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CA handed its Medicaid drug program to a company. Then came a corporate takeover.

By Samantha Young, Kaiser Health News Monday, April 11, 2022 1:08 AM

California awarded the Medi-Cal Rx program to a unit of Magellan Health, a company with expertise in pharmacy benefits and mental health. But Magellan was then gobbled up by industry giant Centene.

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The current approach to care management is not working. PBMs must return value to the healthcare discussion

By Karthik Ganesh Monday, April 11, 2022 1:03 AM

The PBM industry—a transaction-driven industry that highlights economic distribution, resting squarely on price, rebates, and discounts—has consistently let down employers and patients with models that behave like retail.

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Insurance company abuses are putting more patients' care out of reach

By Terry Wilcox Monday, April 11, 2022 12:43 AM

Insurers' abuse of prior authorization is creating health risks for patients and contributing to higher downstream costs for both beneficiaries and the larger health care system.

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Penn Medicine has found a digital workflow solution that departments have eagerly adopted

By Emma Bardin Monday, April 11, 2022 12:15 AM

Penn Medicine created a custom digital workflow platform designed to improve care and break down silos to improve patient care. a vast majority of departments voluntarily adopted the platform.

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