There’s a major change in 2025 to Medicare’s prescription drug coverage. This year, there’s a new $2,000 cap on annual out-of ...

Now, Mr. Trump can build upon the provision in the Inflation Reduction Act that allows Medicare to negotiate prices on ...

The U.S. government on Friday proposed 2026 reimbursement rates for Medicare Advantage plans run by private insurers that ...

Financial support options for Paxlovid are changing, but remain in place this winter for Medicare recipients and for others ...

Prices for the top 25 brand-name Medicare Part D drugs have increased by an average of 98% since entering the market, ...

Below is a roundup of payer-centric news headlines you may have missed during the month of January 2025. | You may have ...

A new report from AARP Public Policy Institute found that the top 25 drugs prescribed under Medicare Part D have nearly ...

Researchers have found that pharmacy benefit managers (PBMs) -- organizations that negotiate access to medicines for most patients in the United States -- steer patients to use their own pharmacies.

More than two years after the passage of the Inflation Reduction Act (“IRA”) and the Centers for Medicare and Medicaid Services’ (“CMS’”) ...

When the Texas Legislature begins its session Tuesday, lawmakers will consider measures to further limit access to abortion ...

MA plans are substantially overpaid compared to traditional Medicare. Much of these overpayments benefit the MA plans rather ...

Concurrently, a preprint from the industry-backed Vital Transformation found a 50% drop in company investments into ...