September 16, 2026

PBM Law Could Impact Drug Entities In The Shadows

A new law with restrictions on and reforms to pharmacy benefit managers (PBMs) will have a major effect throughout the drug channel. The law requires greater transparency and will likely expose various transaction fees between PBMs and rebate aggregators, group purchasing organizations, and others related entities.

#pbms #transparency

https://www.modernhealthcare.com/insurance/mh-pbm-reform-drug-rebate-aggregators

NCQA Releases Plan Ratings

Healthcare quality organization NCQA released its annual Star rating for health plans. Eighteen plans scored a perfect 5 Stars for 2026, up from 11 in 2025. There are no for-profits among them.

Of large plan entities, CVS Aetna had the best average rating across plans of 4.009.

Additional article: https://www.beckerspayer.com/rankings-ratings/the-best-rated-health-plans-of-2026-ncqa/

#ncqa #quality #healthplans #stars

https://www.healthcaredive.com/news/ncqa-plan-ratings-2026-nonprofits-outperform/830521

— Marc S. Ryan

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