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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


I Set Out to Create a Simple Map for How to Appeal Your Insurance Denial.
Instead, I Found a Mind-Boggling Labyrinth. ProPublica I spoke with more than 50 insurance experts, patients, lawyers, physicians and...
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Aug 31, 20237 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


Guest Columnist: Congress must rein in bad actors to keep Ky.'s independent pharmacies alive
The State Journal From my University of Kentucky College of Pharmacy graduation, to beginning a new job at the Kentucky Pharmacists...
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Aug 12, 20233 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


Congress Making Progress on Bills to Regulate PBMs
All measures would require more transparency about the fees they collect MedPage Today Confused by all the bills being introduced in...
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Aug 8, 20235 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


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


PUTT Statement to the FTC on PBM Advocacy
Open Meeting July 20, 2023 Chairwoman Khan and Federal Trade Commissioners, On behalf of our nation’s independent pharmacies and their patients, we urge the FTC to vote in favor of issuing a statement cautioning pharmacy benefit managers (PBMs) against relying on previous FTC advocacy materials opposing PBM transparency as part of their public relations / image management campaign. Thanks in large part to the FTC’s inquiry into how vertically-integrated PBM middlemen affect
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Jul 19, 20232 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


Congress Voices Bipartisan Support for FTC’s Fight Against Monopoly Power
American Economic Liberties Project During the first half of an oversight hearing in the House Judiciary Committee today, a bipartisan...
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Jul 14, 20235 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
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