Ed Kaplan, the national health practice leader at Segal, also has concerns about "any willing provider" strategies.
Policymakers at the federal and state level have considered a number of reforms, many of which have bipartisan support, to ...
“[PBMs and pharma companies] are two rent-seeking ... “They’re instead pouring lots of money into lobbyists to try to make money by pleasing members of Congress rather than consumers.” ...
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How a Duty To Spend Wisely on Worker Benefits Could Loosen PBMs’ Grip on Drug PricesSome drug market experts, however, doubt the ERISA lawsuits will succeed. Complex PBM money channels “make it hard to build a case,” said Stacie Dusetzina, a professor of health policy at ...
The bill, which encompasses the recommendations of a task force, would regulate pharmacy benefit managers and increase price ...
PBMs seek to make money by charging insurance companies more for drugs than what the PBMs pay to the pharmacies-a practice known as "spread pricing." In theory, all that haggling with drugmakers ...
Amid growing concerns over rising prescription drug prices, lawmakers are ramping up efforts to scrutinize pharmacy benefit managers, Fox affiliate WBFF reported Feb. 26. Here are four things to ...
about why it is that PBMs exist, we create competition amongst ... formularies and other mechanisms to help our clients save money, utilize utilization management tools, and other tools to do ...
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