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Employer Issues
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
World’s Top-Selling Drug Going Off Patent Means Big Bucks for Middlemen
As AbbVie’s Humira faces copycat biologics, the biggest beneficiaries will be the middlemen negotiating and dispensing the drugs such as...
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Nov 30, 20223 min read
Elon Musk, Bernie Sanders and Others Miss the Mark Over Pricey Insulin
Big Pharma has taken much of the heat for sky-high insulin prices, but scrutiny could soon shift to other companies grabbing a growing...
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Nov 29, 20223 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
How To Get Away With Corporate Murder: Unbundling And Disrupting Pharmacy Benefit Managers (Part 2)
This two-part article was researched and written in partnership with Cathy DuRei, President of Rumbly Health. Part 1 delved into what a...
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Nov 23, 20228 min read
How To Get Away With Corporate Murder: Unbundling And Disrupting Pharmacy Benefit Managers (Part 1)
Forbes If, as Mitt Romney said, a corporation is a person, then is it akin to murder if an idea takes down a company? What about if it...
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Nov 19, 20227 min read
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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