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Managed Care
September 2006
Martin Sipkoff
PBMs Raise the Curtain Efforts are under way to find out exactly how pharmacy benefit managers work their magic. mark for My Articles similar articles
Managed Care
November 2007
Martin Sipkoff
PBMs Agree to Disclose What They Pay for Drugs Pharmacy benefit managers will charge employers a straight administrative fee, rather than make much of their income through deals with the drug industry. mark for My Articles similar articles
Managed Care
July 2004
Maureen Glabman
Wish List: 10 Things You Want From Your PBM One auditor estimates that 3 percent to 10 percent of pharmacy benefit manager (PBM) claims are processed incorrectly -- always in favor of the PBM. mark for My Articles similar articles
Managed Care
March 2008
Martin Sipkoff
PBMs' Rebate Income Threatened By Lawsuits and Move to Generics A recent court settlement may affect the way the PBM industry makes profits, but could it also lead to higher drug costs? mark for My Articles similar articles
CFO
February 22, 2005
Martha E. Mangelsdorf
I Want a New Drug Plan Companies hoping to curb prescription-drug charges are looking at a host of new cost-control measures. mark for My Articles similar articles
Managed Care
September 2002
John Carroll
When Success Sours: PBMs Under Scrutiny Pharmacy benefit managers are under fire from many corners. What will the push for transparency mean for the industry? mark for My Articles similar articles
Managed Care
December 2001
Steven S. Martin
PBM Industry Today: Who's Managing Drug Costs? Health plans need to take a closer look. HMOs and employers alike will feel increasing pressure to give in to the desires of consumers... mark for My Articles similar articles
The Motley Fool
December 29, 2005
Brian Gorman
PBMs at a Crossroads One prediction that's sure to come true next year -- drug prices will rise. Pharmacy benefit management (PBM) companies will respond. But the year ahead promises to be trickier for investors seeking to profit from PBMs. mark for My Articles similar articles
Managed Care
August 2002
Madeleine A. Estabrook
Regulators Take More Interest In Role of PBMs in Health Care In a highly regulated industry such as health care, it is just a matter of time before every component of the industry comes under scrutiny and review. Pharmacy benefit managers are taking center stage now. mark for My Articles similar articles
Pharmaceutical Executive
October 1, 2006
Sales and Marketing: Where the Buck Stops Pharma's ultimate customer is the employer - the guy who pays the health plan's bill. Here's what he wants to know about drugs. mark for My Articles similar articles
Pharmaceutical Executive
October 1, 2008
Chris Biddle
Stop the Bleeding Pharmaceutical manufacturers overpay pharmacy benefit managers millions of dollars each year in rebate overpayments. Here's how to stop the leakage. mark for My Articles similar articles
BusinessWeek
May 9, 2005
Weintraub & Barrett
BW 50: Can Caremark's Health Hold Up? Caremark Rx Inc. faces a growing set of legal and market challenges, but Its drug-benefit business is soaring, and its CEO remains upbeat about the future. mark for My Articles similar articles
Managed Care
March 2000
Tim Sawyers
Test Prospective PBM Before Signing Contract How to select, then monitor a pharmacy benefit management company, from a consultant and former HMO director of pharmacy services. mark for My Articles similar articles
The Motley Fool
April 19, 2011
Bryan White
Rising Star Buy: Medco Health Medco has a much brighter future than its current stock price implies. mark for My Articles similar articles
The Motley Fool
November 3, 2010
Brian Orelli
A Generic Prescription for Double-Digit Growth MedcoHealth Solutions has it. mark for My Articles similar articles
Managed Care
April 2007
MargaretAnn Cross
Do P&T Committees Have Enough Power? Plans and PBMs are divided about sharing drug prices with clinicians. Is it better to have an administrative committee determine the formulary? mark for My Articles similar articles
The Motley Fool
July 27, 2004
Brian Gorman
Medco's Pumped About Generics Generic drugs are actually helping improve Medco's margins, making it a winner with investors and health-care plans. mark for My Articles similar articles
Managed Care
December 2003
Tony Berberabe
