Dr. Randell Correia Suggests How to Control Costs in Specialty Pharmacy

Randell "RJ" Correia, PharmD, Senior Vice President, Pharmacy Services, Optum Rx, addresses the rapid rise of specialty pharmacy spending. Dr. Correia discusses the possible complications health reform exchanges may cause and the impact they will have on the future of pharmacy benefit drug management.

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June 19th 2025

Many Patients Stop GLP-1s Before Reaching Target Dose: Hamlet Gasoyan, PhD

Hayden E. Klein Hamlet Gasoyan, PhD

Discontinuing the weight loss treatment before hitting the recommended maintenance dose contributes to low-value care despite provider follow-up and efforts to manage side effects, says Hamlet Gasoyan, PhD, Cleveland Clinic.

June 17th 2025

Managed Care Cast News Roundup: June 17, 2025

Giuliana Grossi

A quick roundup episode of major news and health policy developments from The American Journal of Managed Care.

June 18th 2025

Democratic Doctors Caucus Reaffirms EMTALA Amid Trump's CMS Policy Reversal on Abortion Care

Giuliana Grossi

Democratic leaders assert the Emergency Medical Treatment and Labor Act (EMTALA) remains vital for emergency care, countering confusion from recent policy changes affecting abortion rights and patient safety.

June 10th 2025

Blister Packs May Help Solve Medication Adherence Challenges and Lower Health Care Costs

Brooke McCormick Julia D. Lucaci, PharmD, MS

Julia Lucaci, PharmD, MS, of Becton, Dickinson and Company, discusses the benefits of blister packaging for chronic medications, advocating for payer incentives to boost medication adherence and improve health outcomes.

June 18th 2025

10 Years of Coverage Gains Threatened by Proposed Federal Policy Changes, Report Finds

Giuliana Grossi

The country has seen historic reductions in uninsured rates and improvements in affordability since the implementation of the Affordable Care Act, the Commonwealth Fund scorecard shows.

June 17th 2025

Democrats Introduce Bill to Create Public Medicare “Part E”

Rose McNulty

The Choose Medicare Act would establish a Medicare Part E that would give employers and the general public the ability to opt into the program.

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June 19th 2025

Many Patients Stop GLP-1s Before Reaching Target Dose: Hamlet Gasoyan, PhD

Hayden E. Klein Hamlet Gasoyan, PhD

Discontinuing the weight loss treatment before hitting the recommended maintenance dose contributes to low-value care despite provider follow-up and efforts to manage side effects, says Hamlet Gasoyan, PhD, Cleveland Clinic.

June 17th 2025

Managed Care Cast News Roundup: June 17, 2025

Giuliana Grossi

A quick roundup episode of major news and health policy developments from The American Journal of Managed Care.

June 18th 2025

Democratic Doctors Caucus Reaffirms EMTALA Amid Trump's CMS Policy Reversal on Abortion Care

Giuliana Grossi

Democratic leaders assert the Emergency Medical Treatment and Labor Act (EMTALA) remains vital for emergency care, countering confusion from recent policy changes affecting abortion rights and patient safety.

June 10th 2025

Blister Packs May Help Solve Medication Adherence Challenges and Lower Health Care Costs

Brooke McCormick Julia D. Lucaci, PharmD, MS

Julia Lucaci, PharmD, MS, of Becton, Dickinson and Company, discusses the benefits of blister packaging for chronic medications, advocating for payer incentives to boost medication adherence and improve health outcomes.

June 18th 2025

10 Years of Coverage Gains Threatened by Proposed Federal Policy Changes, Report Finds

Giuliana Grossi

The country has seen historic reductions in uninsured rates and improvements in affordability since the implementation of the Affordable Care Act, the Commonwealth Fund scorecard shows.

June 17th 2025

Democrats Introduce Bill to Create Public Medicare “Part E”

Rose McNulty

The Choose Medicare Act would establish a Medicare Part E that would give employers and the general public the ability to opt into the program.