Benefit Design & Cost Management

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  • Two older adults outdoors on a sunlit path surrounded by golden fall foliage, with one person seated in a wheelchair and the other leaning beside them with an arm around their shoulders.

    How a Clinical Mailer Helped Cut Dangerous Drug Combinations Ahead of New CMS Star Ratings Measures
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  • Three hikers with backpacks walk up a mountain trail toward a scenic summit, symbolizing a guided path toward long-term health and wellness goals.

    The GLP-1 Market Is Loud, and Employers Need Clarity
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  • Modern office building with interconnected glass windows and metallic architectural elements, representing the strength and alignment of organizations working together.

    In Health Care, Not All Vertical Integration Is Created Equal
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  • A person holds a pen over a document marked with multiple red flags, symbolizing the review of a pharmacy benefit manager (PBM) contract.

    Don’t Sign Here – The 7 Red Flags of PBM Contracts
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  • Pharmacist reviewing medication with a Medicare beneficiary, representing COVID-19 vaccination and nirmatrelvir/ritonavir utilization.

    Association of COVID-19 Vaccination Status with Nirmatrelvir/Ritonavir Utilization in Medicare Beneficiaries: A Retrospective Cohort Analysis
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  • A pharmacist reviews a prescription medication with a customer at a community pharmacy counter. The image represents the exchange of prescription information and the communication between pharmacies, providers and health plans that supports safe, accurate medication management during the NCPDP F6 transition.

    NCPDP F6: A Guide to the Upcoming Pharmacy Benefits Transition
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  • Older adults maintaining an active lifestyle, representing cardiovascular health outcomes among Medicare beneficiaries with type 2 diabetes.

    Association Between Utilization of Glucagon-like Peptide-1 Receptor Agonists and Sodium-glucose Cotransporter-2 Inhibitors and Cardiovascular Events in Medicare Beneficiaries with Type 2 Diabetes
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  • Headshot photo of Sharon Faust, PharmD, Chief Pharmacy Officer at Navitus in front of a blurred pharmacy setting.

    The Future of Affordable Pharmacy Benefits
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  • Three colleagues gathered around a large wooden desk in an office workspace. One person sits at the desk writing in a notebook beside an open laptop, while two others stand nearby leaning over documents spread across the table. A keyboard, computer mouse, printer, folders and notes are visible, creating a collaborative work environment with warm indoor lighting.

    GLP-1s: Headlines vs. Hard Truths
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  • Stop Chasing Pharmacy Spend with Personalized Member Guidance
    Read More about Stop Chasing Pharmacy Spend with Personalized Member Guidance

  • The Clinical Engagement Center Celebrates its Fifth Anniversary
    Read More about The Clinical Engagement Center Celebrates its Fifth Anniversary
  • Microphone in recording studio.

    Staying Ahead of Drug Trend: Expert Insights from the Navitus Webinar
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  • Healthcare professional using a tablet in a clinical setting, symbolizing data-driven management of targeted immunomodulator therapies.

    Real-World Utilization of Targeted Immunomodulators for Chronic Conditions in a Commercially Insured Population
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  • Healthcare professional reviewing medications with a Medicare beneficiary, representing polypharmacy deprescribing strategies and medication safety for older adults.

    An Analysis of Polypharmacy Deprescribing Program for Anticholinergics and Concurrent Opioid and Benzodiazepine Usage for Medicare Beneficiaries
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  • A visually impactful shot featuring prescription pill bottles and scattered US dollar bills (cash). This image symbolizes the high cost and financial burden of medication and the debt caused by healthcare expenses in the USA.

    Drug Trend 2025 and What It Means for Your Plan 
    Read More about Drug Trend 2025 and What It Means for Your Plan 
  • Headshot photo of Cheryl Throgmorton, with text reading "Behind the Scenes Insights, a Q&A with Cheryl Throgmorton, Sr. Director of People and Culture".

    Behind the Scenes: A Q&A with Cheryl Throgmorton, Senior Director, People and Culture
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  • health care professional speaking with patient symbolizing a patient receiving treatment for dermatology as utilization grows

    As Cost Climbs 30%, Dermatology Drug Bills Get Under Plans’ Skin
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  • Close-up of a mother and daughter seated on a couch at home, leaning into each other with eyes closed and smiling, one wearing glasses with gray hair and the other with long curly hair and a light sweater, arms wrapped around each other in an embrace.

    A Member’s Guide to Pharmacy Benefits
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