News & Resources

American Medical Association’s annual analysis measuring competition in pharmacy benefit manager (PBM) markets found low competition in PBM markets across the nation and high vertical integration as the largest PBMs share ownership with health insurers.

The latest pledge by health plans to reform the onerous prior authorization process must be followed by concrete action that fulfills those promises.

Dive into how the flawed prior authorization system impacts the workplace by exploring the statistics, case studies and frequently asked questions included in this toolkit.

66 million patients rely on Medicare to access care. After the fifth straight year of cuts, Congress must finally address its systemic problems.

Prior authorization has become a chronic pain point for patients and physicians. Both Republicans and Democrats agree that prior authorization needs fixing, but patients are growing impatient waiting for reform.

A bipartisan group of legislators re-introduced the Medicare Patient Access and Practice Stabilization Act (H.R. 879), legislation that would stabilize physician practices and protect patients' access to care.