As our nation fights an opioid epidemic, policies designed to balance access and appropriate utilization can help prevent and reduce misuse and abuse. Concerted effort at the state and... More
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
Lowering out-of-pocket consumer costs, ending manipulation and abuse of FDA regulations, and fostering greater competition can help lower high prescription drug costs. More
House Republicans passed their version of a new health care law, but the Senate version is likely to be very different. A replacement for ACA may take some time. More
With the Republican Party maintaining control of both the House of Representatives and the Senate and President-elect Donald Trump preparing to assume office, their long-sought goal of... More
The high-cost health plan tax – excise or "Cadillac" tax as it is commonly known – is one of the yet-to-be implemented portions of the Affordable Care Act (ACA). The purpose of... More
Plan sponsors who provide prescription drug coverage to their plan members count on pharmacy benefit managers (PBMs) to help ensure appropriate utilization, lower costs and improved health... More