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PBM Issues
3-Part Investigative Series on PBMs & Copay Accumulators
ABC 6 On Your Side, Columbus, Ohio Investigative Reporter: Darrel Rowland To view graphics and data for this investigative series, go to...
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Aug 1, 202323 min read
Cigna lawsuit over algorithm allegations could be first of many
Modern Healthcare Reporter: NONA TEPPER Two Cigna members filed a lawsuit seeking class-action status in a California federal court on...
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Jul 25, 20233 min read
FTC Walks Back Years of Support for Pharmacy Benefits Middlemen
Vote withdraws 11 letters, reports supporting PBMs Industry group argues pharmacy benefit market is ‘dynamic’ Bloomberg Law The FTC voted...
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Jul 20, 20233 min read
FTC Pulls Back From Prior Support for Pharmacy Benefit Middlemen
Policy from 2000s put PBMs in ‘regulatory free zone’ Push for oversight of the companies heats up Bloomberg Law The FTC on Thursday plans...
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Jul 19, 20234 min read
“Corners are cut to dispense prescriptions,” CVS employee tells Ohio Board of Pharmacy
After years of buying and closing competitors, CVS understaffing leads to chaos and delays, Ohio regulator says Ohio Capitol Journal At...
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Jul 15, 202310 min read
How UHC’s acquisition of a popular Medicare Adv. algorithm sparked internal dissent over denied care
STAT News Reporters: Casey Ross and Bob Herman Frustration was boiling into open conflict within NaviHealth, a company that uses computer...
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Jul 14, 202312 min read
‘It’s beyond unethical’: Opaque conflicts of interest permeate prescription drug benefits
STAT+ Employers across the country — from big names like Boeing and UPS to local school systems — pay consulting firms to handle a...
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Jun 23, 202314 min read
Your Drug Rebate Check Is in the Mail…to Switzerland
Real Clear Health More than 7 million US citizens depend on insulin to live, but more than 16 percent of Americans, are rationing their...
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Jun 10, 20233 min read
Another Dispatch From the Accumulator-Maximizer Wars
Vanderbilt’s Stacie Dusetzina and colleagues explain how the ‘copay adjustment’ programs work in this week’s JAMA Internal Medicine and...
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Jun 9, 20233 min read
State Insurance Commissioners Seek Meeting With FTC On PBMs
Inside Health Policy The group representing state insurance commissioners is seeking information from the Justice Department and Federal...
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Jun 8, 20233 min read
How to Fix the National Drug Shortage
The New York Times The Times reported last month that drug shortages in the United States are approaching record levels, with thousands...
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Jun 7, 20235 min read
Bipartisan support on key panel for crackdown on pharmaceutical middlemen
The Washington Examiner Members of both parties on the House Committee on Oversight and Accountability expressed support for the...
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May 30, 20233 min read
PUTT Blog | Bravo to American Pharmacy Cooperative, Inc. for Calling On “Big 3” PBMs’ Largest Investor to Use Its Influence To Restrain PBM Economically Damaging Practices
This week American Pharmacy Cooperative, Inc. (APCI) took a bold step in the ongoing campaign for PBM reform: they openly called on Vanguard Inc., the largest investor of in the parent companies of the “Big 3” pharmacy benefit managers (PBMs), to use its influence to curtail their PBMs’ abuse of patients and pharmacies. “As one of the largest investors in United Healthcare, CVS, and Cigna, Vanguard is in a unique position to help effectuate real and meaningful change on beh
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May 25, 20232 min read
Policing prescription-drug middlemen’s middlemen
Drug pricing: Antitrust regulator to probe shadowy purchasing organizations Ohio Capital Journal The Federal Trade Commission on...
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May 25, 20233 min read
Denials of health-insurance claims are rising — and getting weirder
Washington Post Opinion Author: Elisabeth Rosenthal Millions of Americans in the past few years have run into this experience: filing a...
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May 24, 20234 min read
Patients Often Lose in the Battle between Pharma and PBMs
Over the last five years, both PBMs and drug manufacturers have implemented restrictions that put more of the costs for specialty...
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May 20, 20239 min read
PBM landscape in for a shakeup
Axios Pro A Congressional panel unanimously advanced legislation with new transparency requirements for pharmacy benefit managers on...
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May 19, 20232 min read
Report: “Specialty” drugs are by far the most expensive, but classification seems arbitrary
Ohio Capital Journal The prescriptions with the most eye-popping price tags — like cancer meds that can cost more than $20,000 a month —...
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May 18, 20234 min read
Health Insurance Claim Denied? See What Insurers Said Behind the Scenes
Learn how to request your health insurance claim file, which can include details about what your insurer is saying about you and your...
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May 16, 202310 min read
Prescription-drug costs in spotlight as pharmacy benefit reform advances in Senate
Drugmakers, prescription-drug middlemen trade jabs over high cost of medications MarketWatch A bipartisan effort to rein in prescription...
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May 11, 20233 min read
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