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Patient Issues
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
With the FTC’s more expansive approach to antitrust, PBMs are in the crosshairs
STAT News The Democrats leading the Federal Trade Commission are hoping to expand the agency’s authority to crack down on unfair business...
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Jan 25, 20236 min read
FTC action on PBMs could be just what the doctor ordered to improve patient outcomes
A primer on prescription drug prices, pharmacy benefit managers, government action, and why physicians need to be heard. Medical...
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Jan 15, 20234 min read
Pharmacy Benefit Managers and the Federal Trade Commission: A Relationship Gone Sour
JAMA Authors: Barak D. Richman, JD, PhD1; Eli Y. Adashi, MD, MS2 On June 7, 2022, the Federal Trade Commission (FTC) announced its...
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Jan 14, 20236 min read
Aspirations 2023: What I Hope To See Happen In Healthcare And Public Health (But Probably Won’t)
Forbes Previously this month, I gave predictions for 2023. Here, I’ll offer some aspirations for the healthcare system in 2023: What I...
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Jan 12, 20236 min read
Everyday High Prices
How discounting led to inflation, shortages, and inequality. Washington Monthly Magazine Author: Phillip Longman For years, the only...
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Jan 10, 202310 min read
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
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
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