UnitedHealth Group’s pharmacy benefit manager OptumRx plans to cut up to 25% of its medication reauthorizations. OptumRx will ...

Vertical integration refers to when one company owns multiple parts of a certain supply chain, such as a company owning all ...

A pharmacy benefit manager negotiates prices with wholesalers, sets reimbursement rates on drugs and compiles the lists of which medicines an insurer will cover. But critics describe the industry as ...

health insurance giant Centene Corp. settled allegations that it overcharged Medicaid programs in Ohio and Mississippi related to prescription drug billing. Now at least 20 states have settled with ...

JPMorgan Chase mismanaged employee health benefits, resulting in past and present employees paying inflated prices for prescription drugs and other health care costs, a lawsuit filed last week alleges ...

The primary goal is to address the rising cost of prescriptions in Mississippi. The Mississippi Senate revived their version ...

The state's insurance regulator has been seeking such information as patient names, dates of birth and prescription details.

This is the furthest we’ve been in two years,” said Parks. “We’re bringing fairness to the patient and to independent ...

Senate Democrats on Thursday are introducing as standalone legislation a package of health policies, including changes to the pharmacy benefit manager (PBM) industry that was left out of ...

UnitedHealth Group's pharmacy benefit manager, Optum Rx, said on Wednesday it would ease requirements to get insurance ...

run Medicaid also by dealing with the transparency issue by forcing PBMs to open their books to the state insurance Department and what a PBM about all this. Well, so they rejected that they ...