UnitedHealth’s plan to defend its PBM: 5 things to know
(By Rylee Wilson for Becker’s Hospital Review) Optum Rx will pass 100% of the rebates it negotiates for drugs onto its
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Healthcare Finance
Medicare targets 15 more drugs for price negotiations
(By Sydney Lupkin for NPR) The Biden administration, in its last full weekday in office, is poised to announce the
Read MoreLawsuits over Medicare Advantage star ratings pile up
(By Rylee Wilson for Becker’s Hospital Review) CMS is facing at least a half-dozen lawsuits over its 2025 Medicare Advantage
Read MoreDoes Medicare Advantage have better access to extra services?
A study by researchers at Mass General Brigham found that despite Medicare Advantage plans offering enhanced dental, vision, and hearing
Read MoreDrugmakers hiked prices for hundreds of drugs in early January
(By Sydney Lupkin for NPR) Drugmakers raised the list prices on 575 name-brand drugs in just the first two days
Read MoreA few Medicare expenses that have increased in 2025.
If you are a retiree, monitoring your healthcare costs is important. If you are on Medicare, you should know the
Read MoreCMS proposes $21B payment increase for Medicare Advantage in 2026: 10 notes
(By Rylee Wilson for Becker’s Hospital Review) CMS is proposing a more generous increase in payments to Medicare Advantage plans
Read MoreHealth Care AI, Intended To Save Money, Turns Out To Require a Lot of Expensive Humans
(By Darius Tahir for KFF Health News) Preparing cancer patients for difficult decisions is an oncologist’s job. They don’t always
Read MoreHow many people will benefit from the price cap
If you are a Medicare recipient who takes expensive prescriptions, you will get a break on your drug costs in
Read MoreMassachusetts court orders UnitedHealth-owned insurers to pay $165M in penalties
(By Jakob Emerson for Becker’s Hospital Review) A Massachusetts court has ordered three UnitedHealth-owned insurers to pay over $165 million
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