New Senate bill aims to empower FTC to crack down on PBMs
New bipartisan legislation hopes to ban a pharmacy benefit manager practice that enables PBMs to claw back reimbursements to pharmacies....
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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,...
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20 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...
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PUTT
1 min read
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 read
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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1 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...
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PUTT
4 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...
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2 min read
Massachusetts scrutinizing health care consolidation
A study of vertical integration trends in the state found that it drove primary care prices to increase by as much as 12%. Benefits Pro...
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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...
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PUTT
3 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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PUTT
7 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...
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PUTT
6 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...
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5 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...
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PUTT
3 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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PUTT
9 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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3 min read
Oklahoma pharmacist: 'I can tell you the system is broken'
The Oklahoman When Oklahomans step up to my pharmacy counter, it’s usually because something is wrong. There is chronic disease, pain and...
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5 min read
Bipartisan pressure may prompt Federal Trade Commission to investigate drug middlemen
The Columbus Dispatch For consumer advocates who contend that only the federal government has a hammer big enough to rein in...
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3 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...
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2 min read
More than $300 Billion in Health Care Spending Goes to Middlemen. We Need Accountability.
Real Clear Policy Too many people go to the pharmacy counter only to be told the cost of their prescription medicine has gone up. Again....
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PUTT
4 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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