The PBM is pivoting to a cost-based reimbursement model, which it says will reduce variation in how pharmacies are paid.

Analysts have set 12-month price targets for Cigna Group, revealing an average target of $366.0, a high estimate of $390.00, ...

The changes come as pharmacy benefit managers face scrutiny for how they require doctors and patients to seek its approval for certain treatments and drugs.

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

The PBM plans to stop requiring coverage authorization for about 80 drugs, including Vertex’s cystic fibrosis medicines and ...

The massive pharmacy benefit manager plans to stop requiring coverage authorizations for roughly 80 drugs used to treat ...

The list, which could be expanded over time, will eliminate up to 25% of these reauthorization requirements and accounts for ...

Cigna’s CFO, Brian Evanko, addressed financial and operational updates at the Barclays Healthcare Conference. The company ...

Barclays 27th Annual Global Healthcare Conference Call March 12, 2025 2:00 PM ETCompany ParticipantsBrian Evanko - Chief ...

Upon notification that a patient needs a prior authorization, the AI carries out the needed work in the payer portal then, if the treatment or screening is approved, puts the code into Epic so the ...

The release date for both the Radeon RX 9070 and the more powerful RX 9070 XT model is today – the 6th of March – and as the release time approaches we’ve seen listings for both GPUs go live in the US ...

The survey results also suggest that changes to prior authorization made by UnitedHealthcare and Cigna in 2023 have not had much of a positive impact for physicians or patients. A minority of ...