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Employer Issues
In The News | PBM State Fights Will Live On After High Court’s Petition Denial
Oklahoma decision viewed as affirming broad ERISA preemption Employers increasingly challenging PBM laws across the country Bloomberg Law...
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Jul 222 min read
PUTT Blog | The Chamber of Commerce Is Missing in Action on PBM Reform - And It's No Accident
Independent pharmacies are small businesses. That shouldn’t be a controversial statement. We employ local residents, serve vulnerable...
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May 303 min read
PUTT Blog | President Trump Executive Order Analysis from Boesen & Snow Law Firm
Talking Points & Analysis of President Donald J. Trump Executive Order: LOWERING DRUG PRICES BY ONCE AGAIN PUTTING AMERICANS FIRST ...
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Apr 177 min read
In the News | Unions file suit against drug middlemen, insulin makers on behalf of thousands
Michigan Advance Reporter: Marty Schladen Unions that provide health benefits to nearly a half-million workers — including many in Ohio —...
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Jan 242 min read
In the News | How a Duty To Spend Wisely on Worker Benefits Could Loosen PBMs’ Grip on Drug Prices
KFF Health News Reporter: Arthur Allen Ann Lewandowski knows all about pharmacy benefit managers, or PBMs, the companies that shape the...
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Dec 19, 20244 min read
Higher Drug Costs, Less Choice: How PBMs Affect Everyday Americans’ Healthcare
Forbes Forbes Contributor: Rita Numerof The nation’s attention remains fixed on pharmacy benefit managers. Following a series of House...
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Aug 30, 20242 min read
Drug middlemen say Pharma sets prices. Then why do middlemen have hundreds for the same drug?
Ohio Capital Journal Pharmacy middlemen known as pharmacy benefit managers deny claims that they’re responsible for the inflating cost of...
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Jul 27, 20243 min read
Pharmacy middlemen claim to keep prescription prices low. In fact, they’ve cost consumers billions
Los Angeles Times In 2022, an executive of a big pharmacy middleman firm acknowledged the noxious reality of its business model: It was...
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Jul 17, 20247 min read
Insurers, employers see payoffs switching to smaller PBMs
Modern Healthcare Smaller pharmacy benefit managers may be having more than a moment as some health insurers and employers show the major...
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Jul 13, 20244 min read
3Axis Report Scrutinizes PBM Spread Pricing Practice
The 3Axis Advisors analysis suggests PBMs’ spread pricing practices leads to employers being charged different amounts for the same...
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Jul 3, 20244 min read
Mail-Order Drugs Were Supposed to Keep Costs Down. It’s Doing the Opposite.
One employer was paying about $100 for a prescription for a generic antidepressant, though it could be bought elsewhere for about $12 The...
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Jun 27, 20245 min read
The Opaque Industry Secretly Inflating Prices for Prescription Drugs
Pharmacy benefit managers are driving up drug costs for millions of people, employers and the government. The New York Times Americans...
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Jun 24, 202416 min read
Mapping the Vertical Integration of Insurers, PBMs, Specialty Pharmacies, and Providers: A May 2024 Update
Drug Channels It's time for Drug Channels’ annual update of vertical integration among insurers, PBMs, specialty pharmacies, and...
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May 10, 20243 min read
Are below cost reimbursement practices by Pharmacy Benefit Managers creating opportunity for criminals to enter the legitimate supply chain?
The Partnership for Safe Medicines Whether it’s N95 masks, airbags, or helmets, demand for a product that the legitimate market cannot...
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Apr 6, 20249 min read
As Humira biosimilars take over the market, CVS has created a new ploy: the drug ‘rebate credit’
STAT+ News The biggest enticement that large pharmacy benefit managers offer to the employers that hire them is drug rebates — a steady...
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Mar 20, 20246 min read
New reports detail UnitedHealth's latest acquisitions under shady pretenses
HEALTH CARE un-covered by Wendell Potter Two newly published investigative reports, by the intrepid reporters at STAT News and The...
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Mar 16, 20243 min read
The Albatross Around America’s Neck: How health-care opacity neutralizes competition and fuels a corporate race to corner health-care markets
HEALTH CARE un-covered Authors: WENDELL POTTER & BRIAN KLEPPER Consolidating and cornering health-care markets In November, Optum...
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Feb 16, 20246 min read
Strange bedfellows agree: PBM pricing reform cannot stop at Medicare, Medicaid
HEALTH CARE un-covered by Wendell Potter Regular readers of this newsletter know that pharmacy benefit managers have come to be an...
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Feb 3, 20243 min read
Local pharmacy owner, patient share concerns over relationships between PBMs and insurance companies
Fox News 2 For nearly 30 years, Betty Whitcomb’s trusted this independently owned pharmacy in Overland for her pills. “He just lets me...
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Feb 1, 20242 min read
1 big thing: Employers in the dark
Axios Vitals Employers are facing stronger legal requirements to ensure they aren't wasting their workers' money on overpriced health...
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Jan 23, 20243 min read
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