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Patient Issues


Another Dispatch From the Accumulator-Maximizer Wars
Vanderbilt’s Stacie Dusetzina and colleagues explain how the ‘copay adjustment’ programs work in this week’s JAMA Internal Medicine and...
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Jun 9, 20233 min read


How to Fix the National Drug Shortage
The New York Times The Times reported last month that drug shortages in the United States are approaching record levels, with thousands...
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Jun 7, 20235 min read


PUTT Blog | Bravo to American Pharmacy Cooperative, Inc. for Calling On “Big 3” PBMs’ Largest Investor to Use Its Influence To Restrain PBM Economically Damaging Practices
This week American Pharmacy Cooperative, Inc. (APCI) took a bold step in the ongoing campaign for PBM reform: they openly called on Vanguard Inc., the largest investor of in the parent companies of the “Big 3” pharmacy benefit managers (PBMs), to use its influence to curtail their PBMs’ abuse of patients and pharmacies. “As one of the largest investors in United Healthcare, CVS, and Cigna, Vanguard is in a unique position to help effectuate real and meaningful change on beh
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May 25, 20232 min read


Denials of health-insurance claims are rising — and getting weirder
Washington Post Opinion Author: Elisabeth Rosenthal Millions of Americans in the past few years have run into this experience: filing a...
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May 24, 20234 min read


Patients Often Lose in the Battle between Pharma and PBMs
Over the last five years, both PBMs and drug manufacturers have implemented restrictions that put more of the costs for specialty...
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May 20, 20239 min read


Report: “Specialty” drugs are by far the most expensive, but classification seems arbitrary
Ohio Capital Journal The prescriptions with the most eye-popping price tags — like cancer meds that can cost more than $20,000 a month —...
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May 18, 20234 min read


Health Insurance Claim Denied? See What Insurers Said Behind the Scenes
Learn how to request your health insurance claim file, which can include details about what your insurer is saying about you and your...
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May 16, 202310 min read


Patients Lose Access to Free Medicines Amid Spat Between Drugmakers, Health Plans
Pharmaceutical companies have cut financial assistance to thwart health-plan tactics The Wall Street Journal It is getting tougher for...
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May 4, 20234 min read


The Implications of Pharmacy Benefit Managers Prioritizing Profit Over Patients
HCP Live Click Here to Watch the Video of Juliana Reed's Talk Juliana Reed, MS, executive director of the Biosimilars Forum, discussed...
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Apr 14, 20232 min read


Prescription drug middlemen are bad for patients, crushing indy pharmacies
Minnesota Reformer Kemper Drug in Elk River recently closed its doors for the last time after having served the community for over 70...
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Apr 6, 20234 min read


Denied by AI: How Medicare Advantage plans use algorithms to cut off care for seniors in need
STAT+ News An algorithm, not a doctor, predicted a rapid recovery for Frances Walter, an 85-year-old Wisconsin woman with a shattered...
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Mar 16, 20239 min read


LIPA Statement of Support for Attorney General Landry's Insulin Lawsuit
For Too Long, Insulin Manufacturers and Pharmacy Benefit Managers Have Derived Unjust Economic Benefit from Diabetes Patients and State Taxpayers. Attorney General Landry Seeks to Reverse the Damage Louisiana Independent Pharmacies Association BATON ROUGE, LA (March 15, 2023) – Louisiana Independent Pharmacies Association (LIPA) issued the following statement in response to Attorney General Jeff Landry’s lawsuit naming Sanofi-Aventis U.S., LLC and Novo Nordisk, Inc, two the
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Mar 15, 20232 min read


Watch: AG Jeff Landry announces diabetes treatment lawsuit
Louisiana KTAL News Louisiana Attorney General Jeff Landry announces a new lawsuit aimed at protecting diabetic residents from high costs...
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Mar 15, 20231 min read


The List of PBM Formulary Exclusions Got Longer in 2023
Pharmacy benefit managers say they exclude high-cost drugs and have alternatives on their formularies. Critics say exclusions narrow...
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Mar 13, 20233 min read


Patients Caught in Drug Industry, PBM Battle on Copay Assistance
CMS rule leaves high out-of-pocket costs, lawsuit argues Aid programs ‘mask’ problem of prices, analysts say Bloomberg Law High drug...
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Mar 6, 20235 min read


Biden’s SOTU Targets Drug Companies, But Misses Opportunity To Challenge Health Insurers And PBMs
Forbes President Biden’s State of the Union Address hammered home the point that drug prices must come down. He reminded viewers that he...
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Feb 17, 20235 min read


‘We Ain’t Gonna Get It’: Why Bernie Sanders Says His ‘Medicare for All’ Dream Must Wait
KHN After railing at the injustices of U.S. health care for decades, Sen. Bernie Sanders in January became the new chairman of the Senate...
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Feb 16, 20236 min read


Need a new drug? You may be asked to ‘fail’ an old drug first
New laws target a health insurance practice called “step therapy,” which is used to control costs, but can also delay needed treatment...
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Feb 9, 20235 min read


Oklahoma Pharmacy Board unanimously approves new rules for shipping mail-order medications
Oklahoma KFOR News The Oklahoma Pharmacy Board unanimously approved new rules Wednesday that would regulate how Oklahomans receive...
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Feb 7, 20232 min read


I wrote about high-priced drugs for years. Then my toddler needed one.
As a health and science reporter, I’ve studied the maze of U.S. health care. But when my son got sick, I still got lost. The Washington...
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Feb 4, 202311 min read
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