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Investigations


Amid increased federal scrutiny, PBMs pivot strategy to further squeeze independent pharmacies
Yahoo! Finance Pharmacy benefits managers (PBMs) are employing new strategies to squeeze independent pharmacies, even as the industry...
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Mar 25, 20245 min read


Should the DOJ Break Up UnitedHealth Group?
The U.S. Department of Justice has reportedly recently launched an antitrust investigation of UnitedHealth Group, which begs the question...
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Mar 21, 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


White House Roundtable on Lowering Healthcare Costs and Bringing Transparency to Prescription Drug Middlemen
ICYMI: Watch It Now
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Mar 6, 20241 min read


First Look: PBM probe update
Axios Vitals Pharmacy benefit managers aren't fully complying with a federal probe into their business practices more than a year and a...
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Feb 27, 20242 min read


The hidden truth behind rising prescription costs
NBC News 12 Wisconsin The only pharmacy in St Germain closed last month. It had been there for more than 40 years. The reason why it went...
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Feb 6, 20244 min read


Delaware committee advises against Medicare Advantage for state retirees
Becker's Payer Issues A state committee is recommending Delaware cast aside any plans to provide retired state employees health benefits...
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Jan 24, 20241 min read


Have You Been Overcharged for Prescription Drugs? We Want to Hear From You.
The New York Times is looking into pharmacy benefit managers, which play crucial roles in determining which medications your insurance...
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Jan 15, 20241 min read


Nearly half of every dollar spent by Medicare drug plans goes to private health insurers' pharmacy benefit managers and wholesalers
Healthcare UN-Covered by Wendell Potter As members of Congress get back to business after the holidays, they seem to be poised to pass...
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Jan 5, 20244 min read


The looming pharmacy crisis in America | NPR's On Point
To listen to this news interview on NPR, click here Pharmacists at major chain stores like CVS and Walgreens are at a breaking point....
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Dec 9, 202318 min read


How Cigna saves millions by having its doctors reject claims without reading them
Oregon Live | Business When a stubborn pain in Nick van Terheyden’s bones would not subside, his doctor had a hunch what was wrong....
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Dec 1, 202310 min read


Ohio pharmacy board members seem skeptical of CVS claims
Ohio Capital Journal A disciplinary hearing related to understaffing at some CVS pharmacies in Ohio didn’t come to a conclusion...
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Nov 10, 20234 min read


Study Highlights PBMs’ Role in Drug Prices
An analysis by 3 Axis Advisors has found that there is a large variability in pharmacy reimbursement of prescription drugs depending on...
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Nov 9, 20233 min read


How the secrecy of middlemen inflates drug prices
The Hill Most Americans believe drugs cost too much and big pharma is to blame. That powerful political sentiment undergirds Medicare’s...
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Oct 25, 20234 min read


Pharmacy closures found to be impacting medically underserved communities
Medical Press Pharmacies have long been considered a cornerstone of community health care, but they're closing in record numbers across...
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Sep 1, 20233 min read


The Hidden Fee Costing Doctors Millions Every Year
A powerful lobbyist convinced a federal agency that doctors can be forced to pay fees on money that health insurers owe them. Big...
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Aug 15, 202315 min read


3-Part Investigative Series on PBMs & Copay Accumulators
ABC 6 On Your Side, Columbus, Ohio Investigative Reporter: Darrel Rowland To view graphics and data for this investigative series, go to...
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Aug 1, 202323 min read


FTC Walks Back Years of Support for Pharmacy Benefits Middlemen
Vote withdraws 11 letters, reports supporting PBMs Industry group argues pharmacy benefit market is ‘dynamic’ Bloomberg Law The FTC voted...
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Jul 20, 20233 min read


FTC Pulls Back From Prior Support for Pharmacy Benefit Middlemen
Policy from 2000s put PBMs in ‘regulatory free zone’ Push for oversight of the companies heats up Bloomberg Law The FTC on Thursday plans...
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Jul 19, 20234 min read


“Corners are cut to dispense prescriptions,” CVS employee tells Ohio Board of Pharmacy
After years of buying and closing competitors, CVS understaffing leads to chaos and delays, Ohio regulator says Ohio Capitol Journal At...
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Jul 15, 202310 min read
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