The Federal Trade Commission filed an administrative antitrust complaint against the three largest pharmacy benefit managers—CVS Caremark, Express Scripts (Cigna), and OptumRx (UnitedHealth)—and their affiliated group purchasing organizations, charging them with anticompetitive and unfair practices …
Federal Trade CommissionLina KhanCVS CaremarkExpress ScriptsOptumRx+3 morehealthcarepbmpharmacyantitrustftc+3 more
On March 13, 2023, ProPublica published an investigation revealing that health insurance giant Cigna used an automated system called PXDX to deny 300,000 claims over two months without doctors examining individual patient files—spending an average of just 1.2 seconds reviewing each case before …
CignaProPublicaHouse Committee on Energy and Commercehealthcareinsurance-fraudsystematic-corruptioninvestigative-journalism
The Department of Justice approved Cigna’s $52 billion acquisition of Express Scripts, one of the three largest pharmacy benefit managers, completing the deal announced in March 2018. Assistant Attorney General Makan Delrahim stated that after a six-month investigation reviewing over two …
CignaExpress ScriptsDepartment of JusticeMakan DelrahimDavid Cordanihealthcarepbmpharmacyantitrustregulatory-capture+2 more