The M3P Solution is Making Waves!

November 13, 2025

EGWP Medicare

On Jan. 1, 2025, Express Scripts successfully launched the M3P solution to nearly all Medicare Health Plan clients – plus the entire EGWP line of business. By the end of Q4, an impressive 76,744 members had opted in. We’re proud to lead the industry in repayment rates, with 96% of members paying their billed amounts – thanks to our seamless online enrollment and proactive customer service encouraging AutoPay. Nearly 44% of participants are enrolled in AutoPay, making payments effortless. And members are loving it!

In a recent survey:

  • 69% were promoters of the program
  • 67% said it absolutely helped them afford their medication
  • Most learned about M3P through their Health Plan or Express Scripts and found both the election process and AutoPay enrollment easy.

The M3P solution isn’t just a program – it’s a game-changer for affordability and convenience.

survey results

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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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Thank you for being a valued reader of Regulated Times. Take our brief, anonymous survey in less than one minute and help shape the future of Regulated Times.

As we continue to evolve the newsletter, we’d love to hear your thoughts. Your feedback will help us better understand what content is most valuable, whether the current publication frequency is meeting your needs, and how we can improve your overall experience.
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June 19, 2026

EGWP marketplace medicaid Medicare

Initiatives

PCMA launches new affordability campaign

PCMA rolled out a new seven-figure multi-channel advertising campaign focused on affordability. The campaign, which has been covered by Bloomberg, Inside Health Policy, and Politico, will include digital, email, and streaming advertising, events, podcasts, a new microsite, and a suite of resources designed to better explain how PBMs work and the outsized value they deliver […]
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June 10, 2026

EGWP marketplace medicaid Medicare

Solutions

PCMA asks DOJ and FTC to investigate role of wholesalers in generic drug prices

On May 21, PCMA submitted comments to the Department of Justice (DOJ) Antitrust Division and the Federal Trade Commission (FTC) encouraging them to seek information about the business practices of drug wholesalers. The comments were submitted in response to an earlier request for public comments about reinstating guidelines for business collaborations. The comments highlight that the […]
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June 10, 2026

EGWP marketplace medicaid Medicare

survey results

Help shape Regulated Times: Take our 1-minute survey

Thank you for being a valued reader of Regulated Times. Take our brief, anonymous survey in less than one minute and help shape the future of Regulated Times. As we continue to evolve the newsletter, we’d love to hear your thoughts. Your feedback will help us better understand what content is most valuable, whether the […]
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June 10, 2026

EGWP marketplace medicaid Medicare

perspectives

Americans continue to be satisfied with employer-sponsored coverage

A new national survey commissioned by AHIP finds American workers hold consistently positive views of employer-sponsored health coverage, with nearly 9 in 10 expressing satisfaction with their plans and a decisive 96% valuing the financial security their coverage provides. Workers view employer-provided coverage as integral to their employment decisions, with 68% ranking health insurance as […]
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April 15, 2026

EGWP marketplace medicaid Medicare