Optum Rx unveils new transparent PBM model
fiercehealthcare - UnitedHealth Group's pharmacy benefit manager, Optum Rx, is making the shift to a more transparent model, the company announced Monday.
AI Summary: Optum Rx unveiled a new pharmacy benefit model that separates drug list prices from PBM fees and adopts clearer pass‑through pricing. Aimed at employers and payers fed up with opaque pharmacy economics, the proposal promises simpler contracts and fee clarity — an attempt to make PBMs boringly accountable and maybe slightly less profitable.
- Industry responses to rising drug costs and PBM models (4)
- Lawmakers and states press PBM vertical-integration reform (4)
- Optum Rx unveils transparent PBM model (4)
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Industry responses to rising drug costs and PBM models
Lawmakers and states press PBM vertical-integration reform
Optum Rx unveils transparent PBM model
All Other Stories
Healthcare bankruptcies increased 33% in Q1: 6 things to know
Andrew Cass / beckershospitalreview - Healthcare Chapter 11 bankruptcy filings rose to 12 cases in the first quarter of 2026, up from 9 cases in the fourth quarter of 2025, according to an April report by Gibbins Advisors. The report analyzed Chapter 11 bankruptcy filings with liabilities of …
AI Summary: A new report finds healthcare bankruptcies rose 33% in the first quarter, underscoring mounting financial pressure across providers from squeezed margins, rising expenses and a tricky reimbursement environment. The surge raises concerns about patient access, consolidation and creditor fallout, and suggests policymakers and executives may need to stop pinching pennies and start fixing structural problems.
- Budgeting, Labor and Management Fixes Under Strain (5)
- Closures, Downgrades and State Rescue Responses (4)
- Q1 Bankruptcy Surge: Numbers and Sector Breakdown (3)
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