As care continues to move beyond the hospital, pharmacy has become an increasingly important enterprise capability that influences patient access, financial performance and long-term growth. This evolution is driven not only by drug acquisition costs but also by utilization growth, reimbursement complexity, payer-driven site-of-care restrictions, specialty pharmacy access and advanced therapies. “For health system leaders, ...

California’s ​highest court on Monday ruled in favor of Gilead Sciences (GILD.O), opens new tab in a closely watched case addressing whether ‌manufacturers of drugs that are considered safe must try developing drugs that could be safer. In a 6-1 decision, the California Supreme Court ordered the dismissal of negligence claims against Gilead by an estimated 24,000 ...

Vanessa Barahona received a call this past spring from Angelica at Kern Family Health Care in Bakersfield, California, telling her it was time to renew her coverage under Medi-Cal, the state’s version of Medicaid. Angelica helped Barahona, 41, schedule an appointment to complete her paperwork in person at Kern Family’s offices before she submitted it ...

Employer benefits are under more pressure and scrutiny than they have been in years. “Cost volatility, more complex workforce needs, tighter regulatory requirements and emerging technologies such as AI are pushing organizations beyond incremental adjustments toward more disciplined benefit management,” according to the latest Benefits Benchmarks report from Gallagher. The report focused on five key ...

The Trump administration announced it will end a subsidy program aimed at keeping premiums low for Medicare Part D beneficiaries. In a notice posted Tuesday, the Centers for Medicare & Medicaid Services released key guidance for Part D plans as they prepare bids ahead of the upcoming annual enrollment period. In it, the agency said it would ...

Democratic attorneys general are making a renewed push to challenge the latest regulation governing the Affordable Care Act’s marketplaces. In a lawsuit filed Friday, the AGs of 21 states, as well as Pennsylvania Gov. Josh Shapiro, argue that the rule, which establishes key policies for the 2027 plan year, will make ACA plans more expensive ...