Rx Oversight Issues at Federal Workers’ Comp Program Endangered Patients, Audit Says
OWCP says that hiring a PBM will address overprescribing and cost concerns, but a consultant who participated in the audit is skeptical.
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Three-agency guidance, issued as Biden administration is hoping to emphasize reproductive rights in its reelection campaign, outlines the narrow set of circumstances in which a health plan doesn’t have to fully cover certain types of birth control.
While many IRA changes are seen as having an adverse effect on stand-alone PDPs, tweaks to the risk adjustment model, TrOOP calculation, and enhanced plan benefit designs rolled out by CMS make predicting how the market will shake out difficult.
Vigorous regulatory scrutiny is a given, but opinions vary about how much the companies’ respective PBM businesses present a major antitrust risk.