Managed Healthcare Executive

PSG survey signals payer shift on rebates

Rebates aren’t disappearing, but PSG's 2026 survey suggests payers increasingly favor lower net costs, biosimilars and price ...
El Paso Times

Employers Using Direct Primary Care Models Experience Reduced Healthcare Utilization Costs

SLIDELL, LA, UNITED STATES, January 2, 2026 /EINPresswire.com/ — Employers across multiple industries are increasingly examining healthcare utilization patterns as ...
The American Journal of Managed Care

Association of Opioid Utilization Management With Prescribing and Overdose

Opioid utilization management in Medicare was associated with mixed effects on opioid prescribing, and prior authorization was associated with a decreased likelihood of subsequent overdose. Objectives ...
ascopubs.org

Understanding Utilization Management Policy: How to Manage This Increasingly Complex Environment in Collaboration and With Better Data

Utilization management policy has many forms, but has become increasingly complex as cancer scientific discovery has blossomed, cancer subtypes have become more numerous, therapeutic opportunities ...
The American Journal of Managed Care

Association of Care Management Intensity With Healthcare Utilization in an All-Condition Care Management Program

Higher intensity of care management in an all-condition program addressing care coordination and care barriers was associated with increased healthcare utilization among Medicaid and Medicare patients ...