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Medicare rules may reduce prescription steering

Written by | 14 Jan 2025

Weill Cornell Medicine 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 […]

Most Medicare beneficiaries do not compare prescription drug plans – and may be sticking with bad plans

Written by | 27 Nov 2024

Every fall, millions of Medicare beneficiaries have the chance to pick a new stand-alone prescription drug plan that may be better suited for them, but most stick with […]

New law regulating out-of-pocket drug spending saves cancer patients more than $7,000 a year, study finds

Written by | 21 Sep 2024

As prescription oral chemotherapies have become a common form of cancer treatment, some patients were paying more than $10,000 a year for medications. A new study finds that […]

High BMI eligibility for semaglutide could cost Medicare an additional $145 billion annually

Written by | 30 Aug 2024

A brief research report found that 61% of Medicare-eligible adults have a BMI of 27 or higher, which means they may benefit from a GLP-1 receptor agonist like […]

Private health plans paid hospitals 254% of what Medicare would pay during 2022

Written by | 19 May 2024

Prices paid to hospitals during 2022 by employers and private insurers for both inpatient and outpatient services averaged 254% of what Medicare would have paid, with wide variation […]

UH College of Pharmacy researcher examines trends in rising cost of medicine

Written by | 12 Apr 2024

Newly published research from the University of Houston College of Pharmacy reveals an alarming trend in diabetic medication expenditures. While pharmaceutical spending in the U.S. has long been […]

Study reveals positive outcomes of pharmacy care management service for medically complex medicare advantage members

Written by | 14 Mar 2024

A high-touch pharmacy care management (PCM) service leads to lower pharmacy spending costs, decreased inpatient hospital stays and optimal medication use for Medicare Advantage (MA) members identified as […]

Medicare is overpaying for generic drugs

Written by | 8 Dec 2023

Medicare is the single largest provider of health insurance in the United States, serving 63.8 million senior citizens as of 2022. Three-quarters of these recipients are enrolled in […]

Primary care lessons for Canada from OECD countries

Written by | 5 Dec 2023

To improve primary care, Canada can learn from Organisation for Economic Co-operation and Development (OECD) countries with high rates of patients attached to primary care clinicians, write authors […]

Study finds Mark Cuban’s cost plus drug company could save taxpayers millions on Medicare generic oncology drugs

Written by | 12 Jun 2023

The U.S. government could save taxpayers between $228 million-$2.15 billion a year if insurers who operate its Medicare Part D plans purchased seven generic oncology drugs at the […]

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