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Regulatory Roundup
Are private exchanges a return to D.C. health plans?
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Express Scripts Canada under investigation for anti-competitive practices
By Kristen Smithberg | April 15, 2025
In addition, the investigation is looking into margin-squeezing activity that reduces the margins of its retail pharmacy competitors by increasing its PBM service fee.
Transparency revolution: Executive order demands actual prices, not estimates
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For plan sponsors, the Healthcare Price Transparency Executive Order has far-reaching implications, offering opportunities to manage costs more effectively, enhance plan sustainability and deliver clearer value to employees.
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By Lori Daugherty | April 03, 2025
As alternative PBM models seek to up-end a payer’s longstanding relationship with a large PBM, they must be prepared to support clients with smart technology and innovative solutions that enable real-time data, increase transparency and ensure better pricing that impacts drug purchasing decisions.
Resource Center
Guide
Sponsored by Zelis
The Insider's Guide to Reliable Provider Directories for Brokerages and FMOs
The accuracy of your provider directories is vital to shaping your success. The guide provides actionable insights and best practices for ensuring the data you rely on is precise and trustworthy.
Case Study
Sponsored by Labcorp
How One Employer Helped 1 in 3 Employees Improve Blood Pressure
High blood pressure affects nearly half of U.S. adults, increasing the risk of heart disease and stroke. This case study explores how an employer-sponsored wellness program helped approximately 1 in 3 employees improve their blood pressure risk level.
Case Study
Sponsored by Labcorp
Reducing Employee Onboarding Time and Solving Staffing Challenges
Long onboarding times and staffing shortages create costly delays. Discover how one large healthcare system streamlined its hiring process, reducing onboarding time from weeks to days while improving the candidate experience and freeing up internal staff.