Pharmacy benefit manager Express Scripts, part of Cigna’s Evernorth subsidiary, will be adding Humira biosimilars to its formulary in 2023 as preferred products, which will be available to patients with inflammatory conditions.
Dr. Dhesi Raja, vice chair of the Board of Advisory at HIMSS APAC, says it is important for the region’s hospitals to envision the goal for AI in healthcare and adopt systemic changes enabling population health management.
In a newly proposed rule, the Centers for Medicare and Medicaid Services is changing prior authorization standards to speed up the time it takes for payers to approve the requests and is implementing HL7 FHIR standards to support an electronic process. CMS is proposing to require certain payers, including Medicare Advantage organizations, to implement electronic […]
BOSTON – The question that arises when the topic of risk quantification comes up in healthcare is, “How much is it going to cost me?” said Jack Lewin, speaking during the HIMSS Healthcare Security Forum in Boston. “How do we value the healthcare data we’re trying to protect here?” asked Lewin, founder and principal of […]
Centene has sold off Magellan Rx to Prime Therapeutics for $1.5 billion, a move that will add Magellan’s specialty drug management to Prime’s pharmacy benefit management tools. The end result, the companies said, will be a “diversified pharmacy solutions organization” serving commercial markets and government programs.