Why Do FEHBP and Big Unions Excel at Managing Drug Costs? Pharmacy benefit managers can do only so much to keep drug price increases in the single digits. Initiatives instituted by health plans can help in this effort. mark for My Articles similar articles
Managed Care
February 2007
Martin Sipkoff
As Drug Payment Model Changes, Confusion Grows Among Insurers Purchasers are hopeful that life after "average wholesale price" will be simpler, fairer, and, with luck, easier to grasp. mark for My Articles similar articles
Managed Care
September 2005
Headlines On Deadline ... WellPoint and Cigna are turning heads in the financial world... California health insurers have marked Jan. 1, 2007 on their calendars... etc. mark for My Articles similar articles
Entrepreneur
November 2004
Julie Monahan
Club Meds Fed up with the high cost of prescription drugs, a group of 50 employers from the Fortune 500 are banding together to negotiate a better deal with pharmaceutical companies. mark for My Articles similar articles
Managed Care
November 2005
John Carroll
FTC Report Arms PBMs In Battle With Drugstores Congress passed the Medicare Modernization Act allowing pharmacy benefits managers to participate in Medicare Part D. mark for My Articles similar articles
The Motley Fool
October 22, 2010
Roger Friedman
3 Health-Care Stocks for Your Watchlist There's money to be made in health care. But finding the right plays, especially among health care providers, can prove confounding. mark for My Articles similar articles
Managed Care
June 2005
PBMs Get Thumbs up From Satisfied Customers Pharmacy benefit managers that educate physicians on the safety and efficacy of generic drugs or provide them with generic drug samples to increase the use of generics get higher satisfaction ratings than those that don't. mark for My Articles similar articles
Managed Care
October 2005
Health Plans Pay Less When PBM Owns Mail-Order Pharmacy The ongoing debate on whether health plans pay more for drugs when using a mail-order pharmacy owned by a pharmacy benefits manager (PBM) or when the mail-order pharmacy is not owned by a PBM may be closer to resolution. mark for My Articles similar articles
Managed Care
April 2005
Small HMO Takes Big Step: Decides To Launch PBM One small health insurer sees an opportunity in the recent woes that pharmacy benefits managers have experienced. mark for My Articles similar articles
BusinessWeek
January 21, 2010
John Carey
Making Personalized Medicine Pay Medco and other pharmacy benefit managers say future profits depend on matching drugs to patients based on their genes. mark for My Articles similar articles
Pharmaceutical Executive
April 1, 2007
Jill Wechsler
Washington Report: Medicaid Sets the Pace for Pharma Pricing Forget Medicare price negotiations. Pending changes in Medicaid drug-pricing formulas will put even more pressure on pharmaceutical prices. mark for My Articles similar articles
The Motley Fool
July 29, 2004
Brian Gorman
Express Scripts' Bad Day Express Scripts joins other pharmacy benefit managers (PBM) embroiled in legal controversy. But the company, and its competitors, will eventually emerge from the fray and their stocks may then be worth another look. mark for My Articles similar articles
Managed Care
March 2000
Bob Carlson
State Insurance Commissioners Weigh PBM Regulations This Month A payment delay by PCS causes concerns about under regulation of prescription benefit managers. mark for My Articles similar articles
Job Journal
July 11, 2004
Michael Kinsman
Career Pros: Workers Want Straight Talk Spooked by the surge in corporate accounting scandalsm, wary workers are looking for more candor from their employers. mark for My Articles similar articles
Managed Care
February 2002
Bob Carlson
Proposal To Regulate Formularies Draws Sharp Difference of Opinion The National Association of Insurance Commissioners has spent two years developing a model. Drug companies like it; health plans don't... mark for My Articles similar articles
Entrepreneur
May 2007
Jennifer Pellet
401(k) Reform Keeping your company's 401(k) program transparent. mark for My Articles similar articles
The Motley Fool
October 28, 2010
Our Top Stock Idea Our investing community's latest prime pick -- Medco Health Solutions. mark for My Articles similar articles
Managed Care
January 2007
Martin Sipkoff
