Payers

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Commercial insurers, the employer and individual market, plus Medicare trends, Medicare Advantage, & Medicaid managed care

PAYERS
Large Employers Push Back on PBMs
In 2020, eight companies in the National Drug Purchasing Coalition hope to change how PBMs do business.
THE FUTURE OF MANAGED CARE
Lab Benefit Managers Seek To Stem The Rising Tide of Genetic Tests
As genetic testing gets more costly and complex, health plans call on yet another intermediary for help in curbing excessive utilization. But is adding a new middleman really the answer?
THE FUTURE OF MANAGED CARE
For Managed Care, the Future Looks Rosy if…
Managed care can survive and may even thrive, experts say. But that will be in a world where public payers loom larger, provider prices are pushed down, the wellsprings of illness are addressed, and consumers aren’t quite so frustrated and angry.
PAYERS' PLAYBOOK
Employer Groups to Hospitals: Your Prices Are Too Darn High!
A Rand report showing that some hospitals charge 200% to 300% more than Medicare pays has sparked a new effort among employers to push hospitals to cut what they charge for care. Hospital leaders say price is only part of the story.