employer · d plan
An emergent story thread — signals the timeline clustered together from their own shared language, not a fixed topic.
4 signals in the last 30 days Structural & Policy Drivers
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Medicare Part D: Payments and Contracts Between Pharmacies and Plan Sponsors That Are Vertically Integrated
What GAO Found The insurance plan sponsors that provide Medicare Part D drug coverage have increasingly become vertically integrated—that is, under common ownership—with pharmacy benefit managers and pharmacies. GAO found that, for four large Part D plan sponsors, the pharmacies they owned accounted for about 24 percent of the Part D drugs they provided to their enrollees (drug utilization) and about 28 percent of the total payments to pharmacies in 2023 (see figure). Payments included both r...
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CMS Proposes Reforms to Strengthen Transparency and Affordability in Medicare Advantage and Part D
CMS Proposes Reforms to Strengthen Transparency and Affordability in Medicare Advantage and Part D The Centers for Medicare & Medicaid Services (CMS) today issued a proposed rule that would improve the accuracy of provider directories for Medicare Advantage plans, establish transparency and compensation requirements for Pharmacy Benefit Managers (PBMs), and deliver enhanced cost-saving protections for low-income Medicare beneficiaries.
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Judi Health launches Medicare Part D plan for employer groups
Health technology and benefits administration platform Judi Health is launching a Medicare Part D plan called Judi Rx Retire, according to an Oct. 20 news release. The product is a CMS-contracted and -approved Employer Group Waiver Plan, meaning employers can offer this prescription drug coverage to their Medicare-eligible retirees. Judi Rx Retire includes pharmacy networks, […] The post Judi Health launches Medicare Part D plan for employer groups appeared first on Becker's Payer Issues | Pa...
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Judi Health launching employer Medicare Part D plan with a focus on transparency
Judi Health is launching a new Part D plan that aims to lean on its tech stack to drive transparency and outcomes.