Policymakers at the federal and state level have considered a number of reforms, many of which have bipartisan support, to ...

If left unchecked, the power of PBMs and their complex relationships within the American healthcare system could lead to higher drug costs and diminished returns.

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

A PBM is an entity that acts as a middleman between insurance companies and drugmakers. There are three major PBMs in America, run by UnitedHealth Group, Cigna Group, and CVS Health Corporation.

OptumRx is changing the way it pays pharmacies, reimbursing them more for branded drugs and less for generics, the company ...

Rep. Mariannette Miller-Meeks, R-Iowa, and colleagues introduced a version of the The bill would limit a PBM working with a ...

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 ...

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 ...

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