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PBM Issues


Health insurers are painting a misleading picture of Medicare Advantage savings, experts say
STAT News The health insurance industry is continuing its campaign to convince the public that Medicare Advantage saves taxpayers money,...
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Sep 30, 20223 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...
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Sep 26, 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...
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Sep 24, 20223 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 11, 20222 min read


CVS deal for Signify seen facing tough antitrust review
Reuters CVS Health Corp's (CVS.N) plan to buy healthcare services company Signify Health for about $8 billion will face a tough U.S....
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Sep 7, 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


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...
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Jun 19, 20224 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


Arkansas Sues Drugmakers, Pharmacy Benefit Managers Over Insulin Costs
Insurance Journal Arkansas’s attorney general on Wednesday accused drugmakers and pharmacy benefit managers of colluding to drive up the...
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May 14, 20221 min read


Seven health insurance CEOs raked in a record $283 million last year
STAT News The CEOs of America’s seven largest publicly traded health insurance and services companies cumulatively earned more than $283...
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May 12, 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 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...
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Apr 25, 20223 min read
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