The Nuts & Bolts of PBM

Oliver Wyman Gathers Senior Healthcare Executives for Annual Health Innovation Summit

Retrieved on: 
Thursday, September 14, 2023
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Adoption of generative AI and the emergence of new weight-loss drugs are two of the breakthrough trends that leaders from across healthcare will examine during this year’s Oliver Wyman Health Innovation Summit.

Key Points: 
  • Adoption of generative AI and the emergence of new weight-loss drugs are two of the breakthrough trends that leaders from across healthcare will examine during this year’s Oliver Wyman Health Innovation Summit.
  • “It’s an exciting time in healthcare and in healthcare innovation,” said Sam Glick, partner and global leader of Oliver Wyman’s Health and Life Sciences practice.
  • Individuals not attending the event can access real-time insights and perspectives through Oliver Wyman’s social media channels, including Twitter via @OliverWyman , @ OWHealthEditor and LinkedIn via Oliver Wyman and Oliver Wyman Health .
  • For more information on this year’s event or to speak with Oliver Wyman about the Summit, please contact Francine Minadeo at [email protected] .

FTC Announces Tentative Agenda for July 20 Open Commission Meeting

Retrieved on: 
Thursday, July 13, 2023
Commission, PBM, Webcast, Disclosure, The Nuts & Bolts of PBM, Industry, Fraud, Social media, News, FTC, Federal Trade Commission, Comment

Today, Federal Trade Commission Chair Lina M. Khan announced that an open meeting of the Commission will be held virtually on Thursday, July 20, 2023.

Key Points: 
  • Today, Federal Trade Commission Chair Lina M. Khan announced that an open meeting of the Commission will be held virtually on Thursday, July 20, 2023.
  • The open meeting will commence at 11am ET and will begin with time for members of the public to address the Commission.
  • Members of the public must sign up for an opportunity to address the Commission virtually at the July 20 event.
  • Follow the FTC on social media, read our blogs and subscribe to press releases for the latest FTC news and resources.

FTC Announces Tentative Agenda for July 20 Open Commission Meeting

Retrieved on: 
Thursday, July 13, 2023
Commission, PBM, Webcast, Disclosure, The Nuts & Bolts of PBM, Industry, Fraud, Social media, News, FTC, Federal Trade Commission, Comment

Today, Federal Trade Commission Chair Lina M. Khan announced that an open meeting of the Commission will be held virtually on Thursday, July 20, 2023.

Key Points: 
  • Today, Federal Trade Commission Chair Lina M. Khan announced that an open meeting of the Commission will be held virtually on Thursday, July 20, 2023.
  • The open meeting will commence at 11am ET and will begin with time for members of the public to address the Commission.
  • Members of the public must sign up for an opportunity to address the Commission virtually at the July 20 event.
  • Follow the FTC on social media, read our blogs and subscribe to press releases for the latest FTC news and resources.

FTC Announces Tentative Agenda for July 20 Open Commission Meeting

Retrieved on: 
Thursday, July 13, 2023
Commission, PBM, Webcast, Disclosure, The Nuts & Bolts of PBM, Industry, Fraud, Social media, News, FTC, Federal Trade Commission, Comment

Today, Federal Trade Commission Chair Lina M. Khan announced that an open meeting of the Commission will be held virtually on Thursday, July 20, 2023.

Key Points: 
  • Today, Federal Trade Commission Chair Lina M. Khan announced that an open meeting of the Commission will be held virtually on Thursday, July 20, 2023.
  • The open meeting will commence at 11am ET and will begin with time for members of the public to address the Commission.
  • Members of the public must sign up for an opportunity to address the Commission virtually at the July 20 event.
  • Follow the FTC on social media, read our blogs and subscribe to press releases for the latest FTC news and resources.

The 2nd Annual "Top Pharmaceutical Patient Advocacy Teams" As Rated by Patient Advocates

Retrieved on: 
Tuesday, May 30, 2023
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WEST CHESTER, Pa. , May 30, 2023 /PRNewswire/ -- The Advocate: Supporting the Patient Voice has released the 2nd Annual Top Overall Healthcare Patient Advocacy Organizations list.

Key Points: 
  • WEST CHESTER, Pa. , May 30, 2023 /PRNewswire/ -- The Advocate: Supporting the Patient Voice has released the 2nd Annual Top Overall Healthcare Patient Advocacy Organizations list.
  • This initiative aims to prioritize the needs of patients by amplifying the voice of patient advocacy organizations (PAOs).
  • These industry leaders are now actively collaborating with patient advocacy communities to gain a better understanding of patient experiences and improve patient outcomes.
  • "The Advocate has recognized Janssen, Pfizer, and Lilly as the top three Pharmaceutical Advocacy Teams and we acknowledged the runners-up.

New Polling: Patients and Providers Oppose Prior Authorization Policies Imposed by Insurers and PBMs

Retrieved on: 
Friday, March 3, 2023
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Prior authorization is a harmful utilization management practice that requires doctors to obtain specific approval from health insurers before they are able to prescribe a treatment to their patients.

