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US Officials Probe a New Layer in Opaque Drug Pricing, Supply System
Round of subpoenas is the latest attempt to pierce industry Entities allow PBMs to ‘hide the ball,’ consultant says Bloomberg US...

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4 min read
40 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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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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9 min read
18 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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Denied by AI: How Medicare Advantage plans use algorithms to cut off care for seniors in need
STAT+ News An algorithm, not a doctor, predicted a rapid recovery for Frances Walter, an 85-year-old Wisconsin woman with a shattered...

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8 min read
163 views
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FTC’s Enforcement Action Against GoodRx Breathes New Life into Decade Old Regulation
Lexology The Federal Trade Commission (FTC) didn’t mince words. On September 2021, it called out the health app industry for failing to...

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6 min read
43 views
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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


I wrote about high-priced drugs for years. Then my toddler needed one.
As a health and science reporter, I’ve studied the maze of U.S. health care. But when my son got sick, I still got lost. The Washington...

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10 min read
120 views
1 comment


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
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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
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FTC action on PBMs could be just what the doctor ordered to improve patient outcomes
A primer on prescription drug prices, pharmacy benefit managers, government action, and why physicians need to be heard. Medical...

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4 min read
99 views
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Pharmacy Benefit Managers and the Federal Trade Commission: A Relationship Gone Sour
JAMA Authors: Barak D. Richman, JD, PhD1; Eli Y. Adashi, MD, MS2 On June 7, 2022, the Federal Trade Commission (FTC) announced its...

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6 min read
121 views
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Everyday High Prices
How discounting led to inflation, shortages, and inequality. Washington Monthly Magazine Author: Phillip Longman For years, the only...

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10 min read
26 views
2 comments


Progressive lawmakers call on CMS to cull companies with history of Medicare fraud from ACO REACH
At least 10 organizations with records of healthcare fraud and abuse participated in the direct contracting program last year despite CMS...

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3 min read
55 views
1 comment


How Medicare Advantage plans dodged auditors and overcharged taxpayers by millions
NPR In April 2016, government auditors asked a Blue Cross Medicare Advantage health plan in Minnesota to turn over medical records of...

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5 min read
29 views
1 comment


How To Get Away With Corporate Murder: Unbundling And Disrupting Pharmacy Benefit Managers (Part 2)
This two-part article was researched and written in partnership with Cathy DuRei, President of Rumbly Health. Part 1 delved into what a...

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8 min read
45 views
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Hidden audits reveal millions in overcharges by Medicare Advantage plans
NPR Shots: Health News Newly released federal audits reveal widespread overcharges and other errors in payments to Medicare Advantage...

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5 min read
52 views
1 comment


How To Get Away With Corporate Murder: Unbundling And Disrupting Pharmacy Benefit Managers (Part 1)
Forbes If, as Mitt Romney said, a corporation is a person, then is it akin to murder if an idea takes down a company? What about if it...

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7 min read
46 views
0 comments


Federal Trade Commission to Expand Use of Law Against Anticompetitive Practices
Action could lead to more legal challenges against alleged unfair practices by businesses The Wall Street Journal The Federal Trade...

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3 min read
42 views
1 comment


‘The Cash Monster Was Insatiable’: How Insurers Exploited Medicare for Billions
By next year, half of Medicare beneficiaries will have a private Medicare Advantage plan. Most large insurers in the program have been...

PUTT
10 min read
1,078 views
1 comment
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