top of page
Investigations
Federal Trade Commission to Expand Use of Law Against Anticompetitive Practices
Action could lead to more legal challenges against alleged unfair practices by businesses The Wall Street Journal The Federal Trade...
-
Nov 10, 20223 min read
‘The Cash Monster Was Insatiable’: How Insurers Exploited Medicare for Billions
By next year, half of Medicare beneficiaries will have a private Medicare Advantage plan. Most large insurers in the program have been...
-
Oct 12, 202210 min read
Nearly 20% of Medicare Advantage plans lose star revenue for 2023
Modern Healthcare Just half of Medicare Advantage plans with prescription drug coverage received ratings that will earn them bonuses for...
-
Oct 7, 20223 min read
Anthem must face Medicare Advantage fraud lawsuit, judge rules
Modern Healthcare Author: Nona Tepper Anthem must face a Justice Department lawsuit alleging the Medicare Advantage insurer intentionally...
-
Oct 5, 20222 min read
FTC's Bedoya Says Antitrust Cares Too Much About Efficiency
Law360 Federal Trade Commission member Alvaro M. Bedoya said Thursday that antitrust enforcement has been too concerned with how...
-
Sep 24, 20223 min read
FTC Caught in Balancing Act With Pharmacy Benefit Manager Probe
PBM group says independent pharmacies are ‘stable’ ‘Need to understand’ what’s happening with drug supply chain, consumer costs Bloomberg...
-
Jul 31, 20224 min read
FTC Goes After PBMs, Warns Of Legal Action
Forbes Last month, the Federal Trade Commission (FTC) voted unanimously (5-0) to examine rising list prices of insulin, but also to probe...
-
Jul 5, 20223 min read
Lawmakers ask GAO to probe pharmacy benefit managers over their role in drug pricing
STAT News Amid intensifying scrutiny of pharmacy benefit managers, a group of House Republicans is urging the U.S. Government...
-
Jun 19, 20224 min read
FTC Probe Into Rx Middlemen May Spark Industry Shakeup
Law360 Concerns that pharmaceutical middlemen inflate drug prices and harm patients have led the Federal Trade Commission to launch a...
-
Jun 9, 20227 min read
Federal Trade Commission And Congress Want To Rein In PBMs
Forbes Both the Federal Trade Commission (FTC) and Congress want to rein in pharmacy benefit managers (PBMs), as they focus on alleged...
-
Jun 7, 20223 min read
Industry middlemen driving up prices of generic drug prescriptions as much as 20 percent: research
The Hill U.S. consumers are overpaying billions for generic drugs due to the cost being driven up by middlemen in the pharmaceutical...
-
Jun 3, 20222 min read
AHA presses for False Claims Act probes to target payers over Medicare Advantage denials
The Justice Department needs to create a task force to study potential False Claims Act violations conducted by Medicare Advantage plans,...
-
May 25, 20222 min read
Biden plan to slash pharmacy fees, cut seniors' out-of-pocket costs delayed until 2024
The Columbus Dispatch Millions of U.S. seniors were supposed to get price relief soon on their prescription drugs under a revamp of...
-
May 1, 20224 min read
Louisiana sues health care company over practices under investigation in Ohio
Legal document says UnitedHealth inflated drugs by “billions” Ohio Capital Journal Louisiana is suing health care giant UnitedHealth over...
-
Apr 25, 20223 min read
Prospect of lower fees for prescription drugs could be dashed by new maneuver from PBMs
The Columbus Dispatch A few months ago, proposed federal action to reduce fees on prescription drugs used by millions of older Americans...
-
Apr 15, 20226 min read
Bipartisan pressure may prompt Federal Trade Commission to investigate drug middlemen
The Columbus Dispatch For consumer advocates who contend that only the federal government has a hammer big enough to rein in...
-
Mar 24, 20225 min read
Yost opens investigation into PBM maneuver
Insurance NewsNet Ohio Attorney General Dave Yost has launched an investigation into an obscure drug-pricing maneuver that could be both...
-
Mar 18, 20223 min read
More than $300 Billion in Health Care Spending Goes to Middlemen. We Need Accountability.
Real Clear Policy Too many people go to the pharmacy counter only to be told the cost of their prescription medicine has gone up. Again....
-
Mar 11, 20222 min read
Pharmacy Agent Study Would Show Role in Drug Price ‘Dysfunction’
Rebates should get focus in PBM probe, policy watchers say Proprietary data protections can complicate transparency Bloomberg Law The...
-
Mar 7, 20224 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...
-
Feb 14, 20225 min read
bottom of page