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Move the Pharmacy Benefit Manager Transparency Act of 2022 forward
CT Mirror “I cannot afford to live.” – Patients are screaming at the outrageous prescription drug costs. The U.S. spends three times more...

PUTT
3 min read
53 views
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National Poll Shows Overwhelming Support for Congressional Efforts to Hold PBMs Accountable
Bipartisan Respondents Strongly Favor Policies that Require PBMs to Provide Value and Lower Drug Costs PBM Accountability Project With...

PUTT
2 min read
44 views
2 comments


Senate Commerce approves PBM transparency bill
Axios Pro The Senate Commerce Committee approved the bipartisan Pharmacy Benefit Manager Transparency Act Wednesday on an 18-9 vote. Why...

PUTT
2 min read
186 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...

PUTT
8 min read
163 views
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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...

PUTT
5 min read
33 views
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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...

PUTT
5 min read
9 views
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‘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...

PUTT
6 min read
30 views
1 comment


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,...

PUTT
3 min read
37 views
1 comment


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...

PUTT
3 min read
35 views
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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...

PUTT
6 min read
27 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...

PUTT
10 min read
26 views
2 comments


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...

PUTT
5 min read
32 views
0 comments


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...

PUTT
4 min read
40 views
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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...

PUTT
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...

PUTT
5 min read
29 views
1 comment


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...

PUTT
2 min read
185 views
1 comment


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...

PUTT
5 min read
52 views
1 comment


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...

PUTT
1 min read
74 views
1 comment


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...

PUTT
2 min read
102 views
1 comment


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...

PUTT
2 min read
95 views
1 comment
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