GOP Pulls its Budget Punches as Follow-Up Legislation Advances on Capitol Hill

The executive order targets lower drug prices through Medicare reforms, anticompetitive crackdowns, and transparency mandates.

On this episode of Managed Care Cast, we speak with the author of a study published in the February 2025 issue of The American Journal of Managed Care® to uncover significant differences in coverage decisions for pharmacogenetic tests across major US health insurers.

In 2021, UnitedHealth Group received 42% of the $33 billion in additional Medicare Advantage payments from differential coding.

The annual wellness visit is beneficial for patients, providers, and payers with an emphasis on preventive care for early intervention.

Prior authorizations create substantial administrative and financial burdens on physicians and patients and can disrupt the continuity of care.

Best practices can help MA plans improve their Star Ratings performance while allow for strategies for medication adherence to grow.