Insights provides context and perspective about key pharmacy trends and issues

Care Management

Pharmacy care is the most cost-effective way to manage the chronic and complex conditions that drive much of health care spend. Optimizing pharmacy care to help improve cost and quality.

Comprehensive Response to National Opioid Abuse Epidemic

CVS Health announces a comprehensive enterprise-wide campaign, including an enhanced UM program that aims to reduce... More

Commentary

Cost Management

In today’s rapidly evolving market, effective pharmacy trend and cost management requires innovation and a proactive approach.

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... More

Briefing

Public Policy

Legislation can affect the provision of pharmacy benefits, potentially adding costs and limiting management options. Careful monitoring of legislative activity and targeted engagement with lawmakers can lead to better public policy on pharmacy benefits.

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... More

Commentary

Cost Management

Paying for Drugs Based on Outcomes

Value-based management seeks go beyond a static, pre-set price tag to uncover true value for drugs and better health for patients. More

Briefing

Drug Pipeline

Specialty Pharmacy Pipeline Drugs to Watch – Q3-Q4 2017

Key drugs to watch for in the specialty pharmacy pipeline Q3-Q4 2017 More

Specialty Report

Specialty

Potential Market Expansion for Prostate Cancer Drug

Blockbuster cancer drug Zytiga may become first-line treatment for patients with metastatic, castration-resistant cancer, greatly expanding its market and cost impact. More

Feature

Pharmacy Innovation

Evaluating Adherence in Accountable Care Organizations

New research in JAMA Cardiology shows that simply putting patients in an ACO does not improve adherence. Utilizing proven PBM interventions may help. More

Commentary

Cost Management

Aligning Drug Prices with Value

The current model of static, manufacturer-set drug prices is simply unsustainable. Value-based management approaches attempt to incentivize quality and efficacy. More

Briefing

Government Programs and Services

How Pharmacy Care Improves Health Outcomes

Despite lack of consistent national standards, payors can earn meaningful incentives for improvements to Medicaid quality measures. More

Briefing

Cost Management

New Guidelines for PCSK9 Inhibitors

New utilization management criteria ensure appropriate use of PCSK9 inhibitors, which can help lower bad cholesterol levels, but are significantly more expensive first-line therapies More

Briefing

Government Programs and Services

Medicaid Reform

Despite the lack of consistent, national quality measures, plans can achieve meaningful financial rewards by through improvements in pharmacy care. More

Briefing