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The U.S. health insurance market is undergoing a post-pandemic sea change

Clarivate

Many insurers use similar networks for Medicaid and exchange plans, so shifting to an exchange plan is less likely to cause a lapse in coverage or abandonment of prescription drugs or maintenance medications that control chronic conditions.

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How retailers and “payviders” are disrupting U.S. healthcare in 2024

Clarivate

RxPass offers more than 50 select prescriptions at no additional cost for $5 per month. In classic Amazon style, its pharmacy offers two-day shipping on prescriptions by mail, with same-day delivery available in seven markets, with plans to add a dozen more cities by year end.

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Key Developments from AMCP 2023 on Blockbuster Generics, Diabetes Drugs, PBM Legislation, and More

PM360

This product would be a more potent prescription version than the OTCs, Casberg notes. This increases to 15 Part D drugs in 2026, as well as 15 Part B and D drugs in 2028, and a full 20 Part B and D drugs in 2029. Still, the law may impact claim operations and network contracts, Casberg noted.

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Three biggest threats to healthcare

World of DTC Marketing

By 2028, these costs are expected to climb to $6.2 While the media is focused on drug costs, which are a problem, only 12% of every healthcare dollar is spent on prescription drugs. A study reported that U.S. healthcare spending during 2019 was nearly $3.8 trillion, or $11,582 per person. trillion—roughly $18,000 per person.