Articles tagged with “medicare-part-d”

Medicare Part D vs. Advantage & Medicaid Managed Care Explained

Updated 2026 guide to Medicare Part D vs. Medicare Advantage drug plans, including IRA drug price negotiations, $2,000 OOP cap, and Medicaid managed care changes under the 2025 reconciliation law.

40 min read

11/7/2025

medicare part d medicare advantage medicaid managed care prescription drug plan mco us health policy ma-pd capitation health insurance

Health Insurance Formulary: What It Is & How It Works

Learn what a health insurance formulary is. This guide explains the drug list, tiers, and cost-sharing used by PBMs to control prescription costs and access.

55 min read

11/1/2025

health insurance formulary drug list formulary tiers pharmacy benefit manager prescription drug coverage cost sharing medicare part d open formulary