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PHARMACY BENEFIT MANAGERS such as CVS Caremark, which is owned by CVS Health Corp, are being accused to wielding enormous power over prescription drug prices. / AP FILE PHOTO/CHRIS CARLSON

Are PBMs forcing out small drugstores, inflating medication prices?

Pharmacy benefit managers say they protect against prescription drug prices from rising exorbitantly high, but these companies – such as one operated by CVS...

Appeal of state’s $15B Medicaid contract highlights secrecy of process

It’s hard to make a case without all the facts. Which is why the two health insurance companies denied a piece of the state’s $15.5 billion, five-year...

BCBSRI to cut almost 65% of prior authorization requirements for primary...

PROVIDENCE – Blue Cross & Blue Shield of Rhode Island announced Thursday it will eliminate almost 65% of prior authorization requirements for primary care...

12-month program helps R.I. pediatricians navigate rising rates of child obesity

PROVIDENCE – As Rhode Island continues to grapple with a primary care workforce shortage, the state’s Care Transformation Collaborative of RI is working to...
DR. RAJ HAZARIKA, chief medical officer for commercial products at Point32Health, third from left, speaks during one of two panel discussions at Providence Business News’ Fall 2023 Health Care Summit on Wednesday. Also on the panel is, from left, Dr. Michael Wagner, CEO and president of Care New England Health System; Dr. Scott Rivkees, professor at Brown University's School of Public Health; and John Fernandez, CEO and president of Lifespan Corp. Moderating at right is PBN Editor Michael Mello. PBN PHOTO/MIKE SKORSKI

PBN summit panelists: AI could improve aspects of R.I.’s health care...

WARWICK – While Rhode Island’s health care industry is bouncing back after an “incredibly difficult” year in 2022, providers still have a long way...

Why We Need More Inclusive Health Plan Benefits

At Point32Health, we believe that all people should have access to high-quality health care, no matter their race, age, sexual orientation, socioeconomic status, or...

Health Benefits Trends for 2023: How Health Plans Can Help Rhode...

Rhode Island is a top state for job searchers – number six in the nation – which means employers have to do everything they...

Major Mass. health insurance company victim of cybersecurity attack

PROVIDENCE – A major Massachusetts health insurance company warned its members Wednesday that their personal data may have been breached during a cybersecurity attack...

Healthy Héroes wellness program expands in 2023

PROVIDENCE – Healthy Héroes, an after-school program designed to help children and their families develop healthy exercise and nutrition habits, is expanding to more...

How employers can offer inclusive benefits for today’s families

With only 19% of U.S. households comprising “traditional families,” employers must rethink how they deliver benefits to meet diverse family needs. Today’s definition of family...
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