Learn how Express Scripts by Evernorth can help plans succeed in the complex world of government-regulated health care

October 8, 2024

marketplace medicaid Medicare

The world of Regulated Markets is constantly changing. Express Scripts by Evernorth offers the expanded capabilities you need to succeed in today’s regulated space by turning insightful data into innovative solutions that drive affordability and opportunities for better member outcomes.

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legislation

Federal Policymakers Tour Facilities in Missouri, Pennsylvania, and Tennessee

Federal policymakers recently visited Express Scripts and Accredo sites across the country to get a firsthand look at how our employees work every day to improve the health and vitality of those we serve. With the support and partnership from colleagues across the enterprise, these visits enable us to showcase our commitment to patients as […]
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September 9, 2025

EGWP marketplace medicaid Medicare

legislation

US-EU Announces Trade Framework Agreement

On Aug. 21, the U.S. and European Union (EU) released a long-awaited joint statement outlining a framework for an Agreement on Reciprocal, Fair, and Balanced Trade. This release follows somewhat conflicting information issued after the July 27 handshake agreement between President Trump and Commission President von der Leyen. Both sides stress that this framework is […]
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September 9, 2025

EGWP marketplace medicaid Medicare

legislation

Trump Signs EO to Strengthen Pharmaceutical Supply Chain

On Aug. 13, President Trump signed an executive order (EO) directing the Office of the Assistant Secretary for Preparedness and Response (ASPR) within the Department of Health and Human Services (HHS) to take steps to strengthen the domestic pharmaceutical supply chain. The EO instructs ASPR to identify 26 critical drugs vital to national health and […]
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September 9, 2025

EGWP marketplace medicaid Medicare

PCMA Highlights Recent Pro PBM Comments

PCMA recently highlighted several op-eds from policy analysts and economists who have spoken out on the value of PBMs. Satya Marar, visiting postgraduate fellow at the Mercatus Center at George Mason University, explained in a CounterPunch op-ed why PBMs are necessary to push back against the high list prices that drug companies alone set: “We’d […]
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September 9, 2025

EGWP marketplace medicaid Medicare

perspectives

New Report Finds Pharma-Backed Provision in Tax Law Likely to Cost Far More than Previously Estimated

The Campaign for Sustainable Drug Pricing (CSRxP) recently spotlighted a report by the The Wall Street Journal (WSJ) that a pharma-supported policy in the One Big Beautiful Bill Act is likely to cost seniors and taxpayers far more than previously estimated. The policy was based on a bill called “The Optimizing Research Progress Hope And […]
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September 9, 2025

EGWP marketplace medicaid Medicare

Solutions

CASMB Sends Letter to Administration Opposing Private Equity Firm’s IDR Application

The Coalition Against Surprise Medical Billing (CASMB), which represents employer groups, unions, and health insurers, sent a letter to the Trump administration strongly opposing a recent application by a private equity firm to become a Certified Independent Dispute Resolution (IDR) Entity under the terms of the No Surprises Act. In the letter, CASMB writes that Guidehouse Inc., which […]
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September 9, 2025

EGWP marketplace medicaid Medicare

perspectives

Advocacy Organizations Push Back Against House-Passed Medicaid Cuts

Following the release of the Senate Finance Committee’s reconciliation package, the Modern Medicaid Alliance and more than 190 leading health care organizations said they are “deeply concerned” with the proposal to further cut Medicaid. Their letter to Senate Majority Leaders noted, “The proposals released yesterday go even further to undercut the program…Rather than upholding President […]
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July 9, 2025

medicaid

perspectives

AAF Analyzes Financial Burden of a Single-Payer System

American Action Forum (AAF) recently published insights into the potential costs of changing the U.S. health care system to a single-payer system, sometimes referred to as “Medicare for All” (M4A). Over the past decade, numerous Democrats have proposed that patients would be “better off” with a single-payer system, where the federal government is the sole […]
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April 9, 2025

EGWP marketplace medicaid Medicare