editor 
WASHINGTON—Several major insurance companies announced voluntary price reductions Friday after learning that President Trump intended to ask them “nicely” to lower costs during a meeting scheduled for later this month. … Read more
The hospital insists the discovery was accidental. During routine due diligence, executives were reviewing a run-of-the-mill primary care office when they noticed something unusual hiding between the exam table and the wall-mounted otoscope. A previously undocumented organism. It was just lying there in plain site. It looked so quiet and profitable.
It has been a hard week for pharmacy benefit managers. Not financially. Emotionally. Several PBMs were asked to explain things they normally keep in their footnotes. Some of them were … Read more
Insurers announced a new tool. They say it improves transparency, efficiency, and margins. They mostly say efficiency. It’s called the Guess-o-meter™. A proprietary system. No outside review. No explanation. The … Read more
WASHINGTON—Health insurers confirmed this week that prescription formularies are built using a disciplined, data-driven method known internally as “Who Brought the Biggest Rebate.” Executives described the process as neutral, objective, … Read more
WASHINGTON—Patients across the country are reporting significant savings on prescription medications after discovering a bold new cost-containment strategy: politely ignoring the insurance plan they pay for every month. “I ran … Read more
WASHINGTON—Health insurers announced a major breakthrough this week after successfully eliminating conflicts of interest by simply buying every party involved in healthcare. “We realized the easiest way to manage conflicts … Read more
WASHINGTON—In a reassuring display of regulatory consistency, federal officials reaffirmed this week that physicians should not be allowed to own hospitals due to “obvious conflicts of interest,” while insurance conglomerates … Read more
WASHINGTON—Testifying before Congress on Tuesday, a leading pharmacy benefit manager (PBM) CEO reassured lawmakers that pharmaceutical rebates are, in fact, passed on to patients…
— CoveragePending.com Investigative Desk (Est. 3 a.m., fueled by cold coffee and righteous indignation) In a groundbreaking study released this week—after three years of peer review, two appeals, and one … Read more