Leslie Small

Leslie Small

Managing Editor, Health Plan Weekly and Radar on Drug Benefits

Latest from Leslie Small

This Year, PBM-Directed Fury May Once Again Signify Nothing

Anti-PBM sentiment continues to rise, but industry observers still question whether the reforms being discussed will be effective.

‘Not a Good Look’: Premiums Could Jump If Trump’s CMS Drops Part D Demo

Despite GOP criticism of the Part D stabilization program and its budgetary impact, the Trump Administration may decide to keep it in part to avoid blame for a premium increase.

Biden Admin’s Last Part D Rule Also Has Generic Drug Exclusion Comments, Prescription Payment Plan Tweaks

In the proposed rule, CMS said it would begin reviewing Part D plan formularies and utilization practices to see if programs include incentives to reduce costs, as well as offered suggestions for implementing the new Medicare Prescription Payment Plan.

Health Care Industry Reels After UnitedHealthcare CEO Is Killed Outside NYC Hotel

The motive for the shocking murder of Brian Thompson in New York City was still unknown Wednesday afternoon.

Health Care Industry Shaken After UnitedHealthcare CEO Is Killed Outside NYC Hotel

The motive for the shocking murder of Brian Thompson in New York City was still unknown Wednesday afternoon.

As ‘Carveout’ Debate Continues, States Try Hybrid Approach to Medicaid Rx Benefits

Scant evidence has emerged proving that carving out retail pharmacy benefit management from Medicaid managed care organization contracts helps limit costs.