A Chicago plumbers’ union is accusing Express Scripts Inc. of giving certain drugmakers preferential patient access in ...

These health care hurdles can stand in the way of getting treatment your doctor says you need. Here’s what to know about how ...

Speeding up insurers’ authorization process will deliver care more quickly and cut down on unnecessary red tape.

Express Scripts, a pharmacy benefit manager and subsidiary of Cigna (CI), has reached a settlement with the FTC over accusations that it artificially inflated the prices of insulin drugs, violating ...

The FTC’s newly announced settlement with Express Scripts marks a pivotal moment in the government’s campaign against ...

A woman with multiple sclerosis wanted to be able to walk up the stairs at home without losing her balance. Her doctor prescribed medicine that helped, but then approval from her insurance plan for ...

The FTC first sued Express Scripts, CVS Caremark, and Optum in 2024, claiming anticompetitive and unfair rebating practices surrounding insulin. “Caremark, [Express Scripts], and Optum—as medication ...

New partnership pilots Ethermed’s AI-driven prior authorization automation inside Tanner Health’s Epic environment.

The Federal Trade Commission has reached a landmark settlement with Express Scripts, one of the nation’s largest pharmacy benefit managers, requiring sweeping changes aimed at lowering insulin costs ...

The Federal Trade Commission reached a settlement with Cigna’s Express Scripts in a case over alleged inflation of insulin prices, according to a Feb. 4 agency news release. With the move, the FTC ...

California is one of 31 states that passed laws in 2025 limiting insurance companies’ use of prior authorization to approve or deny medical treatments.

Nearly all MA enrollees are subject to prior authorization — where providers have to receive an insurers’ approval before offering a service or medication — for some types of care, according to the ...