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World’s Top-Selling Drug Going Off Patent Means Big Bucks for Middlemen
As AbbVie’s Humira faces copycat biologics, the biggest beneficiaries will be the middlemen negotiating and dispensing the drugs such as...

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3 min read


What do Ticketmaster and Pharmacy Benefit Managers have in common?
Pacific Research Institute Popular American singer and songwriter, Taylor Swift, released her newest album ‘Midnights’ in October. The...

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3 min read


How To Get Away With Corporate Murder: Unbundling And Disrupting Pharmacy Benefit Managers (Part 2)
This two-part article was researched and written in partnership with Cathy DuRei, President of Rumbly Health. Part 1 delved into what a...

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8 min read


How To Get Away With Corporate Murder: Unbundling And Disrupting Pharmacy Benefit Managers (Part 1)
Forbes If, as Mitt Romney said, a corporation is a person, then is it akin to murder if an idea takes down a company? What about if it...

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7 min read


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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2 min read


‘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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10 min read


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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3 min read


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 read


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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2 min read


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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5 min read


Judge approves Blue Cross Blue Shield $2.67B antitrust settlement
Modern Healthcare A federal judge approved Blue Cross and Blue Shield companies’ $2.67 billion antitrust settlement on Tuesday. Barring...

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2 min read


FTC Caught in Balancing Act With Pharmacy Benefit Manager Probe
PBM group says independent pharmacies are ‘stable’ ‘Need to understand’ what’s happening with drug supply chain, consumer costs Bloomberg...

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4 min read


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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2 min read


The Cantwell-Grassley PBM Bill Is Much Needed But More Can Be Done
Health Affairs Senators Maria Cantwell (D-Wash.) and Chuck Grassley (R-Iowa) recently introduced legislation that aims to shed light on...

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4 min read


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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3 min read


Ohio Medicaid accused of strong-arm tactics on pharmacies, just like PBMs
The Columbus Dispatch Pharmacy deserts for the poorest and disabled Ohioans could grow unless a dispute over new state Medicaid contracts...

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4 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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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...

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20 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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1 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
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