Physicians Practice February 17, 2020
It’s safe to say broadly that everyone wants healthcare in the United States to “be better.” Generally, this translates to improved affordability and outcomes for patients. For provider practices, these efforts often come with trade-offs, including significant increases in paperwork for prior authorizations or managing reams of “helpful” analyses of your practice. In this brief article, we look at the continued integration of insurers, pharmacy benefit managers (PBMs), providers, and health systems—representing what appears to be the next phase of making the system better—and its potential implications for practices.
Prime Therapeutics, a PBM owned by 18 Blue Cross Blue Shield (BCBS) plans, and Cigna-owned Express Scripts (ESI) recently announced a collaboration that will give them outsized leverage in negotiating...
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