The FDA approval of Aduhelm on June 7, 2021, sparked both concern and confusion among stakeholders. There was skepticism that patients in all stages of…
Express Scripts has announced its formulary changes effective July 1, 2021. These changes result from their constant evaluation of the clinical and economic value of…
Channel management provides the ability to compare costs across pharmacy and medical benefits. It generates an opportunity to prepare new strategies and monitor programs already…
Recently, Evernorth released their 2020 Drug Trend Report. For many years this report, recently rebranded from Express Scripts to Evernorth, has been one of the more…
High-cost patients, high-cost claims, and other outliers can challenge even the most sophisticated payers and plan sponsors. Knowing today’s outliers will not help you get…
Join the discussion already in progress as we shift gears from last week’s installment on “Utilization Management: How to achieve best practices in the managed care…
As the pandemic continues and COVID-19 cases rise across our nation, it can be challenging to sort through all the news. Promising scientific advances in…
Diabetes is a top category of spend for most plan sponsors. According to the American Diabetes Association, people diagnosed with diabetes incur average medical expenditures…
Join the discussion already in progress as we shift gears from last week’s installment on “Unpacking utilization and medical pharmacy integration” to this week’s…