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...
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10 min
‘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...
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3 min
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...
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2 min
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...
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2 min
Nearly 15,000 Pharmacies Leaving Tricare Next Month
Military.com Thousands of independent and community pharmacies are poised to be dropped from Tricare's pharmacy network next month in a...
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5 min
Angry at Big Pharma? Direct it at Big PBM!
LinkedIn Pulse Big Pharma has a very bad reputation, 58% disapprove, however people should REALLY be pissed at another small group of...
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2 min
Most Americans Worry About Accessing Health Care, Poll Finds
Some 80% of Americans worry about how they will access good health care, according to a new Associated Press-NORC Center for Public...
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3 min
In Defense of Americans Against Pharmacy Benefit Managers
TownHall When I served as a White House health advisor, I invited a group of large employers to come describe the challenges company...
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3 min
It’s time to expose the secret drug scam at the heart of American health care
Yahoo Finance/Fortune A federal court recently exposed the rot at the heart of America's healthcare system. The case, filed in the U.S....
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2 min
Healthcare Policy Expert: FTC Could Put Insurers' Drug Middlemen On A Diet
The Federal Trade Commission has an opportunity to impact healthcare for Americans. Newsweek Fat can sometimes cause healthcare issues,...
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3 min
FTC Goes After PBMs, Warns Of Legal Action
Forbes Last month, the Federal Trade Commission (FTC) voted unanimously (5-0) to examine rising list prices of insulin, but also to probe...
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2 min
8 in 10 registered voters support requiring insurance & PBMs to share rebates directly with patients
A new PhRMA/Ipsos poll finds that there is wide support for policies that require health insurers and their pharmacy benefit managers...
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11 min
Beat cancer? Your Medicare Advantage plan might still be billing for it
Firms mined patient records for outdated, irrelevant conditions to increase profits, Justice Department contends The Washington Post...
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2 min
Industry middlemen driving up prices of generic drug prescriptions as much as 20 percent: research
The Hill U.S. consumers are overpaying billions for generic drugs due to the cost being driven up by middlemen in the pharmaceutical...
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2 min
AHA presses for False Claims Act probes to target payers over Medicare Advantage denials
The Justice Department needs to create a task force to study potential False Claims Act violations conducted by Medicare Advantage plans,...
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20 min
Senate Commerce Committee Issues Testimony From David A. Balto Law Offices Antitrust Attorney
The Senate Commerce, Science and Transportation Committee issued the following testimony by David A. Balto, antitrust attorney at David...
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1 min
Amneal must give EpiPen plaintiffs documents on PBM dealings
Judge finds documents relevant to drug wholesalers' case over allergy injector pricing Reuters Drug wholesalers accusing Viatris Inc and...
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4 min
Improve the Pharmaceutical Ecosystem for Patients
Health care policy decisions based on sound data and research are essential for addressing the challenges. Pharmacy Times Pharmacists are...
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4 min
Biden plan to slash pharmacy fees, cut seniors' out-of-pocket costs delayed until 2024
The Columbus Dispatch Millions of U.S. seniors were supposed to get price relief soon on their prescription drugs under a revamp of...
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7 min
How a Formulary Change and a Few Tweets Led to a HIPAA Complaint
Patient and patient advocate Beth Waldron used her social media platform to criticize CVS Caremark’s removal of Eliquis (apixaban) from...
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