Pharmacy benefit managers act as middlemen between drugmakers, insurers, pharmacies and patients and are accused of selling marked-up medicine.

It’s open enrollment season for Medicare Advantage, when people currently enrolled in private managed-care plans can either sign up for a new one or switch to original Medicare through March ...

As the Centers for Medicare & Medicaid Services adjust regulations for the upcoming fiscal cycle, beneficiaries face a ...

For some, the transition has been relatively smooth. For others, the accumulation of many disparate costs is smothering.

Congress must pass bipartisan legislation to ensure Medicare coverage of breakthrough medical technologies, writes a physician and inventor.

The proposal, expected to begin as early as April 2026, would provide Medicare beneficiaries with up to $500 annually to purchase CBD products. Supporters argue the program could expand access to ...

Medicare Advantage insurers leaving certain markets affected more than 1 in 10 Americans enrolled in such plans with prescription drug coverage, a KFF analysis shows.

Gov. Mikie Sherrill told the pharmaceutical drug industry she would tackle rising drug prices by reining in the middlemen — pharmacy benefit managers.

Price transparency compliance is often “in-form” rather than “in-spirit,” with many machine-readable files failing to provide complete, accurate, and usable drug pricing data. Reform priorities ...

Medicare had banned coverage of weight-loss drugs for 23 years, and what happens next isn't as simple as the headlines suggest.

To date, every court that has considered substantive challenges to the Medicare drug price negotiation program has ruled ...