare, including chronic conditions, behavioral health and navigation.
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Healthcare Moves: A Monthly Summary of Hires and Layoffs
Here is a selection of recent executive hires, departures and layoffs occurring across the healthcare industry.
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Getting off the PBM Merry-go-Round: How Late-stage Offer Tricks Take Employers for a Ride
Requiring that PBMs bid on a per member per month guarantee would reduce the employer’s uncertainty by securing the actual per member per month cost to the employer.
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Express Scripts Must Pay State AG $3.2M for Allegedly Overcharging for Prescriptions
Following an investigation, the AG claimed Express Scripts, “billed and obtained payment for prescription drugs from payers of workers’ compensation claims in excess of amounts permitted by Massachusetts laws and regulations,” according to court documents.
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Why are Healthcare Costs So High? Blame the Middlemen
Large employers, particularly self-insured companies, can demand a better and fairer system. They can use their contracting power to insist that their plans cover all FDA approved drugs.
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With PBM satisfaction on the decline, Centene switches to Express Scripts
Centene is swapping CVS Caremark with Express Scripts. A recent survey that measured benefit leaders’ satisfaction with their PBMs found that Express Scripts performed better than CVS Caremark.
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Express Scripts takes a crack at vaccine passports
The company is rolling out an app for users to show proof of vaccination using a QR code. It can automatically pull in vaccine records for people whose health plans use Express Scripts and who got vaccinated at a pharmacy.
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Startups, Pharma, Payers, Policy
Some startups grapple with USPS delays in medication delivery
Some healthcare startups that offer at-home prescription deliveries and test kits have experienced delays with the USPS. They shared how they’re navigating the changes.
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Trayt Health Seeks to Increase Access to Diagnoses and Treatments
CEO Malekeh Amini explains how Trayt Health can bridge the gap for patients seeking neurological care.
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Digital therapeutics make strides during pandemic, but still face adoption hurdles
Lightened regulations and cancelled appointments have led to an uptick in the number of patients using digital therapeutics. But companies still face many of the same obstacles as before, including securing coverage and reimbursement from insurers.
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Senators threaten to subpoena Cigna in insulin cost probe
Senators Chuck Grassley and Ron Wyden are demanding that Cigna turn over documents on insulin pricing, as part of a larger probe on rising insulin costs. The lawmakers claim that large pharmacy benefit manager Express Scripts, which Cigna acquired in 2018, is failing to comply with the investigation.
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Cigna’s CEO says partnerships key to future success
Cigna CEO David Cordani shared more details with investors about two upcoming partnerships for the company with Prime Therapeutics and Oscar Health.
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Startups, Devices & Diagnostics, Health Tech
Digital health, digital therapeutics, digital medicines – what’s in a name?
Digital health companies faced bad news going into 2020, from job cuts to dissolving pharma partnerships. But these struggles are part of an industry that is finding its identity in a crowded healthcare market.
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Express Scripts strikes partnership with Prime Therapeutics
The two large PBMs signed a 3-year collaboration that would allow Prime to use Express Scripts’ retail pharmacy network and pharmaceutical contracts.
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Employee Benefits, Patient Engagement, Payers
Express Scripts’ new formulary offers critical support for digital health startups
The PBM selected 15 programs to offer on its first digital health formulary, starting in January 2020.