Cost-Containment

Pharmacy benefit manager Optum Rx plans to launch Clear Trend Guarantee in 2025 to allow employers and health insurers to more easily manage their drug spending, while creating more predictability for patients around costs.

The new lawsuit, which follows similar litigation filed by AdventHealth and Allegiance Health Management, names Aetna, Elevance Health, Cigna, UnitedHealth Group and Humana as "co-conspirators" in the "MultiPlan cartel."

This article explains how GI issues show up in medical claims and what benefits professionals can do to bring relief to the people whose lives they have the power to impact.

With concerns that costs could reach more than $1 billion over the next 6 years, North Carolina opted to stop coverage for the pricey new GLP-1s, saying the contracts between the drugmakers and the PBMs "are all-or-nothing."

Empyrean's EVOLVE 2024 brought together over 150 attendees to discuss ways that technology and communications can change how companies support and engage their workforce, create more connected cultures, and elevate benefits in the employee experience.

Senator Bernie Sanders is upping the pressure on Novo Nordisk to lower the cost of Wegovy in the U.S., although the Danish drugmaker asserts it charges lower prices in Europe because governments there can negotiate prices.