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Antitrust
How UHC’s acquisition of a popular Medicare Adv. algorithm sparked internal dissent over denied care
STAT News Reporters: Casey Ross and Bob Herman Frustration was boiling into open conflict within NaviHealth, a company that uses computer...
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Jul 14, 202312 min read
‘It’s beyond unethical’: Opaque conflicts of interest permeate prescription drug benefits
STAT+ Employers across the country — from big names like Boeing and UPS to local school systems — pay consulting firms to handle a...
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Jun 23, 202314 min read
State Insurance Commissioners Seek Meeting With FTC On PBMs
Inside Health Policy The group representing state insurance commissioners is seeking information from the Justice Department and Federal...
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Jun 8, 20233 min read
A More Aggressive FTC Is Starting to Target Drug Mergers and Industry Middlemen
KFF Health News Under the leadership of an aggressive opponent of anti-competitive business practices, the Federal Trade Commission is...
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May 22, 20235 min read
FTC Deepens Inquiry into Prescription Drug Middlemen
Agency issues orders to companies affiliated with CVS Caremark, Express Scripts, and Prime Therapeutics as it examines the PBMs’ impact...
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May 17, 20232 min read
Cigna hit with ERISA class action lawsuit for allegedly overcharging members
The health care provider negotiates lower rates with in-network providers to save members money, however, members allege that Cigna...
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Mar 7, 20232 min read
Did Lina Khan Just Slash Insulin Prices?
Eli Lilly just announced price cuts of insulin list prices by 70%. Did government just help people? Yes, yes, it did. BIG by Matt Stoller...
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Mar 4, 20234 min read
Middlemen Running Amok
The Cannon Reduced competition, shortages, and unaffordable options are symptoms of middlemen running amok. Administrators—who rarely...
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Feb 21, 20233 min read
How the FTC's crackdown on GoodRx could impact digital health
Axios Wednesday's crackdown by federal regulators on GoodRx highlights increasing efforts by the FTC under activist chair Lina Khan to...
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Feb 2, 20232 min read
With the FTC’s more expansive approach to antitrust, PBMs are in the crosshairs
STAT News The Democrats leading the Federal Trade Commission are hoping to expand the agency’s authority to crack down on unfair business...
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Jan 25, 20236 min read
$189 charged, $15 collected: The life and death of a local independent drugstore
VTDigger Eye all the photos, postcards and news clippings that paper Mary Giamartino’s office, and you’ll see how the Hotel Pharmacy...
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Jan 23, 20234 min read
FTC action on PBMs could be just what the doctor ordered to improve patient outcomes
A primer on prescription drug prices, pharmacy benefit managers, government action, and why physicians need to be heard. Medical...
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Jan 15, 20234 min read
Pharmacy Benefit Managers and the Federal Trade Commission: A Relationship Gone Sour
JAMA Authors: Barak D. Richman, JD, PhD1; Eli Y. Adashi, MD, MS2 On June 7, 2022, the Federal Trade Commission (FTC) announced its...
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Jan 14, 20236 min read
Get Antitrust Legislation Done, Chuck Schumer
Antitrust legislation is now up to one man, Senate Majority Leader Chuck Schumer. He promised a vote on antitrust legislation in May....
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Dec 29, 20226 min read
Progressive lawmakers call on CMS to cull companies with history of Medicare fraud from ACO REACH
At least 10 organizations with records of healthcare fraud and abuse participated in the direct contracting program last year despite CMS...
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Dec 27, 20223 min read
How Medicare Advantage plans dodged auditors and overcharged taxpayers by millions
NPR In April 2016, government auditors asked a Blue Cross Medicare Advantage health plan in Minnesota to turn over medical records of...
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Dec 22, 20225 min read
To Beat Overbilling Allegations, Cigna Says Everybody Does It
Law360 Cigna has told a Tennessee federal judge that the U.S. Department of Justice's False Claims Act lawsuit accusing it of defrauding...
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Dec 20, 20222 min read
Thousands of Tricare Pharmacy Locations Could Be Lost Due to Kroger-Albertsons Merger
Military.com | Patricia Kime A planned merger of Kroger and Albertsons grocery corporations could slash the number of Tricare network...
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Dec 9, 20224 min read
The health insurer will see you now: How UnitedHealth is keeping more profits, as your doctor
STAT News By Bob Herman Next year, UnitedHealth Group — one of the largest health care companies on the planet — expects to make a lot...
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Dec 5, 20225 min read
What do Ticketmaster and Pharmacy Benefit Managers have in common?
Pacific Research Institute Popular American singer and songwriter, Taylor Swift, released her newest album ‘Midnights’ in October. The...
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Nov 28, 20223 min read
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