Insights

Insights provides context and perspective about key pharmacy trends and issues

Care Management
Comprehensive Response to National Opioid Abuse Epidemic
CVS Health announces a comprehensive enterprise-wide campaign, including an enhanced UM program that aims to reduce opioid dispensing, by 30% by the end of 2019, for acute uses among... More
Commentary
Cost Management
Predictive Modeling and Benefit Plan Changes
Payors need ways to improve benefit management and reduce costs, but may hesitate due to concerns about impact on member satisfaction. A proactive member engagement strategy can ease... More
Briefing
Public Policy
Legislators Weighing Laws that Could Roll Back PBM Tools
This fall, as state legislatures reconvene, they’ll consider dozens of bills aimed at restricting PBM tools like utilization management that help control costs while ensuring appropriate... More
Commentary
The MS Care Challenge
Cost Management
The MS Care Challenge
MS is a chronic, progressive and unpredictable condition and each patient’s needs are unique. Caring for MS patients requires a holistic, tailored approach. More
Briefing
Expensive Pill
Cost Management
Creating the Right Environment for Value
Value-based management can only deliver on their promise of incremental cost-savings if the right guardrails are in place to ensure appropriate utilization and management More
Briefing
24% Drop in Client Cost for Epinephrine Injectors
Cost Management
24% Drop in Client Cost for Epinephrine Injectors
Despite triple digit price hikes, PBM trend management solutions helped lower the costs of epinephrine injectors 24% for clients for drugs covered under our Standard Control Formulary More
Commentary
Measuring Success
Cost Management
Measuring Success
A few key metrics can help demonstrate how well a value-based management approach is working in helping align drug prices with the value and outcomes they deliver. More
Briefing
2018 Formulary Strategy Article
Cost Management
2018 Formulary Strategy
Formulary management is foundational in helping clients control costs. Value-based management strategies build upon the early success of formulary strategy for more targeted, precise... More
Commentary
Public Policy
Health Care Reform Stalls After Key Senate Vote
With all efforts so far to repeal and replace the Affordable Care Act amounting having failed, the future of health care reform is uncertain. More
Commentary
The Everyday Epidemic
Care Management
The Everyday Epidemic
In the United States, and around the world, diabetes is a top spend, and trend, driver. Managing the condition is a complex issue for payors and for anyone with the diagnosis. Treatment... More
Feature