PBMs are pivoting reimbursement models to protect pharmacies from what they say is an unsustainable status quo.

Optum Rx, one of the largest pharmacy benefit managers in the U.S., has increased reimbursement minimums for brand drugs for approximately 2,300 independent pharmacies. The initiative builds on the ...

As employers and patients struggle with rising prescription drug costs and limited pricing transparency, several solutions have emerged to help lower expenses. One approach is the cost-plus model, ...

All community and independent pharmacies in the Optum Rx network have transitioned to a cost-based reimbursement model aimed at improving payment transparency and stability. The shift follows new ...

GoodRx, a prescription savings company, launched a new offering on Monday that delivers a cost-plus pricing model for independent pharmacies. Santa Monica, California-based GoodRx helps consumers ...

One of the largest pharmacy benefits managers in the U.S. is overhauling how millions of its commercial members pay for drugs, in a move that should save consumers money at the pharmacy counter while ...

Outcome-based care models are aligning incentives for better patient outcomes, cost savings and accountability in healthcare. Unsplash+ The rapid rise in healthcare costs is a daunting reality for ...

The Tesla Model Y is America’s most popular EV and fourth best-selling vehicle overall. Tesla sold more than 100,000 of them in Q1 2024 alone. Fuel savings are a significant consideration when buying ...

It is no mystery that health care costs and insurance premiums are spiking higher than Americans can afford. Two factors — lack of industry transparency and burdensome government regulations — have ...

For decades, managed service providers (MSPs) have operated under a model that rewards reactivity instead of reliability.

Earlier this year, Optum Rx announced it would shift to a cost-based model, which would boost reimbursements for brand-name drugs at community pharmacies. | Earlier this year, Optum Rx announced that ...