Value-based insurance designs that incorporate zero copay programs for certain drugs may help decrease total chronic disease spending—including member and payer costs—when the designs focus...
Update 03/03/2020: This article has been updated to reflect that Oscar Health might expand the number of options for migraine prescriptions. A previous version implied that there were no migraine...
Employer-sponsored health plans spent $5,892 per plan member in 2018, most of which went towards emergency department visits and other outpatient services, according to a report produced by the Health...
Eighteen Blue Cross Blue Shield Association companies will be forming a subsidiary to handle high outpatient generic medication spending and combat drug shortages, announced Blue Cross Blue Shield...
Price tags of life-saving treatments are continuing to increase, with nearly $150 billion being spent nationally per year for cancer care, four times more than treatment for other common health...
Medicaid expansion states saw a six percent decreased rate in total opioid overdose deaths compared to states that did not expand Medicaid eligibility, according to researchers from the University of...
The drug pricing and coverage plan at Veterans Health Administration (VHA) is poised to improve medication adherence, with the payer boasting a 5.9 percentage point lower rate of cost-related...
UnitedHealthcare (UHC) has announced a partnership with Walgreens and AARP that will open service centers for Medicare members in the store and provide added benefits to UHC’s Medicare Advantage...
The Medicare premium for premium will rise nearly seven percent in 2020, from $135.50 in 2019 to $144.60 next year, while the premium for Part A will rise almost five percent from $437.00 to $458.00 a...
Medicare coverage gaps may cause considerable financial distress for the most seriously ill patients, with 53 percent of seriously ill Medicare beneficiaries admitting they struggle to pay for care,...
Patients with diabetes enrolled on a high-deductible health plan have a hard time paying for their brand-name medications, having a negative impact on medication adherence, according to new data...
States focused their efforts on tackling the opioid epidemic and high prescription drug spending by adding substance use disorder (SUD) benefits and lower cost-sharing to Medicaid programs in fiscal...
The fear of having no healthcare coverage drives Americans’ decisions regarding employment, according to a recent study by the TransAmerica Center for Health Studies.
The study surveyed 3,760...
When it comes to lowering skyrocketing drug prices, employers are making their voices heard on drug price transparency, drug price increase caps, and other price reducing strategies through the...
Update 10/11/2019: This article has been updated to include a statement from the Michigan Association of Health Plans.
Michigan is the latest among state Medicaid programs to back away from...
UPMC Health Plan’s new diabetes wellness program targets Medicare Advantage members with diabetes or at-risk of diabetes to help drive chronic care management at an affordable cost, the health...
Consumers have access to less than half of the first generic drugs approved in the past three years and improving access would save seniors over $4 billion per year, the Association for Accessible...
As Medicaid programs look to provide costly gene therapies, specialty drugs, and other potentially life-saving medications to beneficiaries, states are getting creative by implementing alternative...
The Orphan Drug Act no longer serves its original purpose but instead increases prescription drug spending and healthcare spending, American’s Health Insurance Plans (AHIP) stated in a recent...
Specialty drugs, which often receive the brunt of healthcare spending deprecation, may be able to decrease healthcare spending by $4 billion per year if administered at the right locations, a...
