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PBM Reform
Senators introduced bills to reform PBMs and create new FTC probe
Fierce Healthcare Two top senators have reintroduced legislation that would introduce several reforms to pharmacy benefit managers,...
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Feb 1, 20233 min read
The Government Thinks It Is Overpaying for Medicare, Spelling Trouble for Insurers
Health insurers had a stellar 2022, but this year looks more challenging The Wall Street Journal Health insurers had the best of both...
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Jan 30, 20233 min read
Aspirations 2023: What I Hope To See Happen In Healthcare And Public Health (But Probably Won’t)
Forbes Previously this month, I gave predictions for 2023. Here, I’ll offer some aspirations for the healthcare system in 2023: What I...
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Jan 12, 20236 min read
Drug Pricing Oversight to Get Prime Focus Under New Congress
Repeal of Biden’s drug pricing law unlikely, analysts say Pharmacy middlemen, insulin costs among top priorities Bloomberg Law Overseeing...
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Jan 5, 20235 min read
Through reverse auctions, Minnesota pushes for PBM savings and price transparency
By Christopher Snowbeck - Star Tribune Two large public sector health plans in Minnesota say they jointly will save more than $28 million...
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Jan 4, 20235 min read
Get Antitrust Legislation Done, Chuck Schumer
Antitrust legislation is now up to one man, Senate Majority Leader Chuck Schumer. He promised a vote on antitrust legislation in May....
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Dec 29, 20226 min read
Elon Musk, Bernie Sanders and Others Miss the Mark Over Pricey Insulin
Big Pharma has taken much of the heat for sky-high insulin prices, but scrutiny could soon shift to other companies grabbing a growing...
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Nov 29, 20223 min read
A Stethoscope for Spending: Transparency for PBMs
Real Clear Health At its invention, the stethoscope was revolutionary—the first non-lethal way of exploring a patient’s internal anatomy....
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Aug 29, 20222 min read
What the Inflation Reduction Act means for PBMs
Modern Healthcare The sweeping law President Joe Biden enacted Tuesday offers relief to some presciption drug users, but the pharmacy...
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Aug 18, 20223 min read
Lowering insulin’s cost becomes political football
Yet Democrats and Republicans agree something must be done The Gazette Insulin has become the poster-child drug when it comes to the...
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Aug 16, 20226 min read
FTC Caught in Balancing Act With Pharmacy Benefit Manager Probe
PBM group says independent pharmacies are ‘stable’ ‘Need to understand’ what’s happening with drug supply chain, consumer costs Bloomberg...
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Jul 31, 20224 min read
The Cantwell-Grassley PBM Bill Is Much Needed But More Can Be Done
Health Affairs Senators Maria Cantwell (D-Wash.) and Chuck Grassley (R-Iowa) recently introduced legislation that aims to shed light on...
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Jul 12, 20224 min read
Seeking to Kick-Start Biden’s Agenda, Schumer Unveils a Bill for Medicare Drug Price Negotiations
Kaiser Health News Democratic senators on Wednesday took a formal step toward reviving President Joe Biden’s economic agenda, starting...
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Jul 11, 20224 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
FTC Probe Into Rx Middlemen May Spark Industry Shakeup
Law360 Concerns that pharmaceutical middlemen inflate drug prices and harm patients have led the Federal Trade Commission to launch a...
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Jun 9, 20227 min read
Federal Trade Commission And Congress Want To Rein In PBMs
Forbes Both the Federal Trade Commission (FTC) and Congress want to rein in pharmacy benefit managers (PBMs), as they focus on alleged...
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Jun 7, 20223 min read
Ohio Medicaid accused of strong-arm tactics on pharmacies, just like PBMs
The Columbus Dispatch Pharmacy deserts for the poorest and disabled Ohioans could grow unless a dispute over new state Medicaid contracts...
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May 31, 20224 min read
New Senate bill aims to empower FTC to crack down on PBMs
New bipartisan legislation hopes to ban a pharmacy benefit manager practice that enables PBMs to claw back reimbursements to pharmacies....
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May 25, 20222 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
Vertically integrated payer-provider groups raise antitrust concerns
Modern Healthcare More commercial insurers are overhauling their business models in response to changes ushered in by the Affordable Care...
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Mar 30, 20229 min read
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