Under the law, PBMs must allow any pharmacy to participate in their network and allow patients to use their pharmacy of choice.

DOL officials wanted PBMs to share the costs, but the new transparency mandate law prohibits PBMs from paying the auditors.

How can employers control costs without sacrificing the quality of care or the satisfaction of their people? The answer lies in embracing a new model.

Top advisors are solving problems better, not just selling harder. Learn how captives deliver transparency, control, and stability.

Baby boomers are retiring at roughly 10,000 per day, and their $30 trillion in retirement assets could be part of an $84 trillion intergenerational wealth transfer over the next two decades.

Meijer is making two of the most sought-after GLP-1 medications, Wegovy and Ozempic, more affordable for its customers by accepting savings programs available with the patient support program NovoCare ...

EmblemHealth is also supposed to pay restitution to enrollees who paid for out-of-network behavioral health care and improve enrollees' access to behavioral health care providers.

Eric Silverman explores the evolving world of "enhanced" benefits and why every employee offering deserves attention, not ...

Join BenefitsPro editor-in-chief Paul Wilson and a panel of clinical, HR, and benefits leaders for a practical discussion on building a proactive health strategy that works.

Brooke Willson, a senior vice president at NABIP, and Trace Hall, the group's controller, will serve as interim leaders while the group is looking for a new CEO.

That company and four other big players overcame all of the negativity to generate about $180 billion in total revenue.

"If North Carolina is any guide, such regulation can be effective at leveling the playing field between the fully insured and self-funded markets," an analyst at Georgetown University's Center for ...