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Lawmakers ask GAO to probe pharmacy benefit managers over their role in drug pricing
STAT News Amid intensifying scrutiny of pharmacy benefit managers, a group of House Republicans is urging the U.S. Government...
PUTT
4 min read
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Firms mined patient records for outdated, irrelevant conditions to increase profits, Justice Department contends The Washington Post...
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11 min read
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...
PUTT
2 min read
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,...
PUTT
2 min read
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...
PUTT
20 min read
Arkansas Sues Drugmakers, Pharmacy Benefit Managers Over Insulin Costs
Insurance Journal Arkansas’s attorney general on Wednesday accused drugmakers and pharmacy benefit managers of colluding to drive up the...
PUTT
1 min read
Seven health insurance CEOs raked in a record $283 million last year
STAT News The CEOs of America’s seven largest publicly traded health insurance and services companies cumulatively earned more than $283...
PUTT
4 min read
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...
PUTT
4 min read
Louisiana sues health care company over practices under investigation in Ohio
Legal document says UnitedHealth inflated drugs by “billions” Ohio Capital Journal Louisiana is suing health care giant UnitedHealth over...
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3 min read
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...
PUTT
7 min read
Prospect of lower fees for prescription drugs could be dashed by new maneuver from PBMs
The Columbus Dispatch A few months ago, proposed federal action to reduce fees on prescription drugs used by millions of older Americans...
PUTT
6 min read
CEO of upstart PBM: What CVS, Cigna and other PBMs are doing in drug pricing is neither sustainable
A.J. Loiacono was speaking at MedCity INVEST in late March in Chicago when an audience member requested him to address whether it is...
PUTT
5 min read
Provider status is very necessary for pharmacists (and I will argue with AMA later on this)
James Lott, CEO of Script Health in Chicago, strongly favors the Pharmacy and Medically Underserved Areas Enhancement Act, the bill that...
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3 min read
Vertically integrated payer-provider groups raise antitrust concerns
Modern Healthcare More commercial insurers are overhauling their business models in response to changes ushered in by the Affordable Care...
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9 min read
Yost opens investigation into PBM maneuver
Insurance NewsNet Ohio Attorney General Dave Yost has launched an investigation into an obscure drug-pricing maneuver that could be both...
PUTT
3 min read
Pharmacy Agent Study Would Show Role in Drug Price ‘Dysfunction’
Rebates should get focus in PBM probe, policy watchers say Proprietary data protections can complicate transparency Bloomberg Law The...
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4 min read
Pinched Pharmacies Pressure FTC to Take Action on Drug Costs
FTC likely to study pharmacy benefit managers Independent pharmacies join criticism of powerful middlemen Bloomberg Law Independent...
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4 min read
To Be, Or Not To Be... A Fiduciary
Faced with what appears to be an endless increase in prescription drug costs, employers need a clear view into the prices they pay for...
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5 min read
Curbing costs by rethinking PBMs
Misaligned incentives, spread pricing, opaque rebates, and specialty distribution models perpetuate extensive customer mistrust in PBMs,...
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4 min read
PBMs: When You're Buying Meds They Get The Rebates, You Get The Shaft
Indiana News Radio WIBC Last week a pharmaceutical industry expert named Antonio Ciaccia, testified in front of the Indiana General...
PUTT
2 min read
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