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Small Business Needs PBM Reform Now
RealClear Health Small businesses -- your favorite local coffee shop, boutique, salon and florist -- punch way above their weight in the...

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3 min read


Have You Been Overcharged for Prescription Drugs? We Want to Hear From You.
The New York Times is looking into pharmacy benefit managers, which play crucial roles in determining which medications your insurance...

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1 min read


NACDS unveils new spot on PBM reform
Chain Drug Review A new television ad from NACDS urges Congress to enact bipartisan pharmacy benefit manager (PBM) reforms that it has...

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2 min read


NYC Transit Retirees WIN Important Battle Against Medicare Advantage Push
TWU Local 100 retirees fighting to retain their traditional Medicare Benefits were dismissed back in October — this week, they won a...

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6 min read


Reforming PBM Practices Would Improve The Pharmacy Market
Forbes Patients, the ultimate healthcare arbiter, continue to bear the costs from the perverse incentives driving the pharmacy benefit...

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4 min read


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


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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3 min read


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


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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5 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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3 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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3 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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2 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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7 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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2 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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22 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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3 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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14 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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3 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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3 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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10 min read
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