Editor’s note: This story is based on discussions at Abarca Forward, a conference in San Juan, Puerto Rico, hosted by Abarca Health, a pharmacy benefit manager. MedCity News was invited to attend the event….
Continue Reading
Key Findings from the Investigation
The Federal Trade Commission’s latest interim staff report, released January 14, 2025, reveals shocking pricing practices among the nation’s leading pharmacy benefit managers (PBMs): Caremark Rx, Express Scripts, and OptumRx….
Those hoping for meaningful drug pricing and prior authorization reform this holiday season received a lump of coal instead.
On Saturday, President Joe Biden signed a narrower spending bill that avoided a government shutdown but…
Continue Reading
Healthcare’s Hidden Cost Crisis: How Middlemen and Outdated Tech are Bankrupting AmericaBy Navin Nagiah
Navin Nagiah, MS is co-founder and CEO of Daffodil Health.
Recent articles, including those in The New York Times,…
Continue Reading
Former President Donald Trump’s return to the White House is certain to bring about changes across many facets of the healthcare sector — including reproductive care, federal insurance programs and prescription drugs.
Experts interviewed for…
Continue Reading
The financialization of the system started in the early 70s with the health insurance companies and later with PBMs with TPAs all these acronyms. But essentially in the big picture, they are a middleman…
Continue Reading
For years, leaders in the health and tech industries have hypothesized how AI can transform the healthcare experience. While there has been some progress in clinical applications – for example, diagnostic tools – Abarca…
Continue Reading
Joe Gabler, Chief Growth Officer at Paytient
What You Should Know:
– Paytient, the leading innovator in health plan affordability solutions, today announced the appointment of Joe Gabler as its Chief Growth Officer (CGO).
– Mr. Gabler…
Continue Reading
Many factors make revenue cycle management (RCM) a big headache for U.S. health care providers. Aakarsh Sethi, Senior Product Manager at Infinx, lists the forms of “fragmentation” in payments: not just many different payers,…
Continue Reading
Many factors make revenue cycle management (RCM) a big headache for U.S. health care providers. Aakarsh Sethi, Senior Product Manager at Infinx, lists the forms of "fragmentation" in payments: not just many different payers,…
Continue Reading
