Optum Rx is nixing reauthorization requirements for more than 60 additional medications. | The PBM giant's list of drugs ...

Health insurers covering more than 250 million Americans have unveiled a sweeping plan to streamline and reduce prior authorization requirements — a long-standing source of frustration and burnout for ...

Below is a roundup of payer-centric news headlines you may have missed during the month of June 2025. | In June, Gold Coast ...

Some spine procedures including spinal fusion, lumbar decompression and vertebral augmentation will need prior authorization under CMS’ new Wasteful and Inappropriate Service Reduction model, a move ...

CVS Caremark will stop covering Eli Lilly’s Zepbound. Wegovy, the GLP-1 medication to treat obesity from Lilly competitor ...

The Prescription Drug Affordability Act will impose new restrictions on practices of pharmacy benefit managers, or PBMs, a ...

Matthew Galeotti, head of the justice department’s criminal division, called the operation “the beginning of a new era of ...

As the Senate GOP continues to struggle to pass its domestic policy megabill, several key decisions by the parliamentarian ...

For payers, claims for rare disease treatments used to be uncommon. Not anymore, thanks to an increasing number of new, ...

Cube Escape Collection is a free collection of Rusty Lake games with a surreal storyline, Twin Peaks atmosphere and puzzles ...

GLP-1 drugs like Ozempic® and Zepbound®, have gained significant attention in recent years for treating both diabetes and ...