News
Florida Takes Aim at CVS Caremark: Why the Sunshine State's Investigation Could Be a Turning Point for PBM Oversight
1+ hour, 24+ min ago (1341+ words) Arkansas led the way. Tennessee recently followed with legislation restricting PBM ownership of pharmacies. Congress, CMS, the FTC and state attorneys general have continued to examine PBM reimbursement practices, patient steering, rebate arrangements, pharmacy network design and the competitive effects…...
CMS Announcement of Nationwide Temporary Moratoria on Enrollment of Hospices and Home Health Providers
3+ week, 4+ day ago (631+ words) Buchanan Ingersoll & Rooney PC CMS Announcement of Nationwide Temporary Moratoria on Enrollment of Hospices and Home Health Providers On May 13, 2026, the Centers for Medicare & Medicaid Services (CMS) announced 6-month nationwide moratoria on new Medicare enrollments of hospice and home health…...
The No Surprises Act Is Becoming a Legal and Reimbursement Trap for Providers
1+ mon, 5+ day ago (890+ words) Buchanan Ingersoll & Rooney PC The No Surprises Act Is Becoming a Legal and Reimbursement Trap for Providers The No Surprises Act was supposed to create a fairer system. Patients were receiving unexpected out-of-network bills for emergency care, anesthesia services, radiology…...
Ohio Legislatures Sign PBM Reform Into Law
2+ mon, 2+ week ago (290+ words) Buchanan Ingersoll & Rooney PC Ohio Legislatures Sign PBM Reform Into Law On March 31, 2026, Ohio Governor Mike De Wine signed Ohio House Bill 229 into law, marking a significant milestone in pharmacy benefit manager (PBM) reform in the state. These comprehensive reforms…...
CVS Caremark Settles FTC Insulin Pricing Lawsuit: Key Developments and Industry Impact
3+ mon, 3+ hour ago (396+ words) Buchanan Ingersoll & Rooney PC CVS Caremark Settles FTC Insulin Pricing Lawsuit: Key Developments and Industry Impact CVS Caremark has reached a proposed settlement agreement with the Federal Trade Commission (FTC). The proposed agreement follows a high-profile FTC lawsuit filed in…...
National Pharmacy Benefit Manager Implements Direct-to-Consumer Model
5+ mon, 2+ week ago (465+ words) Buchanan Ingersoll & Rooney PC National Pharmacy Benefit Manager Implements Direct-to-Consumer Model As the healthcare landscape rapidly evolves, the direct-to-consumer (DTC) model is transforming how Americans access prescription medications, putting price transparency, convenience and control directly into patients" hands, while also…...