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StackHealth / Optum Rx shifts network to cost‐based reimbursement model

Optum Rx: 100% of network community pharmacies shift to cost-based model

fiercehealthcare - Earlier this year, Optum Rx announced that it would shift to a cost-based model, which would boost reimbursements for brand-name drugs at community pharmacies.

AI Summary: In a significant payment model overhaul, Optum Rx has moved 100% of its community and independent pharmacies to a cost‐based model, a change aimed at aligning reimbursements with actual expenses and enhancing pharmacy viability in a challenging market.

#healthcare #pharmaceuticals #drugpricing #corporatetakeover

5 months / fiercehealthcare


Back to Top / Friday, December 19, 2025, 5:22 am / permalink 17127 / 4 stories in 5 months /


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