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Big Insurance PBMs Will Shut Down Your Local Pharmacy
DC Journal | Inside Sources In his State of the Union address last week, President Biden doubled down on this commitment to decreasing...

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3 min read
81 views
1 comment


Cyberattack Paralyzes the Largest U.S. Health Care Payment System
The hacking shut down the nation’s biggest health care payment system, causing financial chaos that affected a broad spectrum ranging...

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6 min read
55 views
1 comment


Pharma has little visibility into the growing area of PBM fees
Lack of consistent insight into PBM service fees puts drugmakers at a disadvantage when calculating prices. MM+M | Medical Marketing &...

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4 min read
13 views
0 comments


The antitrust tripwire for health insurers Cigna and Humana
Axios A deal reportedly brewing between health insurance giants Cigna and Humana will likely face antitrust challenges over their...

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2 min read
31 views
2 comments


How Cigna saves millions by having its doctors reject claims without reading them
Oregon Live | Business When a stubborn pain in Nick van Terheyden’s bones would not subside, his doctor had a hunch what was wrong....

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10 min read
22 views
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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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4 min read
87 views
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Ending Junk Fees, the Most Annoying Thing in American Commerce
Cheating is pervasive in American business, epitomized by the junk fee. Finally, FTC Chair Lina Khan and CFPB Director Rohit Chopra are...

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7 min read
75 views
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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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7 min read
54 views
1 comment


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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3 min read
70 views
1 comment


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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5 min read
37 views
2 comments


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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12 min read
884 views
1 comment


‘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...

PUTT
14 min read
423 views
2 comments


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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3 min read
57 views
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A More Aggressive FTC Is Starting to Target Drug Mergers and Industry Middlemen
KFF Health News Under the leadership of an aggressive opponent of anti-competitive business practices, the Federal Trade Commission is...

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5 min read
21 views
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FTC Deepens Inquiry into Prescription Drug Middlemen
Agency issues orders to companies affiliated with CVS Caremark, Express Scripts, and Prime Therapeutics as it examines the PBMs’ impact...

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2 min read
43 views
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Cigna hit with ERISA class action lawsuit for allegedly overcharging members
The health care provider negotiates lower rates with in-network providers to save members money, however, members allege that Cigna...

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2 min read
39 views
1 comment


Did Lina Khan Just Slash Insulin Prices?
Eli Lilly just announced price cuts of insulin list prices by 70%. Did government just help people? Yes, yes, it did. BIG by Matt Stoller...

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4 min read
28 views
1 comment


Middlemen Running Amok
The Cannon Reduced competition, shortages, and unaffordable options are symptoms of middlemen running amok. Administrators—who rarely...

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3 min read
37 views
0 comments


How the FTC's crackdown on GoodRx could impact digital health
Axios Wednesday's crackdown by federal regulators on GoodRx highlights increasing efforts by the FTC under activist chair Lina Khan to...

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2 min read
53 views
0 comments


With the FTC’s more expansive approach to antitrust, PBMs are in the crosshairs
STAT News The Democrats leading the Federal Trade Commission are hoping to expand the agency’s authority to crack down on unfair business...

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6 min read
42 views
0 comments
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