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PUTT
5 min read
The lunacy of 340B and Medicare’s inability to negotiate drug prices
Why do we mandate a better deal for business than for taxpayers? Health Care un-covered by Wendell Potter When you combine Medicare’s...
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PUTT
5 min read
Biden’s SOTU Targets Drug Companies, But Misses Opportunity To Challenge Health Insurers And PBMs
Forbes President Biden’s State of the Union Address hammered home the point that drug prices must come down. He reminded viewers that he...
9 views
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PUTT
6 min read
‘We Ain’t Gonna Get It’: Why Bernie Sanders Says His ‘Medicare for All’ Dream Must Wait
KHN After railing at the injustices of U.S. health care for decades, Sen. Bernie Sanders in January became the new chairman of the Senate...
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PUTT
3 min read
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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PUTT
3 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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PUTT
6 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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PUTT
10 min read
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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PUTT
5 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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PUTT
4 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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PUTT
3 min read
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...
55 views
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PUTT
5 min read
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...
29 views
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PUTT
2 min read
To Beat Overbilling Allegations, Cigna Says Everybody Does It
Law360 Cigna has told a Tennessee federal judge that the U.S. Department of Justice's False Claims Act lawsuit accusing it of defrauding...
183 views
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PUTT
5 min read
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...
52 views
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PUTT
1 min read
Express Scripts to pay $3.2 mln to settle Massachusetts overcharge claims
Cigna unit accused of ignoring federal, state drug pricing benchmarks for workers' compensation beneficiaries Massachusetts previously...
72 views
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PUTT
2 min read
How the 10 largest PBMs hold huge sway in health care marketplace
American Medical Association What’s the news: The AMA has gathered first-of-its-kind data on pharmacy benefit managers (PBMs) and its...
102 views
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PUTT
2 min read
DOJ sues Cigna alleging Medicare Advantage fraud
Modern Healthcare The Justice Department has sued Cigna for allegedly collecting tens of millions of dollars in excess Medicare payments...
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PUTT
10 min read
‘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...
1,078 views
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PUTT
3 min read
Nearly 20% of Medicare Advantage plans lose star revenue for 2023
Modern Healthcare Just half of Medicare Advantage plans with prescription drug coverage received ratings that will earn them bonuses for...
73 views
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PUTT
2 min read
Anthem must face Medicare Advantage fraud lawsuit, judge rules
Modern Healthcare Author: Nona Tepper Anthem must face a Justice Department lawsuit alleging the Medicare Advantage insurer intentionally...
43 views
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PUTT
3 min read
Health insurers are painting a misleading picture of Medicare Advantage savings, experts say
STAT News The health insurance industry is continuing its campaign to convince the public that Medicare Advantage saves taxpayers money,...
75 views
1 comment
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