How Healthcare Leaders Responded to Trump’s State of the Union
Some healthcare experts supported Trump’s comments on lowering prescription drug costs, while others criticized his remarks on health coverage.
Employers Celebrated PBM Reform. The Reality Is More Complicated
The Consolidated Appropriations Act of 2026 and the Department of Labor’s proposed rule implement major PBM reforms for employers, but don’t include everything they want, including a ban on spread pricing.
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RCM Outsourcing: Balancing Human Expertise & Smart Technology
Greenway Health blends smart technology with human expertise to elevate revenue cycle.
Cigna’s Rebate-Free Model Sounds Nice, But Experts Are Still Skeptical
As lawmakers consider stricter PBM regulation, Cigna launched a “rebate-free” model to give patients upfront drug discounts, but experts question whether it will lead to meaningful change.
A Third of Employers Can’t Access Medical Claims Data from Vendors, Survey Finds
Many employers are struggling to access their medical claims data from vendors. However, those who do have access are more likely to implement strategies to combat healthcare costs.
Why Employers Think the 340B Program Needs Reform
Employers are advocating for changes to the 340B Drug Pricing Program, arguing that it allows hospitals to "buy low and sell high" by purchasing discounted medications and charging insured patients full price.
Are GLP-1s Worth the Hype?
GLP-1s have proven to be highly effective for weight loss but pose significant cost challenges for employers, according to a recent panel of experts at MedCity INVEST.
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Enhanced Direct Enrollment: Georgia Access and the Power of Partnership
Across the nation, state-based health insurance exchanges are searching for ways to better serve their communities while making enrollment easier, more personal, and more accessible for everyone.
How Can Self-Insured Employers Identify Ways to Rein in Healthcare Costs?
In a webinar sponsored by Personify Health, executives from international chemical company Dow and the National Alliance of Healthcare Purchaser Coalitions discussed some of the tough choices companies are making.
Stuck in the Middle: Employers’ Challenges In Accessing Their Health Data
Employers are starting to face lawsuits from employees for not fulfilling their fiduciary duty. However, employers are also struggling to access their claims data from their third party administrators, which makes it difficult to uphold their fiduciary responsibility, experts say.
‘The Time Is Now’: How Employers Can Offer Comprehensive Obesity Care
Employers are in a unique position to drive change in obesity care, but face several challenges. Experts shared numerous strategies employers can implement.
Should New Entrants Bother With Selling Point Solutions To Employers?
Employers are struggling with point solution fatigue, but does that mean new startups shouldn't be selling to them anymore? Experts have mixed opinions.
The Power of One: Redefining Healthcare with an AI-Driven Unified Platform
In a landscape where complexity has long been the norm, the power of one lies not just in unification, but in intelligence and automation.
3 Reasons to Attend the Payer Insights Sessions at ViVE 2024
The Payer Insights Program at ViVE 2024, in partnership with MedCity News, kicks off day one at the event. This new immersive program will focus on the impact of rising healthcare costs, recent regulatory changes, and innovative payer solutions for optimizing data insights, minimizing costs, and expanding access to care.
Report: Less than Half of Employers Are Confident In Integrity of Hospitals, PBMs
About eight in 10 employers think drug costs, high-cost claims and hospital prices are a “significant threat to affordability,” according to a new survey from National Alliance of Healthcare Purchaser Coalitions.
National Alliance of Healthcare Purchaser Coalitions Develops Playbook for Managing Drug Costs
The National Alliance of Healthcare Purchaser Coalitions released a playbook on Monday that outlines the key concerns employers have about pharmacy benefit management, and provides several recommendations for employers.
Survey: Mental Health Access Is Lacking, Employers Say
Only 31% of employers are satisfied with their behavioral health networks, a new survey found. When it comes to behavioral health directories, just 34% of employers agreed that directories had accurate information.