Four pharmacists were sentenced after investigation of $13 million in losses to Medicare, Medicaid and Blue Cross.

In a stunning case of health care fraud, four pharmacists have been sentenced for their roles in a conspiracy that caused over $13 million in losses to Medicare, Medicaid, and private insurance ...

In a recent antitrust arbitration ruling, Prime Therapeutics, a pharmacy benefit manager (PBM) owned by 19 Blue Cross and ...

An Iowa bill looks to reform pharmacy benefit managers in the state and add new regulations for how they are able to operate.

Blue Shield has been more aggressive than most in working to curb drug costs, including through an unusual pharmacy benefits arrangement. In 2023, the payer announced it would drop CVS Caremark ...

Anthem Blue Cross and Blue Shield has dropped coverage ... out of town to pick up prescriptions instead of using the only pharmacy in their community. Robin Greenwald was upset when she received ...

The healthcare company is offering the voluntary separation in an effort to cut $600 million in administrative costs.

Joshua Cohen is a Boston-based writer who covers health policy. Blue Shield of California is bypassing traditional pharmacy benefit managers to offer a Humira (adalimumab)-referenced biosimilar ...