The Impact of Express Scripts’ 2019 Formulary Exclusion List

Earlier this month, Express Scripts announced its 2019 National Preferred Formulary (NPF), which added ...

Prescription Pushback

In value-based healthcare, health plans/PBMs, employers, and government-sponsored healthcare programs focus on optimizing patient ...

Creating Value in Bundled Payments

A debate has been brewing over the past few years surrounding the Center for ...

The Payer Landscape is Evolving—But Change is Slow

Payers are evolving. Just look at the recent deals that blend together some combination ...

Achieving a Win-Win for Pharma and Payers in Contracting Agreements

The shift to value-based care and outcomes contracting type programs present the opportunity to ...

How Pharma Can Help Patients Feel Less Overwhelmed When Dealing with Payers

The integration of roles in the health system should theoretically result in better coordination ...

Using Artificial Intelligence to Expedite the Electronic Benefit Verification Process

Consumer technology continues to evolve at an incredible rate—from virtual reality experiences that drop ...

Four Key Questions About Payer/Provider Strategies

PM360 asked experts in engaging with payers and providers to address key issues the ...

Will UnitedHealthcare’s New Rebate Strategy Put Pharma at Risk?

Earlier this month, UnitedHealthcare, a UnitedHealth Group company, announced it will expand pharmacy discounts ...

Who Needs to Care about Value Frameworks?

Public scrutiny on healthcare costs, particularly drug costs, has been mounting over the past ...