Logan Lutton

Health Secretary Robert F. Kennedy Jr. faces bipartisan scrutiny over vaccine policies, Medicare costs and rural healthcare during a Senate hearing.

Act 624 and ambiguous ERISA policies are some of the biggest issues faced by pharmacy benefit leaders today, according to Robyn Crosson, vice president of government relations, Navitus Health Solutions.

Pharmacy and medical benefit programs have traditionally operated separately, despite having similarities. Nishi Goel, Pharm.D., vice president of customer experience, Agadia, is trying to change that.

The growing trend of at-home drug administration emphasizes the need for integrated medical and pharmacy reviews, according to Nishi Goel, Pharm.D., vice president of customer experience, Agadia.

Although Medicare Advantage plan member satisfaction has dropped, areas for improvement have emerged in the form of digital innovations, according to the J.D. Power 2025 U.S. Medicare Advantage Study.

Here’s what you missed this week on Managed Healthcare Executive.

The next step for the Rise For Health study researchers is to study the health benefits of frequent standing in older men and women.

Sexual and gender minority individuals still face insurance denials and cost-sharing barriers when accessing pre-exposure prophylaxis (PrEP), despite having a Grade A recommendation from the United States Preventive Services Task Force (USPSTF).

The biosimilar will be available to any licensed specialty pharmacy in the United States at a 95% discount from Stelara, starting January 1, 2026.

Large language models (LLMs) were more likely to suggest inferior treatment options when reviewing hypothetical cases when patients' Black identity was listed or implied.

New study results provide insight into improving heart health through behavior changes, such as taking standing breaks throughout the day.

A lack of training and vague, overlapping symptoms can be attributed to more than three-quarters of autoimmune patients being misdiagnosed at least once, according to Veena Joy, the U.S. Lead for Strategic Partnerships, Allergy and Autoimmunity at Thermo Fisher Scientific.

Prefilled syringes of Imuldosa now have the lowest wholesaler acquisition cost among all branded ustekinumab biosimilars, according to a news release.

Tonmya is the first new fibromyalgia treatment approved by the FDA in more than 15 years, providing symptom relief for at least 30% of patients when compared to placebo, according to clinical trial results.

Here’s what you missed this week on Managed Healthcare Executive.

Papzimeos is the first and only FDA-approved treatment for adults with recurrent respiratory papillomatosis (RRP), with ongoing clinical studies showing symptom relief for up to two years.

Children with HIV face a shortened life span, educational barriers and daily stigma, according to Amir Ardeshir, Ph.D., DVM, associate professor of microbiology and immunology at Tulane University.

In this video interview, Amanda Bogle, a healthcare attorney at Sheppard Mullin, explains the importance of compliance officers, documentation systems and leadership for pharmacists looking to adhere to the evolving regulatory landscape.

Veena Joy, the U.S. Lead for Strategic Partnerships, Allergy and Autoimmunity at Thermo Fisher Scientific, discusses the latest advancements in autoimmune disease research and explains why industry collaboration is essential to finding disease cures.

Postmenopausal women who sit less may have better heart health outcomes than those who sit for longer periods of time, according to a recent study published in Circulation.

Pharmacists and prescribers express ongoing concern about medication prior authorization struggles, but most are willing to adopt new technologies to ease the burden, according to a recent Surescripts survey.

HIV-fighting antibodies produced in infant macaques in a preclinical trial could be the future of HIV prevention in humans, according to Amir Ardeshir, Ph.D., DVM, Associate Professor of Microbiology and Immunology at Tulane University.

Here’s what you missed this week on Managed Healthcare Executive.

A recent study found major racial disparities in U.S. prescription drug use, with White patients using the most and Black patients often undertreated.

Access is the central tenet to the success of lenacapavir as a form of preexposure prophylaxis (PrEP), according to Jeremiah Johnson, the executive director of PrEP4All and Mitchell Warren, the executive director of the AIDS Vaccine and Advocacy Coalition (AVAC).

Teva's Ajovy gains FDA approval for pediatric migraine prevention, offering hope for children aged 6-17 with this debilitating condition.

Risks and benefits associated with mail-order pharmacies and third-party platforms, according to Amanda Bogle, a healthcare attorney at Sheppard Mullin.

Pharmacies and PBMs face growing regulatory and reporting demands around drug pricing and reimbursement, while misalignment between state rules and payer practices complicates the expanded clinical role of pharmacists.

Dove’s new line of body care products was developed to address symptoms often associated with menopause, such as skin dryness and body odor.

International audience surveys from last year’s menopause documentary, The (M) Factor, shed light on the ongoing need for increased menopause awareness for patients and providers alike.