News
Legal Challenges Help When Reimbursement Rates are Underwater
3+ mon, 2+ week ago (802+ words) Even after the 2024 Medicare Part D reform that ended post'point-of-sale Direct and Indirect Remuneration fees, many pharmacies continue to struggle with underwater reimbursement rates from pharmacy benefit managers. Originally published by our sister publication Specialty Pharmacy Continuum By Gina Shaw…...
Avoiding Legal Trouble With PBMs and Regulators
3+ mon, 3+ week ago (698+ words) Pharmacy oversight demands strong compliance programs to prevent costly audits and safeguard against PBM enforcement....
The Policy and Financial Pressures Reshaping Patient Access in 2026 and Beyond
1+ mon, 1+ week ago (13+ words) Healthcare affordability shifts as coverage gaps widen and benefit changes reshape cost burdens....
Coverage Gaps, Reimbursement Barriers Remain for PDTs
2+ mon, 8+ hour ago (18+ words) Insurance coverage varies for approved digital therapies due to coding and benefit classification issues across U. S. payors....