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PBM Issues
Study Highlights PBMs’ Role in Drug Prices
An analysis by 3 Axis Advisors has found that there is a large variability in pharmacy reimbursement of prescription drugs depending on...
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Nov 9, 20233 min read
How the secrecy of middlemen inflates drug prices
The Hill Most Americans believe drugs cost too much and big pharma is to blame. That powerful political sentiment undergirds Medicare’s...
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Oct 25, 20234 min read
Hospitals are dropping Medicare Advantage left and right
Beckers Hospital Review Reporter: Jakob Emerson Medicare Advantage provides health coverage to more than half of the nation's seniors,...
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Oct 21, 20234 min read
Hawaii Targets PBMs With Suit Alleging Unfair Pricing System
COURT: Haw. Dist. Ct. DOCKET: No. 1CCV-23-0001281 Bloomberg Law Hawaii has joined the legal fray against the country’s top companies...
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Oct 12, 20232 min read
CVS Caremark sued over back-end pharmacy fees
Axios Community pharmacies in a new lawsuit claim CVS Health and its Caremark pharmacy benefit manager violated antitrust laws and...
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Oct 7, 20232 min read
Letters scare local Medicare patients
WAND News Two local pharmacies have been fielding dozens of phone calls after a pharmacy benefit manager, Express Scripts, sent out...
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Oct 6, 20232 min read
Independent pharmacies appeal mandatory arbitration ruling to IL Supreme Court
Cuker: OptumRx arbitration provision is 'basically rigged' Madison-St. Clair Record A group of independently-owned pharmacies are urging...
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Sep 20, 20235 min read
Generic Drugs Should Be Cheap, but Insurers Are Charging Thousands of Dollars for Them
Health insurers mark up prices of generics for cancer, multiple sclerosis and other complicated diseases The Wall Street Journal The...
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Sep 18, 20235 min read
It’s time to put patients before middlemen and reform the PBM industry
The Hill | Opinion When it comes to the alphabet soup of acronyms in health care, it can be hard to keep up. Whether it is the difference...
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Sep 15, 20233 min read
Drug Prices Are Too Damn High
It's been a long road to Medicare price negotiation ... and there's still work to be done MedPage Today Remember the "Rent is Too Damn...
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Sep 7, 20235 min read
It’s not just CVS. Other big pharmacy chains cut hours, close stores
Ohio Capital Journal Walmart is cutting hours at its busy pharmacies, while Rite Aid — which is already selling off stores — is expected...
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Sep 5, 20233 min read
It’s Time To End the PBM Shakedown
Forbes Who says bipartisanship is dead? In the House and Senate, members of both parties are advancing legislation to check the power of...
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Sep 2, 20232 min read
Pharmacy closures found to be impacting medically underserved communities
Medical Press Pharmacies have long been considered a cornerstone of community health care, but they're closing in record numbers across...
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Sep 1, 20233 min read
Drug Benefit Firms Devise New Fees That Go to Them, Not Clients
Pharmacy benefit managers negotiate cheaper prices for employers and health plans. They also pocket drugmakers’ cash. Bloomberg Pharmacy...
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Aug 23, 20237 min read
CVS shares tank after major insurer ends its PBM relationship
Axios CVS Health shares were trading down 8% on Thursday after Blue Shield of California announced plans to cut back on its pharmacy...
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Aug 18, 20232 min read
PBMs sue U.S. to keep prescription drug prices hidden from public
Industry group says rule exceeds agencies' authority Lawsuit is latest of several to challenge drug pricing rules Reuters Reporter:...
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Aug 17, 20232 min read
The Hidden Fee Costing Doctors Millions Every Year
A powerful lobbyist convinced a federal agency that doctors can be forced to pay fees on money that health insurers owe them. Big...
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Aug 15, 202315 min read
California court resurrects Aetna retaliation lawsuit
The California Medical Association's lawsuit alleges Aetna had fired or threatened to fire doctors who referred patients to...
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Aug 10, 20232 min read
Kickbacks Are The Root Cause Of Medical Supply Shortages
Marion Mass, MD, writes about how shadowy wealthy corporations have been collecting government sanctioned kickbacks for decades, harming...
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Aug 5, 20233 min read
How the prescription drug supply chain is killing local pharmacies
To watch this investigative report on PBS, please click here PBS NewsHour Reporter: Fred de Sam Lazaro The supply chain that brings...
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Aug 3, 20236 min read
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