Employers Want Plans & PBMs To Push Hard for Generics Health insurers' aggressive stand on members' use of generic drugs can attract new clients, but does it interfere with the physician-patient relationship? mark for My Articles similar articles
The Motley Fool
June 17, 2004
Seth Jayson
Big Business vs. Big Pharma An organization of human resources executives from companies that employ 12% of the private sector U.S. workforce is working to create a prescription drug "buyer's club," with the help of HR management firm Hewitt Associates. mark for My Articles similar articles
Managed Care
September 2005
Martin Sipkoff
Mail Order Pharmacy Saves Money, Says PCMA, but at What Cost? The savings to consumers and employers are apparent, but are health plans left holding the bag in mail-order pharmacy? mark for My Articles similar articles
Pharmaceutical Executive
May 1, 2011
Mason Tenaglia
Out of Control The pharmaceutical industry needs to use new and better data to accurately measure how much it is willing to invest in avoiding plan control. mark for My Articles similar articles
Managed Care
November 2003
Double-digit increases continue for health benefits Despite some slowing in the trend, employers can still expect to face the fifth straight year of double-digit increases for employee health care benefits. Towers Perrin surveyed 200 businesses with an average workforce of 7,200 to find that a 12-percent increase in costs is expected in 2004. mark for My Articles similar articles
CFO
March 1, 2012
David McCann
Companies May Win This Drug War The conflict between Express Scripts and Walgreen just might lead to lower drug-benefit costs for companies. mark for My Articles similar articles
The Motley Fool
February 28, 2005
Brian Gorman
Medco Covers Its Bases Medco's purchase of Accredo is a nod to future growth in biotech drug spending. mark for My Articles similar articles
Managed Care
April 2005
Martin Sipkoff
Health Plans, Employers Join Forces To Promote E-Prescribing The e-prescribing movement is getting some new advocates --employers. Can the combined influence of plans, employers, and the government affect physician buy-in? mark for My Articles similar articles
Managed Care
August 2004
MargaretAnn Cross
Employers Take the Lead In Drug Benefit Design Companies test new approaches to funding the pharmacy benefit with the goal of saving money overall. mark for My Articles similar articles
CFO
June 1, 2010
Alix Stuart
"This Is the Era of Smarter Medicine." A prescription-drug provider says it can thrive even as it helps drive down health-care costs. An interview with Richard Rubino, CFO, Medco Health Solutions Inc. mark for My Articles similar articles
Managed Care
May 2002
Sharon Baker
Self-Funded HMOs on the Rise Escalating premiums, changing attitudes play a role in employers' decision to take on the same thing that burned many physicians: financial risk mark for My Articles similar articles
Managed Care
November 1999
Steve Wetzell
To Cure Risk Aversion, Employers Eye Risk Adjustment ...The more employers can get consumers involved in the game, the more providers will become directly accountable to consumers. Under traditional managed care, employers -- without realizing it -- have put themselves in the middle of the relationship between physicians and their patients... mark for My Articles similar articles
The Motley Fool
February 22, 2005
Brian Gorman
Novartis Embraces Generics The company is taking a different path from its branded pharmaceutical peers. The company's strategy may make its stock worth a closer look. mark for My Articles similar articles
Managed Care
August 2001
Patrick Mullen
The Expanding Role of Pharmacists Lobbying in Washington, monitoring state legislation and generally looking out for the interests of pharmacy programs run by health care plans and pharmacy benefit managers, Judith Cahill leads the Academy of Managed Care Pharmacy at an exciting, critical time... mark for My Articles similar articles
The Motley Fool
November 4, 2009
Brian Orelli
This One Is Thriving in a Recession Saving customers money makes it easy for Medco. mark for My Articles similar articles
Investment Advisor
March 2007
Ken Weber
401(k) Plans' Dirty Little Secret Without fair, vigorous competition among 401(k) plan providers, millions of plan participants will be saddled with burdensome costs. And without disclosure, employees cannot pressure employers to seek more cost-effective plans. mark for My Articles similar articles