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Cigna Details the Costs of Moving Its PBM Away From Rebates, Freaking Out Wall Street

Cigna Details the Costs of Moving Its PBM Away From Rebates, Freaking Out Wall Street

And Lilly’s earnings call details a fundamental fact of the market: drug prices generally go down over time

Brian Reid
Brian Reid
Oct 31, 2025
Paid
GSK Says Medicare Negotiations Are Complete and ‘In Line With Expectations’

GSK Says Medicare Negotiations Are Complete and ‘In Line With Expectations’

And two companies push back on a 340B loophole that allows for-profit doctors access to 340B prices

Brian Reid
Brian Reid
Oct 30, 2025
Paid
Another Quarter, Another Record: United’s PBM Unit Records Nearly $40B in Revenue, Over $1.5B in Profit

Another Quarter, Another Record: United’s PBM Unit Records Nearly $40B in Revenue, Over $1.5B in Profit

Plus STAT goes deep on Bausch Health’s decision to leave Medicaid/340B and more commentary on the Cigna/Express Scripts rebate announcement

Brian Reid
Brian Reid
Oct 29, 2025
Paid
Three Ways of Looking at Yesterday’s Cigna/Express Scripts Announcement on Rebates

Three Ways of Looking at Yesterday’s Cigna/Express Scripts Announcement on Rebates

And earnings season is upon us, though CEO commentary on policy issues -- thus far -- remains scant

Brian Reid
Brian Reid
Oct 28, 2025
Paid
Cigna/Express Scripts Unveils a Plan to Move Away From Rebates

Cigna/Express Scripts Unveils a Plan to Move Away From Rebates

And the media attention around 2026 premium increases is only growing

Brian Reid
Brian Reid
Oct 27, 2025
Paid
340B Gets Attention in the Senate, But the Prospects for Action Remain Cloudy

340B Gets Attention in the Senate, But the Prospects for Action Remain Cloudy

And five illuminating images from this week’s KFF survey on employer-sponsored insurance

Brian Reid
Brian Reid
Oct 24, 2025
Paid
ICER’s Report on Launch Pricing Falls Short by Emphasizing Questionable Price Data Rather Than Access Barriers

ICER’s Report on Launch Pricing Falls Short by Emphasizing Questionable Price Data Rather Than Access Barriers

And introducing an Apex-only resource on "Team MFN": the four administration officials who are spearheading negotiations for the White House's company-by-company drug pricing push

Brian Reid
Brian Reid
Oct 23, 2025
Paid
The Average Premium for a Family With Commercial Insurance Is Now $27,000. Is That Sustainable?

The Average Premium for a Family With Commercial Insurance Is Now $27,000. Is That Sustainable?

And a new entrant into the “direct-to-business” space promises employers more flexibility in drug coverage ... and a path around PBMs

Brian Reid
Brian Reid
Oct 22, 2025
CBO Raises Cost Estimate of the Orphan Provisions of the Tax-and-Medicaid-Cuts Bill

CBO Raises Cost Estimate of the Orphan Provisions of the Tax-and-Medicaid-Cuts Bill

And lost rebates from 340B in Medicare are costing that program $13 billion

Brian Reid
Brian Reid
Oct 21, 2025
Paid
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