Peter Wehrwein, Managing Editor

The second part of our conversation with Craig Burton, MBA, executive director of the Biosimilars Council, a trade and lobbying group for the biosimilars industry.

We spoke recently with Craig Burton, MBA, executive director of the Biosimilars Council, a trade and lobbying group for the biosimilars industry.

Changing the narrative about health insurance.

Two-thirds of high severity likely due to upcoding, according to a RAND study of hospitalizations in five states.

PEPFAR, the main U.S.-funded global AIDS program was given a waiver from the foreign aid freeze, but there is still uncertainty and interruptions, partly because many PEPFAR programs are implemented through USAID, which has been largely shutdown by the news administration.

The quality-adjusted life years has shown staying power in cost-effectiveness calculations, but some say it has major flaws and have proposed alternatives.

The Louisiana Republican, who led a hepatitis B vaccination campaign before entering politics, has expressed concerns about Robert F. Kennedy Jr's views on vaccines.

The majority are in the very early preclinical stage of development, but applications for regulatory approval have been submitted for 11 gene therapies worldwide, and 35 are in phase 3 trials, according to report delineating the gene therapy development landscape.

The nominee for HHS secretary hedged this answers to questions about vaccine safety and efficacy at his second confirmation hearing today.

After several days of worry that the global AIDS program might come to abrupt end, Secretary of State Marco Rubio issued a humanitarian waiver that appears to have restored funding.

At today's confirmation hearing, Democratic senators were skeptical of the HHS Secretary nominee Robert F. Kennedy Jr.'s claim that he is now pro-vaccine.

In 2021 book attacking Anthony Fauci, M.D., Robert F. Kennedy Jr. casts doubt on HIV being the sole cause of AIDS and presents arguments made by "HIV deniers" that believe it is bystander in the immunosuppression that characterizes AIDS.

The survey also showed that high drug costs and artificial intelligence are topmost among the respondent’s concerns.

As with PTSD, people develop acute stress disorder after exposure to traumatic events. The key difference in the diagnostic criteria is how long has the person been experiencing symptoms.

The company promoted an insider to take the helm at UnitedHealthcare, its insurance business.

Using a single PBM as the sole distribution channel is unprecedented.

The president also promises to end the chronic disease epidemic and make two genders U.S. policy.

Five-year survival rates improved greatly because of immunotherapy and other advances, according to the American Cancer Society's annual report on cancer incidence and mortality. But there is a wide gap between how well White patients fare compared to Black patients.

Will the Stelara biosimilars be a reprise of the Humira biosimilars in 2023 and be slow to catch on?

The report also discusses the spurt of Stelera biosimilar approvals in late 2024.

The risk for lung cancer is especially high among those with rheumatoid arthritis who also have interstitial lung disease.

The continuing resolution that passed last night does extend telehealth flexibilities.

The new, now-defeated bill eliminated the PBM reform measures included in a larger spending bill that the president-elect and Elon Musk torpedoed on Wednesday.

Spending reached $4.86 trillion in 2023, a 7.5% increase from 2022 The growth in spending on hospital care was the highest since 1990.

The 2024 Pharmacy Benefit Management Institute (PBMI) Annual National Conference was held Sep. 4-6 in Orlando, Florida. Managed Healthcare Executive is the official publication of the institute. Here is a sample of our coverage.

CMS has balked at covering vagus nerve stimulation for treatment-resistant depression. Positive results from an industry-sponsored randomized trial could break the logjam, although it may be several years before results are reported.

Dialing back doses of the two biologics saved $13.2 million over three years, researchers report at an American Society of Health-System Pharmacists meeting.

Authorities have named Mangione, 26, as a person of interest in last week’s fatal shooting of United Healthcare CEO Brian Thompson in Manhattan. He was taken into custody at a McDonald’s in Altoona, Pennsylvania around 9 a.m. ET, officials said.

On financial toxicity, and when, how and by whom it should be discussed.