PBMs may represent everything wrong with U.S. healthcare
Pharmacy benefit managers (PBMs), which claim a significant portion of healthcare spending, exemplify the broader exploitation by intermediaries in U.S. healthcare, prompting urgent calls for Congressional scrutiny and systemic reform.
UnitedHealth Group – The “Death Star” of U.S. healthcare
UnitedHealth Group's aggressive acquisition strategy, particularly in areas where it dominates Medicare Advantage, highlights its influence over the U.S. healthcare system and underscores the need for providers to understand and...
So much Medicare Advantage noise, so little time
Medicare Advantage plans have grown significantly, benefiting insurers through higher taxpayer costs driven by coding intensity, while raising concerns about their effectiveness and necessitating strategic evaluation by providers and government...