Tennessee lawmakers recently passed a bill banning PBMs from owning pharmacies in the state, though like a similar Arkansas law, it is expected to face legal challenges if enacted.

The post Will Tennessee’s PBM Bill Face the Same Fate as Arkansas’ Law? appeared first on MedCity News.

President Donald Trump’s 2027 budget proposes deep healthcare cuts, raising concerns about harm to patients and research.

The post ‘A Significant Assault on Our Health’: Healthcare Policy Leaders Condemn Trump’s Budget Proposal appeared first on MedCity News.

Healthcare leaders can’t tell whether value-based care and Medicare Advantage are truly lowering costs. Some see promise in these models and ongoing innovations, while others say the programs haven’t delivered measurable savings and point to direct contracting as a more transparent way to control spending.

The post Do Healthcare CEOs Agree on Whether VBC and MA Actually Save Money? appeared first on MedCity News.

Employer groups praised a bill aimed at boosting healthcare competition and lowering costs by banning anticompetitive insurer-provider contracts.

The post Employer Groups Applaud Bill that Aims to Spur Competition in Healthcare appeared first on MedCity News.

Some healthcare experts supported Trump’s comments on lowering prescription drug costs, while others criticized his remarks on health coverage.

The post How Healthcare Leaders Responded to Trump’s State of the Union appeared first on MedCity News.

The Consolidated Appropriations Act of 2026 and the Department of Labor’s proposed rule implement major PBM reforms for employers, but don’t include everything they want, including a ban on spread pricing.

The post Employers Celebrated PBM Reform. The Reality Is More Complicated appeared first on MedCity News.

As lawmakers consider stricter PBM regulation, Cigna launched a “rebate-free” model to give patients upfront drug discounts, but experts question whether it will lead to meaningful change.

The post Cigna’s Rebate-Free Model Sounds Nice, But Experts Are Still Skeptical appeared first on MedCity News.

Many employers are struggling to access their medical claims data from vendors. However, those who do have access are more likely to implement strategies to combat healthcare costs.

The post A Third of Employers Can’t Access Medical Claims Data from Vendors, Survey Finds appeared first on MedCity News.

Employers are advocating for changes to the 340B Drug Pricing Program, arguing that it allows hospitals to “buy low and sell high” by purchasing discounted medications and charging insured patients full price.

The post Why Employers Think the 340B Program Needs Reform appeared first on MedCity News.

GLP-1s have proven to be highly effective for weight loss but pose significant cost challenges for employers, according to a recent panel of experts at MedCity INVEST.

The post Are GLP-1s Worth the Hype? appeared first on MedCity News.

[Sponsored] In a webinar sponsored by Personify Health, executives from international chemical company Dow and the National Alliance of Healthcare Purchaser Coalitions discussed some of the tough choices companies are making.

The post How Can Self-Insured Employers Identify Ways to Rein in Healthcare Costs? appeared first on MedCity News.

Employers are starting to face lawsuits from employees for not fulfilling their fiduciary duty. However, employers are also struggling to access their claims data from their third party administrators, which makes it difficult to uphold their fiduciary responsibility, experts say.

The post Stuck in the Middle: Employers’ Challenges In Accessing Their Health Data appeared first on MedCity News.

Employers are in a unique position to drive change in obesity care, but face several challenges. Experts shared numerous strategies employers can implement.

The post ‘The Time Is Now’: How Employers Can Offer Comprehensive Obesity Care appeared first on MedCity News.

Employers are struggling with point solution fatigue, but does that mean new startups shouldn’t be selling to them anymore? Experts have mixed opinions.

The post Should New Entrants Bother With Selling Point Solutions To Employers? appeared first on MedCity News.

[Sponsored] The Payer Insights Program at ViVE 2024, in partnership with MedCity News, kicks off day one at the event. This new immersive program will focus on the impact of rising healthcare costs, recent regulatory changes, and innovative payer solutions for optimizing data insights, minimizing costs, and expanding access to care.

The post 3 Reasons to Attend the Payer Insights Sessions at ViVE 2024 appeared first on MedCity News.

About eight in 10 employers think drug costs, high-cost claims and hospital prices are a “significant threat to affordability,” according to a new survey from National Alliance of Healthcare Purchaser Coalitions.

The post Report: Less than Half of Employers Are Confident In Integrity of Hospitals, PBMs appeared first on MedCity News.

The National Alliance of Healthcare Purchaser Coalitions released a playbook on Monday that outlines the key concerns employers have about pharmacy benefit management, and provides several recommendations for employers.

The post National Alliance of Healthcare Purchaser Coalitions Develops Playbook for Managing Drug Costs appeared first on MedCity News.

Only 31% of employers are satisfied with their behavioral health networks, a new survey found. When it comes to behavioral health directories, just 34% of employers agreed that directories had accurate information.

The post Survey: Mental Health Access Is Lacking, Employers Say appeared first on MedCity News.