2003 Hospitals Insurance Coverage and Processing 
Pharmacy Times
JULY 22, 2025
These third-party administrators act as intermediaries between drug manufacturers, pharmacies, and insurance companies. PBMs negotiate prices, establish formularies, and process claims, while also creating preferred networks of pharmacies. Additionally, the role of pharmacy benefit managers (PBMs) cannot be overlooked.
Putting Patients First Blog
SEPTEMBER 9, 2024
16 We encourage CMS to continue refining these data collection processes to ensure they capture meaningful and actionable information. PHPs and IOPs provide structured and intensive care options that are less restrictive than inpatient hospitalization, making them essential components of the continuum of care.
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