Regulated Markets Summit Recap

November 13, 2025

marketplace medicaid Medicare

At the 9th annual Regulated Markets Summit, Evernorth leaders and industry experts discussed challenges and opportunities in today’s complex regulatory health care environment. They provided actionable insights for key topics related to drug pricing policies, benefit design, Quality and Star Ratings and CMS audits.

Want to learn more? Please reach out to your Evernorth strategist or account team, or click here to download the recap!

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June 19, 2026

EGWP marketplace medicaid Medicare

legislation

Bicameral Patients before Monopolies Act reintroduced

On May 13, bipartisan lawmakers in the House and Senate reintroduced the Patients Before Monopolies (PBM) Act (S.4509/H.R.8779), legislation that would prohibit common ownership of PBMs, insurers, and pharmacies. Sponsored by Sens. Warren (D-MA) and Josh Hawley (R-MO) alongside Reps. Diana Harshbarger (R-TN) and Jake Auchincloss (D-MA), the bill would require impacted organizations to divest […]
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June 10, 2026

EGWP marketplace medicaid Medicare

legislation

CMS announces ePA acceleration initiative, democrats seek to repeal WISeR Model

The Centers for Medicare & Medicaid Services (CMS) is advancing its electronic prior authorization (ePA) efforts through a newly established Electronic Prior Authorization Acceleration initiative to address key challenges and drive solutions ahead of 2027 requirements. To date, 29 health care organizations – including health systems, electronic health record developers, physician practices, networks, and digital health […]
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June 10, 2026

EGWP marketplace medicaid Medicare

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