Paucity of drug price regulation an opportunity for insurers' pharmacy benefit managers

Though the government has been slow to regulate drug prices, analysts say there's a silver lining for insurers such as UnitedHealth that have in-house pharmacy benefit managers (PBMs), according to an article from The Street. One such analyst is Leerink's Ana Gupte, who wrote in a recent note that managed care organizations have the opportunity prove their value and "win in the marketplace through integrated medical and pharmacy benefits." This will benefit United as well as potential merger partners Aetna and Humana, she says. Gupte also expects Anthem and Cigna to continue to build out PBM capabilities, as the companies' executives have hinted they want to do. Article

Free Webinar

Take Control of Your Escalating Claim Costs through a Comprehensive Pre-payment Hospital Bill Review Solution

Today managing high dollar claim spend is more important than ever for Health Plans, TPAs, Employers, and Reinsurers, and can pose significant financial risks. How can these costs be managed without being a constant financial drain on your company resources? Our combination of the right people and the right technology provides an approach that ensures claims are paid right, the first time. Register Now!

Suggested Articles

CMS is proposed to lower the user fee for ACA exchange insurers and wants to enable the private sector to develop competing signup websites.

With the distribution of a COVID-19 vaccine looming, companies in the pharmaceutical supply chain are working overtime to plan for all contingencies.

The pandemic is transforming the way the healthcare industry handles payments. Here are key takeaways on the benefits of automated payments.