Key Points: 
  • Prior authorization is a harmful utilization management practice that requires doctors to obtain specific approval from health insurers before they are able to prescribe a treatment to their patients.
  • 74% expressed concern that prior authorization can require patients to substitute less effective or ineffective treatments for what their doctors prescribed.
  • “Addressing the administrative burden of prior authorization requests would increase the time providers spend treating patients.”
    Polling results indicate that patients are concerned about prior authorization burdens on providers and office staff, and payer procedures in rheumatology offices create the biggest challenges.
  • 71% of polling respondents are worried that filing and following up on prior authorization requests diverts doctor and staff time spent with patients.

Codoxo Recognized as One of the Southeast Region's Fastest Growing Private Companies by Inc. Magazine

Retrieved on: 
Wednesday, March 1, 2023
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ATLANTA, March 1, 2023 /PRNewswire-PRWeb/ -- Codoxo, a trusted provider of healthcare artificial intelligence solutions for healthcare payers, agencies and pharmacy benefits managers (PBMs), today announced that it has been named No. 20 on the Inc. 5000 Regionals Southeast list based on its significant two-year growth rate. The Inc. 5000 Southeast list ranks the fastest-growing private companies based in Alabama, Arkansas, Florida, Georgia, Kentucky, Louisiana, Mississippi, Puerto Rico, South Carolina, and Tennessee. Of the 200 companies that made the Southeast list, Codoxo is the seventh-fastest growing company in Georgia and the second-fastest growing in the "Health Services" category.

Key Points: 
  • 20 on the Inc. 5000 Regionals Southeast list based on its significant two-year growth rate.
  • The Inc. 5000 Southeast list ranks the fastest-growing private companies based in Alabama, Arkansas, Florida, Georgia, Kentucky, Louisiana, Mississippi, Puerto Rico, South Carolina, and Tennessee.
  • Of the 200 companies that made the Southeast list, Codoxo is the seventh-fastest growing company in Georgia and the second-fastest growing in the "Health Services" category.
  • Codoxo has earned several awards and accolades that further underscore the company's upward trajectory within the growing healthcare cost containment industry.

5WPR Announces Specialty Healthcare Technology and Digital Health PR Division

Retrieved on: 
Thursday, January 26, 2023
Software, 5WPR, 5W, Digital media, Human, Fintech, The Nuts & Bolts of PBM, Robotics

NEW YORK, Jan. 26, 2023 /PRNewswire/ -- 5W Public Relations , one of the largest independently-owned PR firms in the U.S., announced today the launch of a specialty healthcare technology and digital health PR division .

Key Points: 
  • NEW YORK, Jan. 26, 2023 /PRNewswire/ -- 5W Public Relations , one of the largest independently-owned PR firms in the U.S., announced today the launch of a specialty healthcare technology and digital health PR division .
  • "The digital health space has been on a significant growth trajectory for some time and the widespread adoption of digital health services has only accelerated during and since the pandemic," said 5WPR, CEO, Matt Caiola .
  • In addition to the new healthcare technology and digital health division, 5WPR's tech practice has highly-specialized divisions in adtech, martech and fintech.
  • PR services offered to healthcare technology and digital health clients include messaging and positioning, media relations, initial public offering media strategy, new market expansion campaigns, visibility programs, content creation, sponsorships/partnerships, digital media campaigns, event planning, thought leadership and speaking opportunities.

Buck survey shows continued increases in healthcare costs for employer-sponsored plans

Retrieved on: 
Thursday, September 15, 2022
Health, Pension, Projection, COVID-19, Plasma protein binding, NEW, Organization, Contract, Pressure, Buck, The Nuts & Bolts of PBM, COVID, FSA, Prescription drug, Technology, Pharmacy benefit management, Trustee, Pharmacy, Health care, PPO, Medicine, Insurance, Health insurance, Medicare

NEW YORK, Sept. 15, 2022 /PRNewswire/ -- Buck, an integrated HR, pensions, and employee benefits consulting, technology, and administration services firm, today announced findings from its 43rd National Healthcare Trend Survey of nearly 100 health insurers and health plan administrators covering over 100 million plan participants. The survey identifies trend factors used by health insurers and third-party administrators to project employers' future healthcare costs.

Key Points: 
  • The survey identifies trend factors used by health insurers and third-party administrators to project employers' future healthcare costs.
  • The report found that although healthcare costs continue to increase, the rate of increase has generally slowed across multiple categories such as medical and prescription drugs.
  • "Healthcare claims spiked in 2021 due to residual demand from COVID," said Harvey Sobel, FSA, a Buck principal and consulting actuary who directed the survey.
  • This is down by 1-2 percentage points from the prior survey, indicting a slower rate of increase in healthcare costs over the prior year.

Xevant Ranks No. 1 on the Inc. 5000 2022 List as the Fastest Growing Private Software Company in America

Retrieved on: 
Tuesday, August 16, 2022
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28 on its annual Inc. 5000 list, the most prestigious ranking of the fastest-growing private companies in America.

Key Points: 
  • 28 on its annual Inc. 5000 list, the most prestigious ranking of the fastest-growing private companies in America.
  • The list represents a one-of-a-kind look at the most successful companies within the economys most dynamic segmentits independent businesses.
  • Xevant is recognized as one of Modern Healthcares Best Places to Work and Inc. 5000s No.1 Fastest Growing Private Software Company in America.
  • Visit www.xevant.com and follow Xevant on LinkedIn for more information about how it helps its customers deliver faster, more accurate results.