top of page
Patient Issues
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...
-
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...
-
Nov 19, 20227 min read
Oklahoma proposes landmark rule to keep mailed medications safe from extreme temperatures
There is little regulation of how pharmacies ship drugs to patients, though extremes of hot or cold can make medicine unsafe or...
-
Nov 18, 20223 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...
-
Oct 25, 20222 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
Nearly 15,000 Pharmacies Leaving Tricare Next Month
Military.com Thousands of independent and community pharmacies are poised to be dropped from Tricare's pharmacy network next month in a...
-
Sep 26, 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...
-
Sep 16, 20225 min read
Most Americans Worry About Accessing Health Care, Poll Finds
Some 80% of Americans worry about how they will access good health care, according to a new Associated Press-NORC Center for Public...
-
Sep 11, 20222 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...
-
Aug 22, 20223 min read
It’s time to expose the secret drug scam at the heart of American health care
Yahoo Finance/Fortune A federal court recently exposed the rot at the heart of America's healthcare system. The case, filed in the U.S....
-
Jul 26, 20223 min read
Healthcare Policy Expert: FTC Could Put Insurers' Drug Middlemen On A Diet
The Federal Trade Commission has an opportunity to impact healthcare for Americans. Newsweek Fat can sometimes cause healthcare issues,...
-
Jul 20, 20222 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
8 in 10 registered voters support requiring insurance & PBMs to share rebates directly with patients
A new PhRMA/Ipsos poll finds that there is wide support for policies that require health insurers and their pharmacy benefit managers...
-
Jun 27, 20222 min read
Beat cancer? Your Medicare Advantage plan might still be billing for it
Firms mined patient records for outdated, irrelevant conditions to increase profits, Justice Department contends The Washington Post...
-
Jun 14, 202211 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
Senate Commerce Committee Issues Testimony From David A. Balto Law Offices Antitrust Attorney
The Senate Commerce, Science and Transportation Committee issued the following testimony by David A. Balto, antitrust attorney at David...
-
May 24, 202220 min read
Amneal must give EpiPen plaintiffs documents on PBM dealings
Judge finds documents relevant to drug wholesalers' case over allergy injector pricing Reuters Drug wholesalers accusing Viatris Inc and...
-
May 23, 20221 min read
bottom of page