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Employer Issues


How the 10 largest PBMs hold huge sway in health care marketplace
American Medical Association What’s the news: The AMA has gathered first-of-its-kind data on pharmacy benefit managers (PBMs) and its...
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Oct 25, 20222 min read


Angry at Big Pharma? Direct it at Big PBM!
LinkedIn Pulse Big Pharma has a very bad reputation, 58% disapprove, however people should REALLY be pissed at another small group of...
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Sep 16, 20225 min read


In Defense of Americans Against Pharmacy Benefit Managers
TownHall When I served as a White House health advisor, I invited a group of large employers to come describe the challenges company...
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Aug 22, 20223 min read


The Cantwell-Grassley PBM Bill Is Much Needed But More Can Be Done
Health Affairs Senators Maria Cantwell (D-Wash.) and Chuck Grassley (R-Iowa) recently introduced legislation that aims to shed light on...
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Jul 12, 20224 min read


Improve the Pharmaceutical Ecosystem for Patients
Health care policy decisions based on sound data and research are essential for addressing the challenges. Pharmacy Times Pharmacists are...
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May 17, 20224 min read


CEO of upstart PBM: What CVS, Cigna and other PBMs are doing in drug pricing is neither sustainable
A.J. Loiacono was speaking at MedCity INVEST in late March in Chicago when an audience member requested him to address whether it is...
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Apr 14, 20225 min read


This Federal Law Will Completely Overhaul Company Health Benefits. Nobody Is Ready.
Forbes Most employers have no idea whether they get value for the money they spend on health benefits. Employers rarely see data on the...
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Feb 28, 20222 min read


To Be, Or Not To Be... A Fiduciary
Faced with what appears to be an endless increase in prescription drug costs, employers need a clear view into the prices they pay for...
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Feb 14, 20225 min read


Curbing costs by rethinking PBMs
Misaligned incentives, spread pricing, opaque rebates, and specialty distribution models perpetuate extensive customer mistrust in PBMs,...
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Feb 4, 20224 min read


Three Big Health Insurance Myths
How insurers deflect criticism, avoid reform and preserve the status quo. Un-Covered When I was a health insurance communications exec, I...
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Jan 24, 20224 min read


While UnitedHealth Reports $24B in Profits, Americans Faced 200% Increases in Out-of-Pocket Costs
No insurer has ever made that kind of money in U.S. history. Wendell Potter NOW Just days after a Commonwealth Fund report showed that...
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Jan 21, 20222 min read
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