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Patient Issues


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...
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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...
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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...
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Sep 12, 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...
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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....
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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,...
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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...
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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...
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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Firms mined patient records for outdated, irrelevant conditions to increase profits, Justice Department contends The Washington Post...
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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...
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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,...
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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...
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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...
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May 23, 20221 min read


Improve the Pharmaceutical Ecosystem for Patients
Health care policy decisions based on sound data and research are essential for addressing the challenges. Pharmacy Times Pharmacists are...
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May 17, 20224 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...
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May 2, 20224 min read


How a Formulary Change and a Few Tweets Led to a HIPAA Complaint
Patient and patient advocate Beth Waldron used her social media platform to criticize CVS Caremark’s removal of Eliquis (apixaban) from...
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Apr 22, 20227 min read


CEO of upstart PBM: What CVS, Cigna and other PBMs are doing in drug pricing is neither sustainable
A.J. Loiacono was speaking at MedCity INVEST in late March in Chicago when an audience member requested him to address whether it is...
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Apr 14, 20225 min read


Oklahoma pharmacist: 'I can tell you the system is broken'
The Oklahoman When Oklahomans step up to my pharmacy counter, it’s usually because something is wrong. There is chronic disease, pain and...
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Mar 28, 20223 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...
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Mar 8, 20224 min read


Curbing costs by rethinking PBMs
Misaligned incentives, spread pricing, opaque rebates, and specialty distribution models perpetuate extensive customer mistrust in PBMs,...
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Feb 4, 20224 min read
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