Pharmacy

Lone physician at family clinic charged with 19 counts of distribution of controlled substances, including opioids, as well as defrauding Medicare and Medicaid.

Specialists say legislation is needed to grow workforce and hold pharmacy benefit managers accountable for driving prices up for consumers.

CMS existing policy requires plan sponsors to ensure enrollees pay the lesser of the Part D negotiated price or copay.

Senate committee is taking a closer look at the drug discount program.

Nearly half of study participants revealed that they at times decide not to take their medication.

Medicare Advantage insurer Clover paired its data and care management with YouScript's genomic testing to reduce adverse drug interactions.

Strategies include increased competition and negotiation with incentives to lower list prices and out-of-pocket costs, HHS Sec. Alex Azar says.

Hospitals are doing their part in cost control by streamlining care, cutting readmissions, adopting new reimbursement models so big pharma must shift focus off marketing and onto its own cost-cutting, the groups say.

HELP Committee Chairman Lamar Alexander said he would ask Senate leaders to consider the bill this summer.

The deal marks Harvard Pilgrim's third such contract aligning medication payments to real-world performance with patients.